Ontology type: schema:ScholarlyArticle
2015-02
AUTHORSEui Jin Hwang, Chang Min Park, Youngjin Ryu, Sang Min Lee, Young Tae Kim, Young Whan Kim, Jin Mo Goo
ABSTRACTOBJECTIVE: To assess whether measuring the solid portion of adenocarcinomas appearing as part-solid ground-glass nodules (GGNs) can predict a patient's prognosis accurately and how the prognosis corresponds to that of solid nodules. METHODS: 501 patients (solid nodule group, 304; part-solid GGN group, 197) underwent curative surgery for stage I adenocarcinomas. Maximal diameters of the whole lesion including ground-glass opacities (D whole ) and solid components only (D solid ) were measured on CT. Disease-free survival (DFS) and overall survival (OS) were calculated from the date of surgery. RESULTS: D solid was a significant prognostic factor in the part-solid GGN group, while D whole was not. Part-solid GGNs with D solid ≤2 cm showed significantly better DFS (P = 0.016) and OS (P = 0.004) than solid nodules; however, those with D solid >2 cm did not show a significant difference. Hazard ratio (HR) for increase in D solid was significantly greater in part-solid GGNs than in solid nodules (P = 0.009). For OS, HR for increase in D solid was greater in part-solid GGNs than in solid nodule, which was marginally not significant (P = 0.060). CONCLUSION: D solid was better than D whole for prognosis prediction of adenocarcinomas appearing as part-solid GGNs. In addition, the influence of D solid on prognosis in the part-solid GGN group was greater than in the solid nodule group. KEY POINTS: • Dsolid is a better prognosis indicator than Dsolid in part-solid GGN adenocarcinomas • Part-solid GGN adenocarcinoma show better prognosis than solid adenocarcinomas when Dsolid ≤2 cm • Dsolid has greater prognostic influence in part-solid GGN adenocarcinomas than solid adenocarcinomas. More... »
PAGES558-567
http://scigraph.springernature.com/pub.10.1007/s00330-014-3441-1
DOIhttp://dx.doi.org/10.1007/s00330-014-3441-1
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PUBMEDhttps://www.ncbi.nlm.nih.gov/pubmed/25274618
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"description": "OBJECTIVE: To assess whether measuring the solid portion of adenocarcinomas appearing as part-solid ground-glass nodules (GGNs) can predict a patient's prognosis accurately and how the prognosis corresponds to that of solid nodules.\nMETHODS: 501 patients (solid nodule group, 304; part-solid GGN group, 197) underwent curative surgery for stage I adenocarcinomas. Maximal diameters of the whole lesion including ground-glass opacities (D whole ) and solid components only (D solid ) were measured on CT. Disease-free survival (DFS) and overall survival (OS) were calculated from the date of surgery.\nRESULTS: D solid was a significant prognostic factor in the part-solid GGN group, while D whole was not. Part-solid GGNs with D solid \u22642\u00a0cm showed significantly better DFS (P\u2009=\u20090.016) and OS (P\u2009=\u20090.004) than solid nodules; however, those with D solid >2\u00a0cm did not show a significant difference. Hazard ratio (HR) for increase in D solid was significantly greater in part-solid GGNs than in solid nodules (P\u2009=\u20090.009). For OS, HR for increase in D solid was greater in part-solid GGNs than in solid nodule, which was marginally not significant (P\u2009=\u20090.060).\nCONCLUSION: D solid was better than D whole for prognosis prediction of adenocarcinomas appearing as part-solid GGNs. In addition, the influence of D solid on prognosis in the part-solid GGN group was greater than in the solid nodule group.\nKEY POINTS: \u2022 Dsolid is a better prognosis indicator than Dsolid in part-solid GGN adenocarcinomas \u2022 Part-solid GGN adenocarcinoma show better prognosis than solid adenocarcinomas when Dsolid \u22642\u00a0cm \u2022 Dsolid has greater prognostic influence in part-solid GGN adenocarcinomas than solid adenocarcinomas.",
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