国际肿瘤学杂志 ›› 2018, Vol. 45 ›› Issue (10): 627-631.doi: 10.3760/cma.j.issn.1673-422X.2018.10.011
马艺,许顺
收稿日期:
2018-05-17
出版日期:
2018-10-08
发布日期:
2018-12-21
通讯作者:
许顺
E-mail:xushun2005@sina.com
Ma Yi, Xu Shun
Received:
2018-05-17
Online:
2018-10-08
Published:
2018-12-21
Contact:
Xu Shun
E-mail:xushun2005@sina.com
摘要: 随着多层螺旋CT应用于肺癌筛查工作,肺磨玻璃结节(GGN)得到了广泛关注。除了良性疾病,GGN常为早期肺腺癌及其癌前病变的特殊表现。因此,探索GGN的影像学特点与肺腺癌病理亚型及分子生物学之间的关系,对指导临床诊断与治疗具有重要意义。
马艺,许顺. 表现为磨玻璃结节的早期肺腺癌的影像学、组织病理学及分子生物学特点[J]. 国际肿瘤学杂志, 2018, 45(10): 627-631.
Ma Yi, Xu Shun. Pulmonary adenocarcinoma shown as groundglass nodule: radiology, histopathology and molecular biology characteristics[J]. Journal of International Oncology, 2018, 45(10): 627-631.
[1] Miao Y, Zhang J, Zou J, et al. Correlation in histological subtypes with high resolution computed tomography signatures of early stage lung adenocarcinoma[J]. Transl Lung Cancer Res, 2017, 6(1): 14-22. DOI: 10.21037/tlcr.2017.02.06. [2] 赵悦, 王瑞, 陈海泉. 肺部磨玻璃影的诊断与治疗进展[J]. 中国肺癌杂志, 2016, 19(11): 773-777. DOI: 10.3779/j.issn.10093419.2016.11.09. [3] Pedersen JH, Saghir Z, Wille MM, et al. Groundglass opacity lung nodules in the era of lung cancer CT screening: radiology, pathology, and clinical management[J]. Oncology (Williston Park), 2016, 30(3): 266274. [4] Lee HY, Choi YL, Lee KS, et al. Pure groundglass opacity neoplastic lung nodules: histopathology, imaging, and management[J]. AJR Am J Roentgenol, 2014, 202(3): W224-W233. DOI: 10.2214/AJR.13.11819. [5] Travis WD, Asamura H, Bankier AA, et al. The IASLC lung cancer staging project: proposals for coding T categories for subsolid nodules and assessment of tumor size in partsolid tumors in the forthcoming eighth edition of the TNM classification of lung cancer[J]. J Thorac Oncol, 2016, 11(8): 1204-1223. DOI: 10.1016/j.jtho.2016.03.025. [6] Eguchi T, Yoshizawa A, Kawakami S, et al. Tumor size and computed tomography attenuation of pulmonary pure groundglass nodules are useful for predicting pathological invasiveness[J]. PLoS One, 2014, 9(5): e97867. DOI: 10.1371/journal.pone.0097867. [7] 高丰, 葛虓俊, 李铭, 等. 不同病理类型肺部磨玻璃结节的CT诊断[J]. 中华肿瘤杂志, 2014, 36(3): 188-192. DOI: 10.3760/cma.j.issn.0253-3766.2014.03.006. [8] Qiu ZX, Cheng Y, Liu D, et al. Clinical, pathological, and radiological characteristics of solitary groundglass opacity lung nodules on highresolution computed tomography[J]. Ther Clin Risk Manag, 2016, 12: 1445-1453. DOI: 10.2147/TCRM.S110363. [9] Zhang Y, Qiang JW, Ye JD, et al. High resolution CT in differentiating minimally invasive component in early lung adenocarcinoma[J]. Lung cancer, 2014, 84(3): 236-241. DOI: 10.1016/j.lungcan.2014.02.008. [10] Gao JW, Rizzo S, Ma LH, et al. Pulmonary groundglass opacity: computed tomography features, histopathology and molecular pathology[J]. Transl Lung Cancer Res, 2017, 6(1): 68-75. DOI: 10.21037/tlcr.2017.01.02. [11] Kitami A, Sano F, Hayashi S, et al. Correlation between histological invasiveness and the computed tomography value in pure groundglass nodules[J]. Surg Today, 2016, 46(5): 593-598. DOI: 10.1007/s00595-015-1208-1. [12] Liu LH, Liu M, Wei R, et al. CT findings of persistent pure ground glass opacity: can we predict the invasiveness?