TY - JOUR
T1 - The Evolving Landscape of Lung Cancer Surgical Resection
T2 - An Update for Radiologists With Focus on Key Chest CT Findings
AU - Stefanidis, Konstantinos
AU - Konstantellou, Elissavet
AU - Yusuf, Gibran
AU - Moser, Joanna
AU - Tan, Carol
AU - Vlahos, Ioannis
N1 - Publisher Copyright:
© 2022 American Roentgen Ray Society. All rights reserved.
PY - 2022/1
Y1 - 2022/1
N2 - Evolution of the multimodality management of early lung cancer, including progress in surgical techniques, has introduced the possibility of resection for lung cancer cases that historically were considered unresectable (e.g., select cases of T4 disease and oligometastatic disease). However, the TNM classification does not uniformly correlate with lung cancer operability and resectability. Radiologic evaluation is therefore critical in identifying patients' suitability to undergo lung cancer resection and in guiding the selection of a surgical approach from among a range of such approaches, including wedge resection, segmentectomy, lobectomy, bilobectomy, and pneumonectomy. The radiologist must understand the available surgical options, along with their advantages and disadvantages, and provide a report that includes critical information on tumor size, location, and extension and anatomic relations that may influence the surgical technique. Preoperative CT findings may also help predict expected postoperative lung function and the associated impact on the postoperative course of the patient. This article reviews the role of chest CT in the preoperative evaluation of lung cancer, focusing on the key CT findings that help direct surgical decision making in the context of an expanding range of patients who may be considered candidates for resection.
AB - Evolution of the multimodality management of early lung cancer, including progress in surgical techniques, has introduced the possibility of resection for lung cancer cases that historically were considered unresectable (e.g., select cases of T4 disease and oligometastatic disease). However, the TNM classification does not uniformly correlate with lung cancer operability and resectability. Radiologic evaluation is therefore critical in identifying patients' suitability to undergo lung cancer resection and in guiding the selection of a surgical approach from among a range of such approaches, including wedge resection, segmentectomy, lobectomy, bilobectomy, and pneumonectomy. The radiologist must understand the available surgical options, along with their advantages and disadvantages, and provide a report that includes critical information on tumor size, location, and extension and anatomic relations that may influence the surgical technique. Preoperative CT findings may also help predict expected postoperative lung function and the associated impact on the postoperative course of the patient. This article reviews the role of chest CT in the preoperative evaluation of lung cancer, focusing on the key CT findings that help direct surgical decision making in the context of an expanding range of patients who may be considered candidates for resection.
KW - Lung cancer
KW - Lung resection
KW - Radiology
UR - http://www.scopus.com/inward/record.url?scp=85122902211&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85122902211&partnerID=8YFLogxK
U2 - 10.2214/AJR.21.26408
DO - 10.2214/AJR.21.26408
M3 - Article
C2 - 34406062
AN - SCOPUS:85122902211
SN - 0361-803X
VL - 218
SP - 52
EP - 65
JO - American Journal of Roentgenology
JF - American Journal of Roentgenology
IS - 1
ER -