CAJ | 학술논문

在我国,表现为局灶性磨玻璃样影(GGO)的早期肺癌发病率迅速升高.在高危人群中开展低剂量螺旋CT筛查,有利于疾病的早期诊断.GGO早期肺癌的诊断主要依赖于动态观察胸部CT,PET-CT、术前非手术活检对于纯GGO诊断价值有限,假阴性率高.胸腔镜手术(VATS)是GGO早期肺癌的主流治疗术式,单孔VATS、VATS肺段切除术、机器人辅助VATS及剑突下单孔VATS等是微创手术发展的新方向.GGO的术中定位可综合采用多种模式;预计病灶为原位腺癌、微浸润腺癌或最大径＜2 cm的纯GGO可考虑亚肺叶切除;同期多发GGO需要个体化设计手术方案.
재아국,표현위국조성마파리양영(GGO)적조기폐암발병솔신속승고.재고위인군중개전저제량라선CT사사,유리우질병적조기진단.GGO조기폐암적진단주요의뢰우동태관찰흉부CT,PET-CT、술전비수술활검대우순GGO진단개치유한,가음성솔고.흉강경수술(VATS)시GGO조기폐암적주류치료술식,단공VATS、VATS폐단절제술、궤기인보조VATS급검돌하단공VATS등시미창수술발전적신방향.GGO적술중정위가종합채용다충모식;예계병조위원위선암、미침윤선암혹최대경＜2 cm적순GGO가고필아폐협절제;동기다발GGO수요개체화설계수술방안.
The incidence of ground-glass opacity (GGO)-dominant lung cancer is rising in China.The review is focused on the diagnosis and therapy for GGO-dominant lung cancer.CT screening in high-risk groups is recommended for early diagnosis of GGO-dominant lung cancer.The early diagnosis of GGO-dominant lung cancer depends on dynamic observation on the chest CT.Non-surgical biopsy or PET/CT has limited diagnostic value in GGO-dominant lung cancer.Video-assisted Thoracoscopic resection (VATS) is the mainstream treatment for GGO-dominant lung cancer.Single-port VATS,VATS segmentectomy,robotassisted VATS,and subxiphoid VATS are the new directions of minimally invasive surgery.GGO intraoperative localization can be integrated using a variety of models.Sublobectomy could be used in the therapy for adenocarcinoma in situ,minimally invasive adenocarcinoma or pure GGO with 2.0 cm or less in diameter.Surgery for multiple GGO need an individualized strategy.