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Y. Hida



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    P1.24 - Poster Session 1 - Clinical Care (ID 146)

    • Event: WCLC 2013
    • Type: Poster Session
    • Track: Supportive Care
    • Presentations: 1
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      P1.24-031 - Confirmation of surgical margin of resected pulmonary adenocarcinoma with lepidic growth with thin slice CT of the resected specimen during surgery (ID 2288)

      09:30 - 16:30  |  Author(s): Y. Hida

      • Abstract

      Background
      Limited resections such as wedge resections for ground-glass opacity (GGO) adenocarcinomas have been proposed and widely performed. However there have been reports of cut-end recurrences after wedge resection of those lesions. One of the major obstacles to solve this problem is a lack of method to achieve thorough confirmation of surgical margin during surgery. Here we report a successful confirmation of cut-end using thin slice CT on resected lung specimen.

      Methods
      A patient with a ground-glass opacity in the right upper lobe underwent a wedge resection under thoracoscopy. The resected specimen was sent for thin slice CT scan, which revealed that there were enough surgical margins from the cut-end to the GGO lesion in any of 0.5mm thick slices. Figure 1 Figure 2

      Results
      Pathological examination confirmed that the cut-end was free from adenocarcinoma as being consistent with CT findings.

      Conclusion
      It is feasible and effective to confirm surgical margin of resected lung tumor with GGO during surgery using CT on the resected specimen.