The 2023 American Association for Thoracic Surgery (AATS) Expert Consensus Document: Management of subsolid lung nodules

被引：1

作者：

Chen, Haiquan ^{[1
]}

Kim, Anthony W. ^{[2
]}

Hsin, Michael ^{[3
]}

Shrager, Joseph B. ^{[4
]}

Prosper, Ashley E. ^{[5
]}

Wahidi, Momen M. ^{[6
]}

Wigle, Dennis A. ^{[7
]}

Wu, Carol C. ^{[8
]}

Huang, James ^{[9
]}

Yasufuku, Kazuhiro ^{[10
]}

Henschke, Claudia I. ^{[11
]}

Suzuki, Kenji ^{[12
]}

Tailor, Tina D. ^{[13
]}

Jones, David R. ^{[9
]}

Yanagawa, Jane ^{[14
]}

机构：

[1] Fudan Univ, Shanghai Canc Ctr, Dept Surg, Div Thorac Surg, Shanghai, Peoples R China

[2] Univ Southern Calif, Dept Surg, Div Thorac Surg, Los Angeles, CA USA

[3] Queen Mary Hosp, Dept Cardiothorac Surg, Hong Kong, Peoples R China

[4] Stanford Univ, Sch Med, Dept Cardiothorac Surg, Div Thorac Surg, Stanford, CA USA

[5] Univ Calif Los Angeles, Dept Radiol Sci, Div Cardiothorac Imaging, Los Angeles, CA USA

[6] Northwestern Univ, Feinberg Sch Med, Dept Med, Div Pulmonol & Crit Care, Chicago, IL USA

[7] Mayo Clin, Dept Surg, Div Thorac Surg, Rochester, MN USA

[8] MD Anderson Canc Ctr, Dept Thorac Imaging, Div Diagnost Imaging, Houston, TX USA

[9] Mem Sloan Kettering Canc Ctr, Dept Surg, Div Thorac Surg, New York, NY USA

[10] Univ Hlth Network, Toronto Gen Hosp, Dept Surg, Div Thorac Surg, Toronto, ON, Canada

[11] Icahn Sch Med Mt Sinai, Dept Radiol, New York, NY USA

[12] Juntendo Univ Hosp, Dept Gen Thorac Surg, Tokyo, Japan

[13] Duke Hlth, Dept Radiol, Div Cardiothorac Imaging, Durham, NC USA

[14] Univ Calif Los Angeles, David Geffen Sch Med, Dept Surg, Div Thorac Surg, Box 957313,Room 64-124 CHS, Los Angeles, CA 90095 USA

来源：

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY | 2024年 / 168卷 / 03期

关键词：

non-small cell lung cancer; subsolid; ground- glass opacity; lung nodule; surveillance; surgical strategy; GROUND-GLASS OPACITY; LIMITED-RESECTION TRIAL; PERCUTANEOUS MICROWAVE ABLATION; SECTION COMPUTED-TOMOGRAPHY; FORTHCOMING 8TH EDITION; SMALL PULMONARY NODULES; LONG-TERM OUTCOMES; PART-SOLID NODULES; SUBLOBAR RESECTION; FOLLOW-UP;

D O I：

10.1016/j.jtcvs.2024.02.026

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective: Lung cancers that present as radiographic subsolid nodules represent a subtype with distinct biological behavior and outcomes. The objective of this document is to review the existing literature and report consensus among a group of multidisciplinary experts, providing specific recommendations for the clinical management of subsolid nodules. Methods: The American Association for Thoracic Surgery Clinical Practice Standards Committee assembled an international, multidisciplinary expert panel composed of radiologists, pulmonologists, and thoracic surgeons with established expertise in the management of subsolid nodules. A focused literature review was performed with the assistance of a medical librarian. Expert consensus statements were developed with class of recommendation and level of evidence for each of 4 main topics: (1) definitions of subsolid nodules (radiology and pathology), (2) surveillance and diagnosis, (3) surgical interventions, and (4) management of multiple subsolid nodules. Using a modified Delphi method, the statements were evaluated and refined by the entire panel. Results: Consensus was reached on 17 recommendations. These consensus statements reflect updated insights on subsolid nodule management based on the latest literature and current clinical experience, focusing on the correlation between radiologic findings and pathological classifications, individualized subsolid nodule surveillance and surgical strategies, and multimodality therapies for multiple subsolid lung nodules. Conclusions: Despite the complex nature of the decision-making process in the management of subsolid nodules, consensus on several key recommendations was achieved by this American Association for Thoracic Surgery expert panel. These recommendations, based on evidence and a modified Delphi method, provide guidance for thoracic surgeons and other medical professionals who care for patients with subsolid nodules.

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