[J]. Asian Pac J Cancer Prev, 2015, 16(5): 1925-1928. [13] Lee SM, Park CM, Goo JM, et al. Invasive pulmonary adenocarcinomas versus preinvasive lesions appearing as groundglass nodules: differentiation by using CT features[J]. Radiology, 2013, 268(1): 265-273. DOI: 10.1148/radiol.13120949. [14] 南静. 多层螺旋CT在肺内≤1 cm纯磨玻璃结节浸润性腺癌与浸润前病变鉴别诊断中的价值[J]. 国际肿瘤学杂志, 2017, 44(8): 573-577. DOI: 10.3760/cma.j.issn.1673-422X.2017.08.004. [15] Lee SM, Goo JM, Lee KH, et al. CT findings of minimally invasive adenocarcinoma (MIA) of the lung and comparison of solid portion measurement methods at CT in 52 patients[J]. Eur Radiol, 2015, 25(8): 2318-2325. DOI: 10.1007/s00330-015-3616-4. [16] Moon Y, Sung SW, Lee KY, et al. Pure groundglass opacity on chest computed tomography: predictive factors for invasive adenocarcinoma[J]. J Thorac Dis, 2016, 8(7): 1561-1570. DOI: 10.21037/jtd.2016.06.34. [17] Mao H, Labh K, Han F, et al. Diagnosis of the invasiveness of lung adenocarcinoma manifesting as ground glass opacities on highresolution computed tomography[J]. Thoracic cancer, 2016, 7(1): 129-135. DOI: 10.1111/1759-7714.12269. [18] Hwang EJ, Park CM, Ryu Y, et al. Pulmonary adenocarcinomas appearing as partsolid groundglass nodules: is measuring solid component size a better prognostic indicator?[J]. Eur Radiol, 2015, 25(2): 558-567. DOI: 10.1007/s00330-014-3441-1. [19] Matsunaga T, Suzuki K, Takamochi K. What is the radiological definition of partsolid tumour in lung cancer?[J]. Eur J Cardiothorac Surg, 2017, 51(2): 242-247. DOI: 10.1093/ejcts/ezw344. [20] Sakakura N, Inaba Y, Yatabe Y, et al. Estimation of the pathological invasive size of pulmonary adenocarcinoma using highresolution computed tomography of the chest: a consideration based on lung and mediastinal window settings[J]. Lung cancer, 2016, 9(5): 51-56. DOI: 10.1016/j.lungcan.2016.02.017. [21] Asamura H, Hishida T, Suzuki K, et al. Radiographically determined noninvasive adenocarcinoma of the lung: survival outcomes of Japan Clinical Oncology Group 0201[J]. J Thorac Cardiovasc Surg, 2013, 146(1): 24-30. DOI: 10.1016/j.jtcvs.2012.12.047. [22] Hattori A, Matsunaga T, Takamochi K, et al. Importance of ground glass opacity component in clinical stage ⅠA radiologic invasive lung cancer[J]. Ann Thorac Surg, 2017, 104(1): 313-320. DOI: 10.1016/j.athoracsur.2017.01.076. [23] Li Z, Ye B, Bao M, et al. Radiologic predictors for clinical stage ⅠA lung adenocarcinoma with ground glass components: a multicenter study of longterm outcomes[J]. PLoS One, 2015, 10(9): e0136616. DOI: 10.1371/journal.pone.0136616. [24] Suzuki K, Koike T, Asakawa T, et al. A prospective radiological study of thinsection computed tomography to predict pathological noninvasiveness in peripheral clinical ⅠA lung cancer (Japan Clinical Oncology Group 0201)[J]. J Thorac Ooncol, 2011, 6(4): 751-756. DOI: 10.1097/JTO.0b013e31821038ab. [25] Duann CW, Hung JJ, Hsu PK, et al. Surgical outcomes in lung cancer presenting as groundglass