近期本人手术两例纯GGN的肺结节,石蜡病理证实为浸润性肺癌。
case1,女性,55岁,右上肺纯GGN<1cm,行RS1切除,术后证实为IAC
case2,男性,65岁,右下肺GGN 15mm,楔切,术后证实为IAC
以上病例结节的HU均为-600以下,但是却是浸润癌。查阅相关文献,有以下结论:
- 结节大小和密度并非与病理类型直接相关。而是结节的分叶征、毛刺、胸膜牵拉等可能更有预测价值
- 即便是IAC,此类结节的预后也是好的,五年生存率为100%。
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