Risk stratification for lung nodules: Size isn't everything

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Presentation transcript:

Risk stratification for lung nodules: Size isn't everything Takashi Eguchi, MD, PhD, Prasad S. Adusumilli, MD, FACS, FCCP The Journal of Thoracic and Cardiovascular Surgery Volume 153, Issue 6, Pages 1557-1562 (June 2017) DOI: 10.1016/j.jtcvs.2016.12.068 Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Risk stratification for small nodules.3,4,6,8-21 §Persistent solid component ≥6 mm in the follow-up CT scan. *Adequate tissue is needed for both histologic and molecular testing. #EBUS is the preferred first choice on the basis of invasiveness, sensitivity, and the relative cost of mediastinoscopy. ¶High-grade subtypes: MIP, SOL, or colloid-predominant subtypes, or invasive mucinous adenocarcinoma. CT, Computed tomography; LC, lung cancer; COPD, chronic obstructive pulmonary disease; PET, positron emission tomography; SUVmax, maximum standardized uptake value; Sublobar, sublobar resection; C/T ratio, consolidation to tumor ratio; ADC, adenocarcinoma; TDR, tumor disappearance ratio; MIP, micropapillary; SOL, solid; PFT, pulmonary function test; FEV1, forced expiratory volume in the first second; DLCO, diffusion capacity of the lungs for carbon monoxide; STAS, spread through air spaces; LVI, lymphovascular invasion. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 1557-1562DOI: (10.1016/j.jtcvs.2016.12.068) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Takashi Eguchi, MD, PhD, and Prasad S. Adusumilli, MD, FACS, FCCP The Journal of Thoracic and Cardiovascular Surgery 2017 153, 1557-1562DOI: (10.1016/j.jtcvs.2016.12.068) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions