[肺部多发性磨玻璃影的外科治疗]
[Surgery for Pulmonary Multiple Ground Glass Opacities].
作者信息
Wang Qun, Jiang Wei, Xi Junjie
机构信息
Department of Thoracic Surgery, Zhongshan Hodpital, Fudan University, Shanghai 200032, China.
出版信息
Zhongguo Fei Ai Za Zhi. 2016 Jun 20;19(6):355-8. doi: 10.3779/j.issn.1009-3419.2016.06.11.
Abstract
The incidence of pulmonary ground glass opacity (GGO) has been increasing in recent years, with a great number of patients having multiple GGOs. Unfortunately, the management of multiple GGOs is still controversial. Pulmonary GGO is a radiological term, consisting of different pathological types. Some of the GGOs are early-staged lung cancer. GGO is an indolent nodule, only a small proportion of GGOs change during observation, which does not influence the efficacy of surgery. . The timing of surgery for multiple GGOs mainly depends on the predominant nodule and surgery is recommended if the solid component of the predominant nodule >5 mm. Either lobectomy or sub-lobectomy is feasible. GGOs other than the predominant nodule can be left unresected. Multiple GGOs with high risk factors need mediastinal lymph node dissection or sampling.
摘要
近年来，肺部磨玻璃影（GGO）的发病率不断上升，大量患者存在多个GGO。遗憾的是，多个GGO的处理仍存在争议。肺部GGO是一个放射学术语，由不同的病理类型组成。部分GGO为早期肺癌。GGO是一种惰性结节，观察期间只有一小部分GGO会发生变化，这并不影响手术疗效。多个GGO的手术时机主要取决于优势结节，如果优势结节的实性成分>5mm，则建议手术。肺叶切除术或肺段切除术均可行。除优势结节外的其他GGO可不切除。具有高危因素的多个GGO需要进行纵隔淋巴结清扫或采样。
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