Radiologic Classification of Small Adenocarcinoma of the Lung: Radiologic-Pathologic Correlation and Its Prognostic Impact Kenji Suzuki, MD, Masahiko.

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Presentation transcript:

Radiologic Classification of Small Adenocarcinoma of the Lung: Radiologic-Pathologic Correlation and Its Prognostic Impact Kenji Suzuki, MD, Masahiko Kusumoto, MD, Shun-ichi Watanabe, MD, Ryosuke Tsuchiya, MD, Hisao Asamura, MD The Annals of Thoracic Surgery Volume 81, Issue 2, Pages 413-419 (February 2006) DOI: 10.1016/j.athoracsur.2005.07.058 Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Flow chart for the new classification of small adenocarcinoma of the lung. (GGO = ground-glass opacity; w/o = without.) The Annals of Thoracic Surgery 2006 81, 413-419DOI: (10.1016/j.athoracsur.2005.07.058) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Type 1 tumor is homogeneous in density, and this tumor has been called “pure GGO” or “simple GGO.” (GGO = ground-glass opacity.) The Annals of Thoracic Surgery 2006 81, 413-419DOI: (10.1016/j.athoracsur.2005.07.058) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Type 2 tumor is homogeneous in density. It is too dense to call it “pure GGO.” The density is much denser than type 1 tumor. (GGO = ground-glass opacity.) The Annals of Thoracic Surgery 2006 81, 413-419DOI: (10.1016/j.athoracsur.2005.07.058) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Type 3 tumor is heterogeneous in density, and the solid component comprises less than 50% of its diameter, and is composed of solid and surrounding GGO. (GGO = ground-glass opacity.) The Annals of Thoracic Surgery 2006 81, 413-419DOI: (10.1016/j.athoracsur.2005.07.058) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Type 4 tumor is heterogeneous in density, and the patterns of the solid component and GGO distinguish type 3 from type 4. (GGO = ground-glass opacity.) The Annals of Thoracic Surgery 2006 81, 413-419DOI: (10.1016/j.athoracsur.2005.07.058) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 6 Type 5 tumor predominantly has a solid component and surrounding GGO. (GGO = ground-glass opacity.) The Annals of Thoracic Surgery 2006 81, 413-419DOI: (10.1016/j.athoracsur.2005.07.058) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 7 Type 6 tumors predominantly have a solid component. This tumor is so-called pure solid. The Annals of Thoracic Surgery 2006 81, 413-419DOI: (10.1016/j.athoracsur.2005.07.058) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions