Defining Morphologic Features of Invasion in Pulmonary Nonmucinous Adenocarcinoma With Lepidic Growth: A Proposal by the International Association for the Study of Lung Cancer Pathology Committee

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Defining Morphologic Features of Invasion in Pulmonary Nonmucinous Adenocarcinoma With Lepidic Growth : A Proposal by the International Association for the Study of Lung Cancer Pathology Committee

Thunnissen, Erik (författare): Univ Amsterdam, Med Ctr, Amsterdam, Netherlands.;Univ Amsterdam, Med Ctr, Locat VUmc, Dept Pathol, Boelelaan 1117, NL-1081HV Amsterdam, Netherlands.

Beasley, Mary Beth (författare): Icahn Sch Med Mt Sinai, Dept Pathol, New York, NY USA.

Borczuk, Alain (författare): Northwell Hlth, Dept Pathol, Greenvale, NY USA.

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Dacic, Sanja (författare): Yale Sch Med, Dept Pathol, New Haven, CT USA.

Kerr, Keith M. (författare): Univ Aberdeen, Sch Med, Dept Pathol, Aberdeen, Scotland.;Aberdeen Royal Infirm, Aberdeen, Scotland.

Lissenberg-Witte, Birgit (författare): Univ Amsterdam, Amsterdam UMC Locat Vrije Univ, Dept Epidemiol & Data Sci, Med Ctr, Amsterdam, Netherlands.

Minami, Yuko (författare): Natl Hosp Org Ibarakihigashi Natl Hosp, Ctr Chest Dis & Severe Motor & Intellectual Disabi, Dept Pathol, Tokai, Ibaraki, Japan.

Nicholson, Andrew G. (författare): Imperial Coll, Royal Brompton & Hare field Hosp, Guys & St ThomasNHS Fdn Trust, Dept Histopathol, London, England.;Imperial Coll, Natl Heart & Lung Inst, London, England.

Noguchi, Masayuki (författare): Narita Tomisato Tokushukai Hosp, Dept Pathol, Tsukuba, Japan.;Tokushukai East Pathol Ctr, Tsukuba, Japan.

Sholl, Lynette (författare): Brigham & Womens Hosp, Dept Pathol, Boston, MA USA.

Tsao, Ming-Sound (författare): Univ Hlth Network, Dept Pathol, Toronto, ON, Canada.;Univ Toronto, Dept Lab Med & Pathobiol, Toronto, ON, Canada.

Le Quesne, John (författare): Univ Glasgow, Beatson Canc Res Inst, NHS Greater Glasgow & Clyde Glasgow, Glasgow, Scotland.

Roden, Anja C. (författare): Mayo Clin, Dept Lab Med & Pathol, Rochester, MN USA.

Chung, Jin-Haeng (författare): Seoul Natl Univ, Coll Med, Dept Pathol, Seoul, South Korea.

Yoshida, Akihiko (författare): Natl Canc Ctr, Dept Diagnost Pathol, Tokyo, Japan.

Moreira, Andre L. (författare): NYU Grossman Sch Med, Dept Pathol, New York, NY USA.

Lantuejoul, Sylvie (författare): Leon Berard Canc Ctr, Dept Biopathol, Lyon, France.;INSERM, CRCL, U 1052, Lyon, France.;Grenoble Alpes Univ, Lyon, France.

Pelosi, Giuseppe (författare): Univ Milan, Dept Oncol & Hematooncol, Milan, Italy.;Ist Ricovero & Cura Carattere Sci IRCCS Multimed, Interhosp Pathol Div, Milan, Italy.

Poleri, Claudia (författare): Off Pathol Consultants, Buenos Aires, Argentina.

Hwang, David (författare): Odette Canc Ctr, Sunnybrook Hlth Sci Ctr, Toronto, ON, Canada.

Jain, Deepali (författare): All India Inst Med Sci, Dept Pathol, New Delhi, India.

Travis, William D. (författare): Mem Sloan Kettering Canc Ctr, Dept Pathol, New York, NY USA.

Brambilla, Elisabeth (författare)

Chen, Gang (författare): Fudan Univ, Hongshan Hosp, Shanghai, Peoples R China.

Botling, Johan (författare): Uppsala universitet,Cancerprecisionsmedicin

Bubendorf, Lukas (författare): Univ Hosp Basel, Basel, Switzerland.

Mino-Kenudson, Mari (författare): Massachusetts Gen Hosp, Dept Pathol, Boston, MA USA.;Harvard Med Sch, Boston, MA USA.

Motoi, Noriko (författare): Saitama Canc Ctr, Saitama, Japan.

Chou, Teh Ying (författare): Taipei Vet Gen Hosp, Taipei, Taiwan.

Papotti, Mauro (författare): Univ Turin, Dept Oncol, Turin, Italy.

Yatabe, Yasushi (författare): Natl Canc Ctr, Dept Diagnost Pathol, Tokyo, Japan.

Cooper, Wendy (författare): Royal Prince Alfred Hosp, NSW Hlth Pathol, Camperdown, NSW, Australia.

Group, Invasion Working (författare)

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Univ Amsterdam, Med Ctr, Amsterdam, Netherlands;Univ Amsterdam, Med Ctr, Locat VUmc, Dept Pathol, Boelelaan 1117, NL-1081HV Amsterdam, Netherlands. Icahn Sch Med Mt Sinai, Dept Pathol, New York, NY USA. (creator_code:org_t)

Elsevier, 2023
2023
Engelska.
Ingår i: Journal of Thoracic Oncology. - : Elsevier. - 1556-0864 .- 1556-1380. ; 18:4, s. 447-462

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Introduction: Since the eight edition of the Union for In-ternational Cancer Control and American Joint Committee on Cancer TNM classification system, the primary tumor pT stage is determined on the basis of presence and size of the invasive components. The aim of this study was to identify histologic features in tumors with lepidic growth pattern which may be used to establish criteria for distinguishing invasive from noninvasive areas.Methods: A Delphi approach was used with two rounds of blinded anonymized analysis of resected nonmucinous lung adenocarcinoma cases with presumed invasive and nonin-vasive components, followed by one round of reviewer de-anonymized and unblinded review of cases with known outcomes. A digital pathology platform was used for measuring total tumor size and invasive tumor size. Results: The mean coefficient of variation for measuring total tumor size and tumor invasive size was 6.9% (range: 1.7%-22.3%) and 54% (range: 14.7%-155%), respectively, with substantial variations in interpretation of the size and location of invasion among pathologists. Following the presentation of the results and further discussion among members at large of the International Association for the Study of Lung Cancer Pathology Committee, extensive epithelial proliferation (EEP) in areas of collapsed lepidic growth pattern is recognized as a feature likely to be associated with invasive growth. The EEP is characterized by multilayered luminal epithelial cell growth, usually with high-grade cytologic features in several alveolar spaces.Conclusions: Collapsed alveoli and transition zones with EEP were identified by the Delphi process as morphologic features that were a source of interobserver variability. Definition criteria for collapse and EEP are proposed to improve reproducibility of invasion measurement.(c) 2022 International Association for the Study of Lung Cancer.

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Cancer och onkol ...

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Defining Morphologic Features of Invasion in Pulmonary Nonmucinous Adenocarcinoma With Lepidic Growth : A Proposal by the International Association for the Study of Lung Cancer Pathology Committee

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