A retrospective clinicopathological study of lung adenocarcinoma: Total tumor size can predict subtypes and lymph node involvement

Clin Imaging. 2018 Jan-Feb:47:52-56. doi: 10.1016/j.clinimag.2017.08.009. Epub 2017 Aug 30.

Abstract

Purpose: To analyze the predictive ability of total tumor size in lung adenocarcinoma subtype and lymph node involvement.

Materials and methods: 1018 patients, ≤3cm tumor, were enrolled. The maximum diameter and other variables of each tumor were measured.

Results: The optimal cut-off value for total tumor size in differentiating AIS and MIA from IAC was <1.15cm, in distinguishing lymph node involvement, it was 1.65cm.

Conclusions: Total tumor size could be a reliable predictor of lung adenocarcinoma subtype and lymph node involvement irrespective of ground glass, part solid and solid characteristics.

Keywords: Adenocarcinoma in situ; Invasive adenocarcinoma; Lymph node involvement; Minimally invasive adenocarcinoma; Total tumor size.

Publication types

  • Validation Study

MeSH terms

  • Adenocarcinoma / classification
  • Adenocarcinoma / pathology*
  • Adenocarcinoma in Situ
  • Adenocarcinoma of Lung
  • Aged
  • Female
  • Humans
  • Lung Neoplasms / classification
  • Lung Neoplasms / pathology*
  • Lymph Nodes*
  • Lymphatic Metastasis*
  • Male
  • Middle Aged
  • Retrospective Studies