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Radiological and clinical features of screening-detected pulmonary invasive mucinous adenocarcinoma
- Source :
- Interactive Cardiovascular and Thoracic Surgery
- Publication Year :
- 2021
- Publisher :
- Oxford University Press (OUP), 2021.
-
Abstract
- OBJECTIVES The current understanding of pulmonary invasive mucinous adenocarcinoma is largely based on studies of advanced stage patients and data about early-stage invasive mucinous adenocarcinoma are sparse. We evaluated the radiological and clinical features of screening-detected early-stage invasive mucinous adenocarcinoma (SD-IMA). METHODS Data from 91 patients who underwent surgical treatment for SD-IMA (≤3 cm) from 2013 to 2019 were reviewed retrospectively. Data on radiological characteristics, clinicopathological findings, recurrence and survival were obtained. Disease-free survival rate was analysed. RESULTS Radiologically, SD-IMAs presented as a pure ground-glass nodule (6.6%), part-solid nodule (38.5%) or solid (54.9%). Dominant locations were both lower lobes (74.7%) and peripheral area (93.4%). The sensitivity of percutaneous needle biopsy was 78.1% (25/32). Lobectomy was performed in 70 (76.9%) patients, and sublobar resection in 21 (23.1%) patients. Seventy-three (80.2%), 15 (16.5%) and 3 (3.3%) patients had pathological stage IA, IB and IIB or above, respectively. Seven patients developed recurrence, and 3 died due to disease progression. Pleural seeding developed exclusively in 2 patients who underwent needle biopsy. The 5-year disease-free survival rate was 89.4%. The disease-free survival rates at 5 years were 86.3% in the lobectomy group and 100% in the sublobar resection group. CONCLUSIONS SD-IMAs were mostly radiologically invasive nodules. SD-IMAs showed favourable prognosis after surgical treatment.<br />Invasive mucinous adenocarcinoma (IMA), which accounts for 5% of pulmonary adenocarcinomas, has different characteristics than non-mucinous adenocarcinoma (NMA) in terms of histology, genetics and clinical features.
- Subjects :
- Pulmonary and Respiratory Medicine
medicine.medical_specialty
Lung Neoplasms
Disease-free survival
Thoracic
Adenocarcinoma of Lung
medicine
Humans
Stage (cooking)
Lung
Survival rate
Pathological
Neoplasm Staging
Retrospective Studies
Percutaneous needle biopsy
AcademicSubjects/MED00920
business.industry
Disease progression
Nodule (medicine)
Original Articles
medicine.disease
Adenocarcinoma, Mucinous
Early detection of cancer
Radiological weapon
Adenocarcinoma
Surgery
Radiology
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Mucinous adenocarcinoma
Subjects
Details
- ISSN :
- 15699285
- Volume :
- 34
- Database :
- OpenAIRE
- Journal :
- Interactive CardioVascular and Thoracic Surgery
- Accession number :
- edsair.doi.dedup.....e1c991448af2dde72534a9c563e9e23f