Limited resection : a reappraisal
Faculty of Medicine and Health Sciences
Bologna :Medimond, 2004
Proceedings of the 9th Central European Lung Cancer Conference, September 23-25, 2004, Gdansk, Poland
University of Antwerp
Lobectomy is generally considered to be the standard therapy for early stage non-small cell lung cancer (NSCLC), limited resection being only justified for patients with poor pulmonary or cardiac function, multiple lung cancers or recurrent tumours after a previous thoracotomy. Small cT1N0 nodules represent a heterogeneous group with different behaviour. To preoperatively predict prognosis in these small nodules, CT findings as ground glass opacity, tumour shadow disappearance rate and CT histogram are useful parameters. A limited resection that is oncologically valid, can be advocated in early Noguchi lesions, ground glass opacity (non- + part solid), a high tumour disappearance rate and 1 peak low CT number on histogram analysis.