Prognostic significance of thin-section CT scan findings in small-sized lung adenocarcinoma.
OBJECTIVE
The purpose of this study is to evaluate the prognostic importance of thin-section (TS) CT scan findings in small-sized lung adenocarcinomas.


METHODS
We reviewed TS-CT scan findings and pathologic specimens from 359 consecutive patients who underwent surgical resection for peripheral lung adenocarcinomas <or= 20 mm in diameter during the period from July 1997 to May 2006. By using TS-CT scan images, tumors were defined as air-containing types if the maximum diameter of tumor opacity on mediastinal window images was less than or equal to half of that seen on lung window images, and as a solid-density type if the maximum diameter on the mediastinal window images was more than half of that on lung window images. We compared TS-CT scan findings to pathologic findings (ie, lymph node metastasis, pleural invasion, vessel invasion, and lymphatic invasion) and prognosis. The following prognostic factors were analyzed by chi2 test and Cox proportional hazard model: age; gender; tumor size; pathologic stage; TS-CT scan findings; histologic subtypes defined by Noguchi et al (ie, Noguchi type); pleural involvement; lymphatic invasion; and vascular invasion.


RESULTS
No pathologic invasive findings or recurrence were found in patients with air-containing-type tumors. Pathologic invasive findings and recurrence were found in 10 to 30% of patients with solid-density-type tumors. The air-containing type tumors seen on TS-CT scans and Noguchi type A or B tumors were demonstrated as prognostic factors for good outcome by chi2 test (p < 0.001). Multivariate analyses revealed lymphatic permeation as a significant prognostic factor.


CONCLUSIONS
The TS-CT scan findings were important predictive factors for postsurgical outcome in patients with lung adenocarcinoma.
Hashizume
Toshihiko
T
Yamato City Hospital, Department of Respiratory Medicine, Fukami-nishi 8-3-6, Yamato-city, Kanagawa, 242-8602 Japan. toshi@yk9.so-net.ne.jp
Yamada
Kouzo
K
Okamoto
Naoyuki
N
Saito
Haruhiro
H
Oshita
Fumihiro
F
Kato
Yasufumi
Y
Ito
Hiroyuki
H
Nakayama
Haruhiko
H
Kameda
Youichi
Y
Noda
Kazumasa
K
D000230:Adenocarcinoma / Q000000981:diagnostic imaging* / Q000401:mortality* / Q000473:pathology; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging* / Q000401:mortality* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009361:Neoplasm Invasiveness; D009364:Neoplasm Recurrence, Local / Q000473:pathology; D016016:Proportional Hazards Models; D014057:Tomography, X-Ray Computed / Q000379:methods*