opacities of 3 cm or less: a review of 5 years′ experience[J]. J Chin Med Assoc, 2013, 76(12): 693-697. DOI: 10.1016/j.jcma.2013.08.005. [26] Yamaguchi M, Furuya A, Edagawa M, et al. How should we manage small focal pure groundglass opacity nodules on highresolution computed tomography? A single institute experience[J]. Surg Oncol, 2015, 24(3): 258-263. DOI: 10.1016/j.suronc.2015.08.004. [27] Tsao MS, Marguet S, Le Teuff G, et al. Subtype classification of lung adenocarcinoma predicts benefit from adjuvant chemotherapy in patients undergoing complete resection[J]. J Clin Oncol, 2015, 33(30): 3439-3446. DOI: 10.1200/JCO.2014.58.8335. [28] National Comprehensive Cancer Network (NCCN). Clinical Practice Guidelines for Lung Cancer Screening.Version 1. 2017[EB/OL]. United States, NCCN, 2016-08-10. https://www.nccn.org/professionals/physician_gls/pdf/lung_screening.pdf [29] Cao C, Gupta S, Chandrakumar D, et al. Metaanalysis of intentional sublobar resections versus lobectomy for early stage nonsmall cell lung cancer[J]. Ann Cardiothorac Surg, 2014, 3(2): 134-141. DOI: 10.3978/j.issn.2225319X.2014.03.08. [30] Deng HY, Wang YC, Ni PZ, et al. Radiotherapy, lobectomy or sublobar resection? A metaanalysis of the choices for treating stage Ⅰ nonsmallcell lung cancer[J]. Eur J Cardiothorac Surg, 2017, 51(2): 203-210. DOI: 10.1093/ejcts/ezw272. [31] Taioli E, Yip R, Olkin I, et al. Survival after sublobar resection for earlystage lung cancer: methodological obstacles in comparing the efficacy to lobectomy[J]. J Thorac Oncol, 2016, 11(3): 400-406. DOI: 10.1016/j.jtho.2015.10.022. [32] Rizzo S, Petrella F, Buscarino V, et al. CT radiogenomic characterization of EGFR, KRAS, and ALK mutations in nonsmall cell lung cancer[J]. Eur Radiol, 2016, 26(1): 32-42. DOI: 10.1007/s0033001538140. [33] Liu Y, Kim J, Qu F, et al. CT features associated with epidermal growth factor receptor mutation status in patients with lung adenocarcinoma[J]. Radiology, 2016, 280(1): 271-280. DOI: 10.1148/radiol.2016151455. [34] Cheng Z, Shan F, Yang Y, et al. CT characteristics of nonsmall cell lung cancer with epidermal growth factor receptor mutation: a systematic review and metaanalysis[J]. BMC Med Imaging, 2017, 17(1): 5. DOI: 10.1186/s1288001601753. [35] Hong SJ, Kim TJ, Choi YW, et al. Radiogenomic correlation in lung adenocarcinoma with epidermal growth factor receptor mutations: imaging features and histological subtypes[J]. Eur Radiol, 2016, 26(10): 36603668. DOI: 10.1007/s003300154196z. [36] Lee HJ, Kim YT, Kang CH, et al. Epidermal growth factor receptor mutation in lung adenocarcinomas: relationship with CT characteristics and histologic subtypes[J]. Radiology, 2013, 268(1): 254264. DOI: 10.1148/radiol.13112553. [37] Yang Y, Yang Y, Zhou X, et al. EGFR L858R mutation is associated with lung adenocarcinoma patients with dominant groundglass opacity[J]. Lung Cancer, 2015, 87(3): 272-277. DOI: 10.1016/j.lungcan.2014.12.016. [38] Ko SJ, Lee YJ, Park JS, et al. Epidermal growth factor receptor mutations and anaplastic lymphoma kinase rearrangements in