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Title:
Ground-glass opacity-featured lung adenocarcinoma has no response to chemotherapy | Journal of Cancer Research and Clinical Oncology
Description:
Purpose We aimed to investigate the treatment effect of chemotherapy on ground-glass opacity (GGO)-featured lung adenocarcinoma radiologically and pathologically. Methods This retrospective study included patients who met the following criteria: (1) presence of lung GGO lesions before chemotherapy for other concurrent malignancies; (2) underwent surgical resection of GGO-featured primary lung adenocarcinoma. The last computed tomography images before chemotherapy (CT1) and the last images before GGO resection (CT2) were reviewed to assess radiologic response. Specimens of the resected tumors were reviewed to evaluate the histopathologic response. Immunohistochemical staining of ki-67, caspase-3 and ฮฒ-gal was performed and compared between these tumors and a propensity score-matched (1:1) cohort of GGO-featured lung adenocarcinoma without prior chemotherapy. Results Forty-four patients with 55 GGO lesions were included. There were 20 mixed GGOs and 22 invasive adenocarcinomas. These patients all received at least three cycles of chemotherapy for other concurrent malignancies in breast, lung, cervix, ovary or rectum. Thirty-four (77%) patients received chemotherapy regimens that contained platinum, pemetrexed, paclitaxel, docetaxel or gemcitabine. The median interval between CT1 and CT2 was 10 months. Radiologically, all the GGO lesions either remained unchanged or enlarged. There was no chemotherapy-induced histopathologic response (necrosis, fibrosis or inflammation) in any of these tumors. The protein expression of ki-67, caspase-3 and ฮฒ-gal was comparable between GGO-featured lung adenocarcinoma with or without prior chemotherapy. Conclusion GGO-featured lung adenocarcinoma has no response to chemotherapy. For these patients, chemotherapy should not be a treatment option.
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Keywords {๐}
article, lung, pubmed, cancer, chemotherapy, google, scholar, adenocarcinoma, response, shanghai, groundglass, zhang, han, patients, thorac, central, opacity, cas, university, deng, china, center, fudan, supplementary, research, clinical, oncology, yang, chaoqiang, xiao, zhendong, gao, haiquan, chen, tomography, oncol, privacy, cookies, content, journal, april, wang, guozhan, xia, zhexu, fangqiu, liu, hong, ggofeatured, ggo,
Topics {โ๏ธ}
maximum 18-fluoro-2-deoxy-glucose uptake month download article/chapter ground-glass opacity components persistent ground-glass nodules ggo-featured lung adenocarcinoma ground-glass opacities suspected small-cell lung cancer ground-glass opacity featured lung adenocarcinoma low-dose computed tomography chinese hospital employees ground-glass opacities chemotherapy-induced histopathologic response solid lung adenocarcinoma full article pdf resected lung cancer clinical oncology aims privacy choices/manage cookies haiquan chen shanghai medical college removing batch effects batch effects showed regular health examination lung adenocarcinoma related subjects lung ggo lesions electronic supplementary material article zhang computed tomography images cancer research clinical drug response revised recist guideline cancer genome atlas positron emission tomography yuan li european economic area propensity score-matched high-throughput experiments lepidic component occupancy rna-seq datasets article journal additional information publisher' combat-transformed data conditions privacy policy assess radiologic response response evaluation criteria underwent surgical resection thorac cardiovasc surg article log principal components analysis
Questions {โ}
- Kobayashi Y, Mitsudomi T (2013) Management of ground-glass opacities: should all pulmonary lesions with ground-glass opacity be surgically resected?
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headline:Ground-glass opacity-featured lung adenocarcinoma has no response to chemotherapy
description:We aimed to investigate the treatment effect of chemotherapy on ground-glass opacity (GGO)-featured lung adenocarcinoma radiologically and pathologically. This retrospective study included patients who met the following criteria: (1) presence of lung GGO lesions before chemotherapy for other concurrent malignancies; (2) underwent surgical resection of GGO-featured primary lung adenocarcinoma. The last computed tomography images before chemotherapy (CT1) and the last images before GGO resection (CT2) were reviewed to assess radiologic response. Specimens of the resected tumors were reviewed to evaluate the histopathologic response. Immunohistochemical staining of ki-67, caspase-3 and ฮฒ-gal was performed and compared between these tumors and a propensity score-matched (1:1) cohort of GGO-featured lung adenocarcinoma without prior chemotherapy. Forty-four patients with 55 GGO lesions were included. There were 20 mixed GGOs and 22 invasive adenocarcinomas. These patients all received at least three cycles of chemotherapy for other concurrent malignancies in breast, lung, cervix, ovary or rectum. Thirty-four (77%) patients received chemotherapy regimens that contained platinum, pemetrexed, paclitaxel, docetaxel or gemcitabine. The median interval between CT1 and CT2 was 10ย months. Radiologically, all the GGO lesions either remained unchanged or enlarged. There was no chemotherapy-induced histopathologic response (necrosis, fibrosis or inflammation) in any of these tumors. The protein expression of ki-67, caspase-3 and ฮฒ-gal was comparable between GGO-featured lung adenocarcinoma with or without prior chemotherapy. GGO-featured lung adenocarcinoma has no response to chemotherapy. For these patients, chemotherapy should not be a treatment option.
datePublished:2020-04-30T00:00:00Z
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Ground-glass opacity
Lung adenocarcinoma
Chemotherapy
Pathology
Oncology
Cancer Research
Internal Medicine
Hematology
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headline:Ground-glass opacity-featured lung adenocarcinoma has no response to chemotherapy
description:We aimed to investigate the treatment effect of chemotherapy on ground-glass opacity (GGO)-featured lung adenocarcinoma radiologically and pathologically. This retrospective study included patients who met the following criteria: (1) presence of lung GGO lesions before chemotherapy for other concurrent malignancies; (2) underwent surgical resection of GGO-featured primary lung adenocarcinoma. The last computed tomography images before chemotherapy (CT1) and the last images before GGO resection (CT2) were reviewed to assess radiologic response. Specimens of the resected tumors were reviewed to evaluate the histopathologic response. Immunohistochemical staining of ki-67, caspase-3 and ฮฒ-gal was performed and compared between these tumors and a propensity score-matched (1:1) cohort of GGO-featured lung adenocarcinoma without prior chemotherapy. Forty-four patients with 55 GGO lesions were included. There were 20 mixed GGOs and 22 invasive adenocarcinomas. These patients all received at least three cycles of chemotherapy for other concurrent malignancies in breast, lung, cervix, ovary or rectum. Thirty-four (77%) patients received chemotherapy regimens that contained platinum, pemetrexed, paclitaxel, docetaxel or gemcitabine. The median interval between CT1 and CT2 was 10ย months. Radiologically, all the GGO lesions either remained unchanged or enlarged. There was no chemotherapy-induced histopathologic response (necrosis, fibrosis or inflammation) in any of these tumors. The protein expression of ki-67, caspase-3 and ฮฒ-gal was comparable between GGO-featured lung adenocarcinoma with or without prior chemotherapy. GGO-featured lung adenocarcinoma has no response to chemotherapy. For these patients, chemotherapy should not be a treatment option.
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dateModified:2020-04-30T00:00:00Z
pageStart:2411
pageEnd:2417
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keywords:
Ground-glass opacity
Lung adenocarcinoma
Chemotherapy
Pathology
Oncology
Cancer Research
Internal Medicine
Hematology
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