Management of pulmonary ground-glass opacities: A position paper from a panel of experts of the Italian Society of Thoracic Surgery (SICT)

Filippo Lococo, Luca Luzzi, Giacomo Cusumano, Antonio Fabillian De Filippis, Gianluca Pariscenti, Gianluca Guggino, Ottavio Rena, Federico Davini, William Grossi, Giuseppe Marulli, Achille Lococo, Giuseppe Cardillo

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

OBJECTIVES: A significant gap in our knowledge of how to manage pulmonary ground-glass opacities (GGOs) still exists. Accordingly, there is a lack of consensus among clinicians on this topic. The Italian Society of Thoracic Surgery (Societa` Italiana di Chirurgia Toracica, SICT) promoted a national expert meeting to provide insightful guidance for clinical practice. Our goal was to publish herein the final consensus document from this conference. METHODS: The working panel of the PNR group (Pulmonary Nodules Recommendation Group, a branch of the SICT) together with 5 scientific supervisors (nominated by the SICT) identified a jury of expert thoracic surgeons who organized a multidisciplinary meeting to propose specific statements (n = 29); 73 participants discussed and voted on statements using a modified Delphi process (repeated iterations of anonymous voting over 2 rounds with electronic support) requiring 70% agreement to reach consensus on a statement. RESULTS: Consensus was reached on several critical points in GGO management, in particular on the definition of GGO, radiological and radiometabolic evaluation, indications for a non-surgical biopsy, GGO management based on radiological characteristics, surgical strategies (extension of pulmonary resection and lymphadenectomy) and radiological surveillance. A list of 29 statements was finally approved. CONCLUSIONS: The participants at this national expert meeting analysed this challenging topic and provided a list of suggestions for health institutions and physicians with practical indications for GGO management.
Original languageEnglish
Pages (from-to)287-298
Number of pages12
JournalINTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY
Volume31
DOIs
Publication statusPublished - 2020

Keywords

  • Consensus
  • Consensus conference
  • Disease Management
  • Expert meeting
  • GGN
  • GGO
  • Humans
  • Italy
  • Lung Neoplasms
  • Pulmonary nodules
  • Societies, Medical
  • Thoracic Surgery
  • Thoracic Surgical Procedures

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