TY - JOUR
T1 - Current Practices in the Management of Pulmonary Ground-Glass Opacities: A Survey of SICT Members
AU - Lococo, Filippo
AU - Cusumano, Giacomo
AU - De Filippis, Antonio Fabillian
AU - Curcurù, Giuseppe
AU - Quercia, Rosatea
AU - Marulli, Giuseppe
AU - Monaco, Guglielmo
AU - Granone, Pierluigi
AU - Muriana, Giovanni
AU - Rea, Federico
AU - Crisci, Roberto
AU - Crisci, Serena
AU - Di Rienzo, Gaetano
AU - Cardillo, Giuseppe
AU - Lococo, Achille
AU - Amore, Dario
AU - Divisi, Duilio
AU - Dolci, Giampiero
AU - Guggino, Gianluca
AU - Larocca, Valentina
AU - Loizzi, Domenico
AU - Luzzi, Luca
AU - Monaco, Francesco
AU - Porziella, Venanzio
AU - Rena, Ottavio
PY - 2018
Y1 - 2018
N2 - Background: Several gray areas and controversies exist concerning the management of pulmonary ground-glass opacities (GGOs), and there is a lack of consensus among clinicians on this topic. One of the main aims of the Italian Society of Thoracic Surgery is to promote education and research, so we decided to perform a survey on this topic to estimate current trends in practice in a large sample of thoracic surgeons. Methods: A total of 160 thoracic surgeons responded, namely, completed our questionnaire (response rate, 53%; 160 of 302). The survey was composed of 36 questions divided into six subsections: (1) demographic characteristics of the respondents; (2) terminology and taxonomy; (3) radiologic and radiometabolic evaluation; (4) diagnostic approach and indications for surgery; (5) surgical management; and (6) radiologic surveillance. Results: We observed some divergence of opinion regarding the definition of mixed GGOs, the role of 18F fluorodeoxyglucose positron emission tomography and computed tomography scans, indications for nonsurgical biopsy, intraoperative techniques for localizing GGOs, indications for surgery, extension of lung resection and lymph node dissection according to the radiologic scenario, use of intraoperative frozen section analysis, and radiologic surveillance of pure GGOs. Conclusions: This topic warrants more investigation in the future. An upcoming consensus conference of Italian Society of Thoracic Surgery experts (also open to experts in other specialties) could provide updated indications for GGO management based on the literature, expert opinions, and the results of the present survey.
AB - Background: Several gray areas and controversies exist concerning the management of pulmonary ground-glass opacities (GGOs), and there is a lack of consensus among clinicians on this topic. One of the main aims of the Italian Society of Thoracic Surgery is to promote education and research, so we decided to perform a survey on this topic to estimate current trends in practice in a large sample of thoracic surgeons. Methods: A total of 160 thoracic surgeons responded, namely, completed our questionnaire (response rate, 53%; 160 of 302). The survey was composed of 36 questions divided into six subsections: (1) demographic characteristics of the respondents; (2) terminology and taxonomy; (3) radiologic and radiometabolic evaluation; (4) diagnostic approach and indications for surgery; (5) surgical management; and (6) radiologic surveillance. Results: We observed some divergence of opinion regarding the definition of mixed GGOs, the role of 18F fluorodeoxyglucose positron emission tomography and computed tomography scans, indications for nonsurgical biopsy, intraoperative techniques for localizing GGOs, indications for surgery, extension of lung resection and lymph node dissection according to the radiologic scenario, use of intraoperative frozen section analysis, and radiologic surveillance of pure GGOs. Conclusions: This topic warrants more investigation in the future. An upcoming consensus conference of Italian Society of Thoracic Surgery experts (also open to experts in other specialties) could provide updated indications for GGO management based on the literature, expert opinions, and the results of the present survey.
KW - Lung/diagnostic imaging Lung/pathology Lung Neoplasms/diagnostic imaging
KW - Lung/diagnostic imaging Lung/pathology Lung Neoplasms/diagnostic imaging
UR - http://hdl.handle.net/10807/151997
U2 - 10.1016/j.athoracsur.2018.06.053
DO - 10.1016/j.athoracsur.2018.06.053
M3 - Article
SN - 0003-4975
VL - 106
SP - 1504
EP - 1511
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
ER -