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BAC SYMPOSIUM Surgery for Bronchioloalveolar Carcinoma and “Very Early” Adenocarcinoma: An Evolving Standard of Care? Valerie W. Rusch, MD,* Ryosuke Tsuchiya, MD, PhD,† Masahiro Tsuboi, MD,‡ Harvey I. Pass, MD,§ Dominique Grunenwald, MD, and Peter Goldstraw, FRCS¶ in North America, because of tobacco control efforts. The Abstract: Lobectomy and mediastinal lymph node dissection is the widespread use of computed tomography (CT) for lung can- standard surgical management of early stage non-small cell lung cer screening has also led to increased detection of “very cancer (NSCLC) because more limited resections have been asso- early” NSCLC, generally defined as tumors that are 2 cm or ciated with a higher risk of local recurrence. Nevertheless, recent less in size, which are usually ACs of mixed subtype or lung cancer screening studies have led to the detection of an bronchioloalveolar carcinomas (BAC) and which tend to increasing number of “very early” NSCLC (defined as less than 2 have an indolent clinical behavior. cm in size) and of good-prognosis histologic subtypes, bronchioloal- These epidemiologic shifts have led thoracic surgeons veolar carcinoma (BAC), and adenocarcinoma (AC), mixed sub- to reexamine the accepted tenets of surgical management of types that are potentially appropriate for sublobar resection.
Journal of Thoracic Oncology – Wolters Kluwer Health
Published: Nov 1, 2006
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