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Ann Thorac Surg 2003;75:1605-1606
© 2003 The Society of Thoracic Surgeons

Original article: general thoracic

Invited commentary

Cris A. Meyer, MDa, Kenneth A. Kesler, MDa

a Departments of Radiology and Surgery, Thoracic Division, Indiana University School of Medicine, Indianapolis, IN46202, USA

(Email: kkesler@iupui.edu).

The first 20% of the full text of this article appears below.

Following a retrospective review of their institution’s pathologic data from previously resected ground-glass opacity (GGO) lesions, Nakata and colleagues prospectively studied 33 patients who underwent thoracoscopic wedge resection of a pure (no solid component) GGO pulmonary lesion. Lesions were 1 cm or less in diameter and had not resolved after an average of 3.7 months. Only one GGO lesion pathologically demonstrated invasive adenocarcinoma with the remaining 32 lesions classified as either bronchoalveolar cell carcinoma (BAC) or atypical adenomatous hyperplasia (AAH). After a median follow-up of 18 months, they report neither evidence of local recurrence nor evidence of metachronous GGO lesions in these 33 patients. It is well-established that anatomic resection in the form of either lobectomy or pneumonectomy remains the standard surgical treatment for . . . [Full Text of this Article]






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