Ariozzi I, Paladini I, Gnetti L, Silva M, Colombi D, De Filippo M, Sverzellati N
Pathologica. 2013 Dec;105(6):329-36.
The multidisciplinary approach is ideal in the management of patients with lung cancer. Multidisciplinary evaluation strengthens the differential diagnosis of aspecific radiological findings, indeed. Notably, the differential diagnosis of early stage lung cancer is a current challenge of CT imaging because the earlier the detection, the lower the accuracy of radiological features. This is particularly true for the most common subtype of lung cancer, adenocarcinoma, because it shows various radiological features. Such variety is also reflected by the 2011 classification of lung cancer, that likely affected the diagnostic agreement between radiologist and clinician. This review discusses the common issues of lung cancer diagnosis by paired radiological-histologic interpretation of CT findings.
多学科方法在肺癌患者的管理中是理想的。事实上，多学科评估加强了对非特异性放射学表现的鉴别诊断。值得注意的是，早期肺癌的鉴别诊断是CT成像当前面临的一项挑战，因为检测越早，放射学特征的准确性越低。对于最常见的肺癌亚型腺癌来说尤其如此，因为它表现出多种放射学特征。这种多样性也反映在2011年的肺癌分类中，这可能影响了放射科医生和临床医生之间的诊断一致性。本综述通过对CT结果进行放射学-组织学配对解读来讨论肺癌诊断的常见问题。
