Approach to the Ground-Glass Nodule

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Presentation transcript:

Approach to the Ground-Glass Nodule Frank C. Detterbeck, MD, Robert J. Homer, MD, PhD  Clinics in Chest Medicine  Volume 32, Issue 4, Pages 799-810 (December 2011) DOI: 10.1016/j.ccm.2011.08.002 Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 1 Suzuki classification of GGOs. Radiographic classification of lung nodules according to the ground-glass component by Suzuki and colleagues.2 (Data from Suzuki K, Kusumoto M, Watanabe S, et al. Radiologic classification of small adenocarcinoma of the lung: radiologic-pathologic correlation and its prognostic impact. Ann Thorac Surg 2006;81:413–9.) Clinics in Chest Medicine 2011 32, 799-810DOI: (10.1016/j.ccm.2011.08.002) Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 2 Findings at resection of a GGO. Distribution of diagnoses of resected lesions for (A) pure GGO and (B) semisolid GGO lesions. AAH, atypical adenomatous hyperplasia; Adeno, adenocarcinoma; AIS, adenocarcinoma in situ; F/U mo, follow-up period (in months); N pts, number of patients. (Part (A) Data from Refs.15,26,44,46,73–75; and (B) Data from Refs.12,15,26,46,59,60,74–77) Clinics in Chest Medicine 2011 32, 799-810DOI: (10.1016/j.ccm.2011.08.002) Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 3 Diagnosis according to size. Diagnosis according to size for (A) pure GGO and (B) semisolid GGO. AAH, atypical adenomatous hyperplasia; Adeno, adenocarcinoma; AIS, adenocarcinoma in situ; F/U mo, follow-up period (in months); N pts, number of patients; NSCLC, non–small cell lung carcinoma. (Part (A) Data from Refs.17,46,58,60,78; and (B) Data from Refs.46,59,75) Clinics in Chest Medicine 2011 32, 799-810DOI: (10.1016/j.ccm.2011.08.002) Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 4 Outcomes during observation. Outcomes of GGO lesions after a period of observation. BAC, bronchioloalveolar carcinoma; F/U mo, follow-up period (in months); N pts, number of patients. (Data from Refs.10,15–17,57,60,79) Clinics in Chest Medicine 2011 32, 799-810DOI: (10.1016/j.ccm.2011.08.002) Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 5 Diagnoses during observation. Diagnoses made during observation. AAH, atypical adenomatous hyperplasia; Adeno, adenocarcinoma; AIS, adenocarcinoma in situ; F/U mo, follow-up period (in months); N pts, number of patients. (Data from Refs.10,15–17,57,60,73,79) Clinics in Chest Medicine 2011 32, 799-810DOI: (10.1016/j.ccm.2011.08.002) Copyright © 2011 Elsevier Inc. Terms and Conditions