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ORIGINAL ARTICLE Does Lung Adenocarcinoma Subtype Predict Patient Survival? A Clinicopathologic Study Based on the New International Association for the Study of Lung Cancer/American Thoracic Society/ European Respiratory Society International Multidisciplinary Lung Adenocarcinoma Classification Prudence A. Russell, MBBS, FRCPA,* Zoe Wainer, BMBS,†‡ Gavin M. Wright, MBBS, FRACS,†‡§ Marissa Daniels, MBBS,§ Matthew Conron, MBBS, FRACP, and Richard A. Williams, MBBS, FRCPA, PhD* Results: We confirmed that the new subtypes of adenocarcinoma in Introduction: Lung adenocarcinoma is a heterogeneous group of situ, minimally invasive adenocarcinoma and lepidic-predominant tumors with a highly variable prognosis, not well predicted by the adenocarcinoma had a 5-year survival approaching 100%, whereas current pathologic classification system. The 2004 World Health micropapillary-predominant and solid with mucin-predominant adeno- Organization classification results in virtually all tumors encoun- carcinomas were associated with particularly poor survival. Papillary- tered in clinical practice being allocated to the adenocarcinoma of predominant and acinar-predominant adenocarcinomas had an interme- mixed subtype category. A new classification developed by an diate prognosis. This effect persisted after controlling for stage. international multidisciplinary expert panel sponsored by the Inter- Conclusions: Classification of lung adenocarcinoma according to national Association for the Study of Lung Cancer, American the new International Association for the
Journal of Thoracic Oncology – Wolters Kluwer Health
Published: Sep 1, 2011
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