Clinical Characteristics of a Second Small Nodule(s) Associated with cT1–2N0M0 Non-Small-Cell Lung Cancer View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2006-10

AUTHORS

Ho Il Yoon, Jae-Jun Yim, Choon-Taek Lee, Young Whan Kim, Sung Koo Han, Young-Soo Shim, Young Tae Kim, Sook Whan Sung, Joo Hyun Kim, Chul-Gyu Yoo

ABSTRACT

When a patient with cT(1-2)N(0)M(0) stage non-small-cell lung cancer (NSCLC) has a second small nodule(s), the treatment plan and prognosis depend largely on whether the nodule is benign or malignant. However, the incidence of malignancy of nodules associated with N(0) and M(0) NSCLC is unknown. Furthermore, predictive factors of malignancy have not been defined. Thus, we evaluated the nature of nodules that were less than 15 mm in diameter associated with stage T(1-2)N(0)M(0), and tried to identify clinical and radiologic factors predictive of malignancy. The study population consisted of 39 patients with T(1-2)N(0)M(0) NSCLC and a second nodule(s) less than 1.5 cm and who had received curative resection. Medical records and radiologic findings, including CT scans of the chest, were retrospectively reviewed. Nodules were finally diagnosed as benign in 85% and malignant in 15%. No significant differences in terms of gender, age, preoperative carcinoembryonic antigen (CEA) level, cell type, pathologic stages, shape, size, location and number of nodules, or the presence of calcification around nodules was observed between benign and malignant groups. We suggest that if primary NSCLC is resectable, an effort should be made to confirm the pathologic diagnosis of nodules. If histologic findings in nodules are not available, surgical resection should be actively considered, especially when nodules < 1.5 cm are associated with N(0) or M(0) NSCLCs. More... »

PAGES

273-278

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00408-005-2593-9

DOI

http://dx.doi.org/10.1007/s00408-005-2593-9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1007063911

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/17235727


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