Bonnette P
Service de chirurgie thoracique, hôpital Foch, 40, rue Worth, 92150 Suresnes, France.
Cancer Radiother. 2011 Oct;15(6-7):518-21. doi: 10.1016/j.canrad.2011.04.005. Epub 2011 Jul 28.
Surgery is the present reference treatment for stage I non-small cell lung cancer. Lymph node dissection is required for mediastinal staging and discussion of postoperative treatments. In case of limited respiratory function, sub-lobar resection can be considered, either segmentectomy or atypical resection according to the tumour size. For radiological lesions with more than 50% of ground glass opacity, a wedge resection is acceptable if the resection margin is larger than 2 cm of healthy lung.
手术是目前I期非小细胞肺癌的标准参考治疗方法。纵隔分期和术后治疗讨论需要进行淋巴结清扫。对于呼吸功能受限的情况，可考虑亚肺叶切除，根据肿瘤大小行肺段切除术或非典型切除术。对于磨玻璃影占比超过50%的影像学病变，如果切缘距健康肺组织大于2 cm，则楔形切除术是可行的。
