Ontology type: schema:ScholarlyArticle
2017-12
AUTHORSSang Min Lee, Chang Min Park, Yong Sub Song, Hyungjin Kim, Young Tae Kim, Young Sik Park, Jin Mo Goo
ABSTRACTOBJECTIVES: To retrospectively evaluate the feasibility of CT assessment-based direct surgical resection of part-solid nodules (PSNs) with solid components > 5 mm without preoperative percutaneous transthoracic needle biopsies (PTNBs). METHODS: From January 2009-December 2014, 85 PSNs with solid components > 5 mm on CT were included. Preoperative PTNBs were performed for 41 PSNs (biopsy group) and CT assessment-based direct resections were performed for 44 PSNs (direct surgery group). Diagnostic accuracy and complication rates of the groups were compared. RESULTS: Pathological results of 83 PSNs excluding two indeterminate nodules included 76 adenocarcinomas (91.6%), two adenocarcinomas in situ (2.4%) and five benign lesions (6.0%). In the biopsy group, the overall sensitivity, specificity and accuracy for the diagnosis of adenocarcinoma were 78.9% (30/38), 100% (1/1) and 79.5% (31/39), respectively. Pneumothorax and haemoptysis occurred in 11 procedures (26.8%). In the direct surgery group, the respective values for the diagnosis of adenocarcinoma were 100% (38/38), 0% (0/6) and 86.4% (38/44), respectively. Seven pneumothoraces (15.9%); no haemoptysis occurred during localization procedures. There were no significant differences in diagnostic accuracy (P = 0.559) between the two groups. CONCLUSIONS: CT assessment-based direct resection can be reasonable for PSNs with solid part > 5 mm. KEY POINTS: • 91.6% of PSNs with solid component > 5 mm were adenocarcinomas. • PTNBs for PSNs with solid component > 5 mm had 79.5% accuracy. • CT-based resection for PSNs with solid component > 5 mm had 86.4% accuracy. • CT-based resection without biopsy can be a reasonable option in routine practice. More... »
PAGES5119-5126
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DOIhttp://dx.doi.org/10.1007/s00330-017-4917-6
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PUBMEDhttps://www.ncbi.nlm.nih.gov/pubmed/28656460
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"description": "OBJECTIVES: To retrospectively evaluate the feasibility of CT assessment-based direct surgical resection of part-solid nodules (PSNs) with solid components\u2009>\u20095\u00a0mm without preoperative percutaneous transthoracic needle biopsies (PTNBs).\nMETHODS: From January 2009-December 2014, 85 PSNs with solid components\u2009>\u20095\u00a0mm on CT were included. Preoperative PTNBs were performed for 41 PSNs (biopsy group) and CT assessment-based direct resections were performed for 44 PSNs (direct surgery group). Diagnostic accuracy and complication rates of the groups were compared.\nRESULTS: Pathological results of 83 PSNs excluding two indeterminate nodules included 76 adenocarcinomas (91.6%), two adenocarcinomas in situ (2.4%) and five benign lesions (6.0%). In the biopsy group, the overall sensitivity, specificity and accuracy for the diagnosis of adenocarcinoma were 78.9% (30/38), 100% (1/1) and 79.5% (31/39), respectively. Pneumothorax and haemoptysis occurred in 11 procedures (26.8%). In the direct surgery group, the respective values for the diagnosis of adenocarcinoma were 100% (38/38), 0% (0/6) and 86.4% (38/44), respectively. Seven pneumothoraces (15.9%); no haemoptysis occurred during localization procedures. There were no significant differences in diagnostic accuracy (P\u2009=\u20090.559) between the two groups.\nCONCLUSIONS: CT assessment-based direct resection can be reasonable for PSNs with solid part\u2009>\u20095\u00a0mm.\nKEY POINTS: \u2022 91.6% of PSNs with solid component > 5\u00a0mm were adenocarcinomas. \u2022 PTNBs for PSNs with solid component > 5\u00a0mm had 79.5% accuracy. \u2022 CT-based resection for PSNs with solid component >\u20095\u00a0mm had 86.4% accuracy. \u2022 CT-based resection without biopsy can be a reasonable option in routine practice.",
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