Lung Lesion

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Tomio Nakayama - One of the best experts on this subject based on the ideXlab platform.

  • treatment strategy for patients with small peripheral Lung Lesion s intermediate term results of prospective study
    European Journal of Cardio-Thoracic Surgery, 2008
    Co-Authors: Ken Kodama, Masahiko Higashiyama, Koji Takami, Kazuyuki Oda, Jiro Okami, Jun Maeda, Mitsuhiro Koyama, Tomio Nakayama
    Abstract:

    Background: This prospective study was undertaken to establish a novel management algorithm using new indicators to decide the type of Lung resection for small peripheral Lung Lesions. Methods: Inclusion criteria were: (1) 20 mm peripheral Lung Lesion(s) and (2) absence of significant lymph node swelling on preoperative CT. Along with the conventional criteria, the percentage of ground-glass opacity (GGO) (50% as GGO type and <50% as solid type) on high-resolution CT scan was employed. In accordance with such indicators, a wide wedge resection (WWR), segmentectomy or lobectomy was planned for individual patients. The primary endpoint was to estimate the effectiveness of limited resection in patients with Lung cancer by analyzing their locally disease-free survival rates at 5 and 10 years. Results: Of 179 patients enrolled between 1997 and 2002, 90 were male and 89 female. They were divided into 77 GGO types and 102 solid types. During surgery, conversions from limited resectionsto standardoperationswereperformedonsixpatientsto avoidtheriskoflocal-regional recurrence.Finally, WWRwasperformedon73 patients, segmentectomy on 26 and lobectomy on 80, respectively. There were 138 Lung cancers and 41 non-cancers. Of 138 cancer patients, 114 patients are alive and 24 died. There were no local-regional recurrences among the 58 cancer patients who underwent limited resection. Conclusions: This intermediate-term outcome suggests that the selection of the type for Lung resection using this management algorithm for small peripheral Lung Lesions was effective for preventing both local-regional recurrences and the excessive resection of normal Lung tissue. # 2008 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.

  • Treatment strategy for patients with small peripheral Lung Lesion(s): intermediate-term results of prospective study
    European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 2008
    Co-Authors: Ken Kodama, Masahiko Higashiyama, Koji Takami, Kazuyuki Oda, Jiro Okami, Jun Maeda, Mitsuhiro Koyama, Tomio Nakayama
    Abstract:

    Background: This prospective study was undertaken to establish a novel management algorithm using new indicators to decide the type of Lung resection for small peripheral Lung Lesions. Methods: Inclusion criteria were: (1) 20 mm peripheral Lung Lesion(s) and (2) absence of significant lymph node swelling on preoperative CT. Along with the conventional criteria, the percentage of ground-glass opacity (GGO) (50% as GGO type and

Dirk Theegarten - One of the best experts on this subject based on the ideXlab platform.

Ken Kodama - One of the best experts on this subject based on the ideXlab platform.

  • treatment strategy for patients with small peripheral Lung Lesion s intermediate term results of prospective study
    European Journal of Cardio-Thoracic Surgery, 2008
    Co-Authors: Ken Kodama, Masahiko Higashiyama, Koji Takami, Kazuyuki Oda, Jiro Okami, Jun Maeda, Mitsuhiro Koyama, Tomio Nakayama
    Abstract:

    Background: This prospective study was undertaken to establish a novel management algorithm using new indicators to decide the type of Lung resection for small peripheral Lung Lesions. Methods: Inclusion criteria were: (1) 20 mm peripheral Lung Lesion(s) and (2) absence of significant lymph node swelling on preoperative CT. Along with the conventional criteria, the percentage of ground-glass opacity (GGO) (50% as GGO type and <50% as solid type) on high-resolution CT scan was employed. In accordance with such indicators, a wide wedge resection (WWR), segmentectomy or lobectomy was planned for individual patients. The primary endpoint was to estimate the effectiveness of limited resection in patients with Lung cancer by analyzing their locally disease-free survival rates at 5 and 10 years. Results: Of 179 patients enrolled between 1997 and 2002, 90 were male and 89 female. They were divided into 77 GGO types and 102 solid types. During surgery, conversions from limited resectionsto standardoperationswereperformedonsixpatientsto avoidtheriskoflocal-regional recurrence.Finally, WWRwasperformedon73 patients, segmentectomy on 26 and lobectomy on 80, respectively. There were 138 Lung cancers and 41 non-cancers. Of 138 cancer patients, 114 patients are alive and 24 died. There were no local-regional recurrences among the 58 cancer patients who underwent limited resection. Conclusions: This intermediate-term outcome suggests that the selection of the type for Lung resection using this management algorithm for small peripheral Lung Lesions was effective for preventing both local-regional recurrences and the excessive resection of normal Lung tissue. # 2008 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.

  • Treatment strategy for patients with small peripheral Lung Lesion(s): intermediate-term results of prospective study
    European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 2008
    Co-Authors: Ken Kodama, Masahiko Higashiyama, Koji Takami, Kazuyuki Oda, Jiro Okami, Jun Maeda, Mitsuhiro Koyama, Tomio Nakayama
    Abstract:

    Background: This prospective study was undertaken to establish a novel management algorithm using new indicators to decide the type of Lung resection for small peripheral Lung Lesions. Methods: Inclusion criteria were: (1) 20 mm peripheral Lung Lesion(s) and (2) absence of significant lymph node swelling on preoperative CT. Along with the conventional criteria, the percentage of ground-glass opacity (GGO) (50% as GGO type and

Soon Ho Yoon - One of the best experts on this subject based on the ideXlab platform.

K J Franke - One of the best experts on this subject based on the ideXlab platform.