Sublobar resection for early-stage lung cancer

Hiroyuki Sakurai, Hisao Asamura

Research output: Contribution to journalReview article

21 Citations (Scopus)

Abstract

Since the 1995 report of the prospective randomized trial of lobectomy versus sublobar resection for stage I non-small cell lung cancer (NSCLC) performed by the the Lung Cancer Study Group, lobectomy remains the standard of care for the surgical management of stage I NSCLC. Sublobar resection has been typically used for high-risk patients who are operative candidates but for whom a lobectomy is contraindicated. Recent advances in imaging and staging modalities and improved spatial resolution of computed tomography (CT) scan have refined the presentation and diagnosis of early-stage NSCLC. The detection of small tumors and ground-glass opacity (GGO) appearance associated with a favorable histology have led to the increased use of sublobar resection in many institutes to include good-risk patients. There is an increasing body of evidence that sublobar resection may achieve oncological outcomes similar to those with lobectomy in early-stage NSCLC, especially that 2 cm or less in size. However, whether or not sublobar resection constitutes adequate treatment for small-sized lung cancer or for the radiographic "early" lung cancer such as a GGO-dominant lesion is still being prospectively investigated. Sublobar resection will be expected to play an important role as a primary treatment option for patients with small stage IA NSCLC, based on an anatomical functional advantage over lobectomy as well as comparable prognostic outcomes between sublobsar resection and lobectomy.

Original languageEnglish
Pages (from-to)164-172
Number of pages9
JournalTranslational Lung Cancer Research
Volume3
Issue number3
DOIs
Publication statusPublished - 2014 Jan 1
Externally publishedYes

Keywords

  • Early-stage lung cancer
  • Non-small cell lung cancer (NSCLC)
  • Prognosis
  • Sublobar resection
  • Surgery

ASJC Scopus subject areas

  • Oncology

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