Experience of treatment for very early stage lung adenocarcinoma of 1817 cases / 中华胸心血管外科杂志

ABSTRACT

Objective To discuss the treatment methods of early adenocarcinoma.Methods Analyzed all the lung adenocarcinoma patients who received the surgical treatment in our hospital from January 2013 to December 2015 and compare the surgical treatment for the very early stage lung adenocarcinoma.Results There are totally 8 908 lung adenocarcinomas cases enrolled.Among all the cases,there are 1 143 cases of AIS and 674 cases of MIA.VATS surgery was performed on all these very early stage of adenocarcinoma cases.The proportion of lobectomy in AIS decreased year by year,the proportion of surgery type for MIA is relatively stable.Lymph node metastasis was not found in all patients.Conclusion Both AIS and MIA are re presented as ground glass opacity(GGO) in CT scan.If the lesion is larger than 8mm and has been followed up for a period can be considered for VATS.For AIS,sub-lobectomy is recommended.But for MIA,both lobectomy and sub-lobectomy are ac ceptable and lymph node sampling is enough.