イチキ ヨシノブ   ICHIKI Yoshinobu
  市来 嘉伸
   所属   埼玉医科大学  医学部 国際医療センター 呼吸器外科
   職種   専任講師
論文種別 学術雑誌(原著)
言語種別 英語
査読の有無 査読なし
表題 Limited pulmonary resection for peripheral small-sized adenocarcinoma of the lung.
掲載誌名 正式名:International journal of surgery (London, England)
巻・号・頁 9(2),155-9頁
著者・共著者 Yoshinobu Ichiki,Takeshi Hanagiri,Tetsuro Baba,Tetsuya So,Kenji Ono,Hidetaka Uramoto,Tomoko So,Mitsuhiro Takenoyama,Kosei Yasumoto
発行年月 2011
概要 BACKGROUND: It was recently reported that a limited pulmonary resection (segmentectomy or wedge resection) was not inferior to a lobectomy in the management of peripheral small-sized adenocarcinoma (tumor ≦ 20 mm) of the lung. METHODS: We retrospectively analyzed patients undergoing a lobectomy (n = 114) and a limited resection (n = 35) for peripheral small-sized adenocarcinoma of the lung during a 7-year period from April 2001 to March 2008. Our criteria for the limited resection of lung cancer were as follows: (1) adenocarcinoma of 10 mm or less in diameter and (2) adenocarcinoma of 11-20 mm in diameter, in which the ratio of the ground glass opacity is 50% or more, without pleural indentation on computed tomography. Additionally, the frozen sections of the tumors were intraoperatively diagnosed as Noguchi type A or B. The survival and clinical outcomes were analyzed. RESULTS: The 5-year survival rates of the lobectomy group and limited resection groups were 89.2% and 100%, respectively. No recurrence was seen in the limited resection group. CONCLUSIONS: Our results suggest that our criteria for limited resection were adequate for the management of small-sized adenocarcinoma of
DOI 10.1016/j.ijsu.2010.10.011
PMID 21093617