肺结节特征在高风险I期非小细胞肺癌患者治疗选择中的重要性

IF 2.6 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-03-01 DOI:10.1053/j.semtcvs.2024.10.003

Arjun Pennathur MD, Co-Chair Writing Committee , Michael Lanuti MD , Robert E. Merritt MD , Andrea Wolf MD, MPH , Homa Keshavarz PhD , Billy W. Loo Jr, MD, PhD , Robert D. Suh MD , Raymond H. Mak MD , Alessandro Brunelli MD , Gerard J. Criner MD , Peter J. Mazzone MD , Garrett Walsh MD , Michael Liptay MD , Q. Eileen Wafford MSt, MLIS , Sudish Murthy MD, PhD , M. Blair Marshall MD , Betty Tong MD , Brian Pettiford MD , Gaetano Rocco MD , James Luketich MD , Scott J. Swanson MD, Co-Chair Writing Committee

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引用次数: 0

摘要

目的：美国胸外科协会（AATS）临床实践标准委员会（CPSC）先前发表了确定肺叶切除术后并发症或死亡率高风险的重要考虑因素。当与肺叶切除术相关的风险较高时，通常考虑叶下切除术、立体定向消融放疗或图像引导热消融。目前的目的是评估高风险I期非小细胞肺癌（NSCLC）患者在选择治疗方案时应考虑的重要肺结节相关因素。方法：AATS CPSC组建专家小组。专家小组在系统回顾文献后，在匿名调查中生成了一个肺结节相关因素的先验列表，以供在治疗选择中考虑，并将每个因素的相对重要性按1-10分进行评分。结果：专家小组调查确定了几个与肺结节相关的因素，以考虑治疗选择。该小组将肿瘤位置（外周vs中心，平均评分8.4）、肿瘤大小（平均评分8.1）、靠近支气管血管和关键结构（平均评分7.8）、是否存在间质性肺疾病/特发性肺纤维化（平均评分7.8）列为最重要的考虑因素。结论：本文总结了高风险I期NSCLC患者在选择肺叶下切除、立体定向消融放疗和图像引导热消融治疗方案时需要考虑的肺结节相关因素。如果可能，在非手术治疗之前进行活检是非常重要的。在高风险的I期NSCLC患者中，选择哪种方式是最佳的是复杂的。对患者和肿瘤特征进行多学科回顾是实现最佳决策的必要条件。

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The Importance of Pulmonary Nodule Features in the Selection of Treatment for the High-Risk Patient with Stage I Non-Small Cell Lung Cancer

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来源期刊

Seminars in Thoracic and Cardiovascular Surgery Medicine-Pulmonary and Respiratory Medicine

CiteScore

5.80

自引率

0.00%

发文量

324

审稿时长

12 days

期刊介绍： Seminars in Thoracic and Cardiovascular Surgery is devoted to providing a forum for cardiothoracic surgeons to disseminate and discuss important new information and to gain insight into unresolved areas of question in the specialty. Each issue presents readers with a selection of original peer-reviewed articles accompanied by editorial commentary from specialists in the field. In addition, readers are offered valuable invited articles: State of Views editorials and Current Readings highlighting the latest contributions on central or controversial issues. Another prized feature is expert roundtable discussions in which experts debate critical questions for cardiothoracic treatment and care. Seminars is an invitation-only publication that receives original submissions transferred ONLY from its sister publication, The Journal of Thoracic and Cardiovascular Surgery. As we continue to expand the reach of the Journal, we will explore the possibility of accepting unsolicited manuscripts in the future.