• Thoracic surgery clinics · May 2007

    Review

    Management of the peripheral small ground-glass opacities.

    • Junji Yoshida.
    • Division of Thoracic Surgery, Department of Thoracic Oncology, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan. jyoshida@east.ncc.go.jp
    • Thorac Surg Clin. 2007 May 1; 17 (2): 191-201, viii.

    AbstractPure ground-glass opacities (GGO) with a small consolidation area are mostly bronchioloalveolar carcinomas that have not yet become invasive, whereas a minority represents only inflammatory changes. Even if they are cancers, they are slow-growing and often remain unchanged for several years. There is no need for immediate resection of GGO lesions and a watchful waiting strategy is recommended. It seems that a lower-impact surgery (eg, wedge resection or segmentectomy) is curative for these lung cancers. Because high-resolution CT seems to predict noninvasive or minimally invasive GGO lung cancers with high reliability, less invasive treatments like radiofrequency ablation have greater appeal.

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