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Different histological subtypes of peripheral lung cancer based on emphysema distribution in patients with both airflow limitation and CT-determined emphysema

Title
Different histological subtypes of peripheral lung cancer based on emphysema distribution in patients with both airflow limitation and CT-determined emphysema
Author
이현
Keywords
Computed tomography; Emphysema; Lung cancer; Histology
Issue Date
2017-02
Publisher
ELSEVIER IRELAND LTD
Citation
LUNG CANCER, v. 104, page. 106-110
Abstract
The histological subtypes by peripheral tumor location remain uncharacterized in COPD patients with emphysema. We investigated histologic subtypes of peripheral lung cancers based on the context of heterogeneous emphysema distribution in patients with airflow limitation and CT-determined emphysema. A retrospective, cross-sectional study was conducted using data from 754 patients with airflow limitation and newly-diagnosed primary lung cancers from February 2013 to February 2015. Of these, 230 patients had emphysema, as determined by computed tomography software designed to quantify emphysema. Among the 230 patients, the most common subtype in central lesions (n=84) was squamous cell carcinoma (SCC) (n = 64/84, 76%). Adenocarcinoma (ADC) was more frequently observed in peripheral lesions (n=146) than central lesions (58/146 [40%] vs. 4/84 [5%], p < 0.001). In peripheral lesions, ADC was more frequently seen in areas without emphysema than emphysema areas (43/74 [58%] vs. 15/72 [21%], p < 0.001), while SCC was more frequently found in emphysema areas than areas without emphysema (44/72 [61%] vs. 13/74[18%], p < 0.001). These associations persisted with adjustments for age, sex, smoking status and forced expiratory volume in 1 s. In patients with both airflow limitation and CT-determined emphysema, the main histological subtype of peripheral lung cancer was SCC in emphysema areas and ADC in areas without emphysema. (C) 2016 Elsevier Ireland Ltd. All rights reserved.
URI
https://www.lungcancerjournal.info/article/S0169-5002(16)30576-1/fulltexthttp://repository.hanyang.ac.kr/handle/20.500.11754/112843
ISSN
0169-5002; 1872-8332
DOI
10.1016/j.lungcan.2016.12.009
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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