lung cancer with nodular groundglass opacity[J]. BMC Cancer, 2014, 14: 312. DOI: 10.1186/1471240714312. [39] Zhou JY, Zheng J, Yu ZF, et al. Comparative analysis of clinicoradiologic characteristics of lung adenocarcinomas with ALK rearrangements or EGFR mutations[J]. Eur Radiol, 2015, 25(5): 12571266. DOI: 10.1007/s003300143516z. [40] Aoki T, Hanamiya M, Uramoto H, et al. Adenocarcinomas with predominant groundglass opacity: correlation of morphology and molecular biomarkers[J]. Radiology, 2012, 264(2): 590-596. DOI: 10.1148/radiol.12111337. [41] Kobayashi Y, Mitsudomi T, Sakao Y, et al. Genetic features of pulmonary adenocarcinoma presenting with groundglass nodules: the differences between nodules with and without growth[J]. Ann Oncol, 2015, 26(1): 156-161. DOI: 10.1093/annonc/mdu505. [42] Liu M, He WX, Song N, et al. Discrepancy of epidermal growth factor receptor mutation in lung adenocarcinoma presenting as multiple groundglass opacities[J]. Eur J Cardiothorac Surg, 2016, 50(5): 909-913. DOI: 10.1093/ejcts/ezw113. [43] Wu C, Zhao C, Yang Y, et al. High discrepancy of driver mutations in patients with NSCLC and synchronous multiple lung groundglass nodules[J]. J Thorac Oncol, 2015, 10(5): 778-783. DOI: 10.1097/JTO.0000000000000487. [44] Wang T, Zhang T, Han X, et al. Impact of the International Association for the Study of Lung Cancer/American Thoracic Society/European Respiratory Society classification of stage ⅠA adenocarcinoma of the lung: correlation between computed tomography images and EGFR and KRAS gene mutations[J]. Exp Ther Med, 2015, 9(6): 20952103. DOI: 10.3892/etm.2015.2422. |
[1] | 刘娜, 寇介丽, 杨枫, 刘桃桃, 李丹萍, 韩君蕊, 杨立洲. 血清miR-106b-5p、miR-760联合低剂量螺旋CT诊断早期肺癌的临床价值[J]. 国际肿瘤学杂志, 2024, 51(6): 321-325. |
[2] | 王丽, 刘志华, 杨伟洪, 蒋凤莲, 李全泳, 宋浩杰, 鞠文东. ROS1突变肺腺鳞癌合并脑梗死为主要表现的Trousseau综合征1例[J]. 国际肿瘤学杂志, 2024, 51(6): 382-384. |
[3] | 贺嘉慧, 胡钦勇. 基于GBD数据的中国和美国肺癌发病和死亡趋势及危险因素对比分析[J]. 国际肿瘤学杂志, 2024, 51(1): 29-36. |
[4] | 李彬, 张桂芳, 周林静, 杨小冬, 何秋立, 贾思思, 黄普超, 梁嘉欣. 三阴性乳腺癌中PIK3CA基因状态与临床特征及预后的关系[J]. 国际肿瘤学杂志, 2023, 50(5): 263-267. |
[5] | 曾利武, 杜雨强, 张鹏, 陶凯雄. 直肠癌侧方淋巴结转移的影像评估进展[J]. 国际肿瘤学杂志, 2023, 50(4): 248-251. |
[6] | 李雄安, 颜艳艳. 丙戊酸镁用于治疗继发癫痫的晚期肺癌脑转移患者1例报道[J]. 国际肿瘤学杂志, 2023, 50(3): 191-192. |
[7] | 左小平, 刘晓川, 吴西强, 李周, 夏天, 刘国凤. 老年早期肺癌患者经胸腔镜肺切除术后心律失常发生的危险因素及预测模型构建[J]. 国际肿瘤学杂志, 2023, 50(12): 711-716. |
[8] | 陈郁, 许华, 刘海, 陈士新. 基于CT影像学特征的恶性肺纯磨玻璃结节患者病理分型预测模型构建[J]. 国际肿瘤学杂志, 2023, 50(11): 655-660. |
[9] | 张万芳, 王尤, 苏晶, 陈刚, 周福祥. 肺原发尤文肉瘤/原始神经外胚层瘤1例[J]. 国际肿瘤学杂志, 2023, 50(1): 62-64. |
[10] | 宋彤骏, 邓睿, 费蕾, 雷金华, 曹风军. CT与超声引导下经皮肺或胸膜病变穿刺活检的有效性和安全性比较[J]. 国际肿瘤学杂志, 2022, 49(9): 526-531. |
[11] | 杨莎, 杨晓华, 王苏华, 薛晓燕, 徐俊. 老年肺癌胸腔镜手术后下肢深静脉血栓的危险因素分析及预测模型的建立和验证[J]. 国际肿瘤学杂志, 2022, 49(9): 532-536. |
[12] | 王津, 张耀圣, 孙婷婷, 王丹, 胡乃东. 以前胸壁聚集性多发蕈状肿物为表现的肺腺鳞状细胞癌皮肤转移1例[J]. 国际肿瘤学杂志, 2022, 49(9): 575-576. |
[13] | 吴嘉钰, 刘加成. 孤立性磨玻璃结节样肺腺癌的影像组学研究进展[J]. 国际肿瘤学杂志, 2022, 49(8): 449-452. |
[14] | 陈煌婧, 朱鹏飞, 张晴, 陈桂芳, 杨春林, 何英. 超声造影和CT引导下经皮穿刺活检在周围型肺肿块诊断中临床价值的比较[J]. 国际肿瘤学杂志, 2022, 49(8): 459-463. |
[15] | 蔡刚祥, 李境, 许斌. 肺癌新辅助免疫治疗研究进展[J]. 国际肿瘤学杂志, 2022, 49(6): 366-370. |
阅读次数 | ||||||
全文 |
|
|||||
摘要 |
|
|||||