Ann Thorac Surg 2006;81:419-420
© 2006 The Society of Thoracic Surgeons
Original article: General thoracic
Invited commentary
Kemp Kernstine, MD, PhD
Lung Tumor Program, City of Hope National Medical Center, 1500 E Duarte Rd, Warsaw MOB, Duarte, CA 91010
(Email: kkernstine@coh.org).
| The first 20% of the full text of this article appears below. |
Anatomical resection is the standard treatment for early stage nonsmall cell lung cancer. As radiographic scanning methods are improving and we are identifying cancers at smaller sizes than previously recognized, the issue of limited resection for small peripheral cancers is being reinvestigated. Should small size on computed tomography (CT) be the only criteria with which to determine the type of resection (ie, anatomical versus limited [wedge]) to be performed? The answer would be no, according to the article by Suzuki and colleagues [1]. This study is a retrospective review of a single institutional experience in 349 chemotherapy–radiotherapy naive patients with small, single peripheral lung primary adenocarcinomas during a 4-year period of time from 1999 to 2003 to evaluate a new radiographic classification that may assist in the future management of patients. From their classification, in essence a radiologic Noguchi classification [2], they were able to identify a group of patients who might be best treated with limited resection. In their series, the 42 patients with either N1 or N2 disease seemed to have a greater solid component and less ground glass opacification (GGO) features than those who did . . . [Full Text of this Article]
Copyright © 2006 by The Society of Thoracic Surgeons.
