Unique ID issued by UMIN | UMIN000005908 |
---|---|
Receipt number | R000006980 |
Scientific Title | A phase II study of limited resection for the patient having pulmonary adenocarcinoma with groung glass opacity selected by HR-CT and PET findings |
Date of disclosure of the study information | 2011/07/03 |
Last modified on | 2018/01/04 10:21:57 |
A phase II study of limited resection for the patient having pulmonary adenocarcinoma with groung glass opacity selected by HR-CT and PET findings
A phase II study of limited resection for the patient having pulmonary adenocarcinoma with groung glass opacity selected by HR-CT and PET findings
A phase II study of limited resection for the patient having pulmonary adenocarcinoma with groung glass opacity selected by HR-CT and PET findings
A phase II study of limited resection for the patient having pulmonary adenocarcinoma with groung glass opacity selected by HR-CT and PET findings
Japan |
pulmonary adenocarcinoma with ground glass opacity
Chest surgery |
Malignancy
NO
To estimate whether the prognosis of the patient having pulmonary adenocarcinoma with groung glass opacity and low FDG uptake is inferior or not after limited resction
Bio-equivalence
5-year survival rate
proportion of local recurrence, relapse-free survival, changes of the pulmonary function
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
1
Treatment
Maneuver |
Limited resection is performed for the patient having pulmonary adenocarcinoma with groung glass opacity, lower FDG uptake than mediastinum, and suspicion of the non-invasive carcinoma by intraoperative pathological examination.
25 | years-old | <= |
80 | years-old | >= |
Male and Female
pulmonary adenocarcinoma
20mm or smaller in HR-CT findings
gropund glass opacity is dominant in HR-CT findings
maximum diameter of the consolidation is shorter than 20% of the maximum diameter of the tumor in HR-CT findings
FDG uptake of the tumor is lower than that of mediastinum
cT1N0M0
possible for lobectomy
written informed consent
non-invasive carcinoma is suspected by intraoperative pathological examination
multiple cancer within 5 years
preoperative treatment
53
1st name | |
Middle name | |
Last name | Motoyasu Sagawa |
Tohoku Medical and Pharmaceutical University
Department of Endoscopy
1-12-1 Fukumuro, Miyagino-ku, Sendai 983-8512, Japan
022-259-1221
sagawam@hosp.tohoku-mpu.ac.jp
1st name | |
Middle name | |
Last name | Motoyasu Sagawa |
Tohoku Medical and Pharmaceutical University
Department of Endoscopy
1-12-1 Fukumuro, Miyagino-ku, Sendai 983-8512, Japan
022-259-1221
sagawam@hosp.tohoku-mpu.ac.jp
Japanese Northern East Area Thoracic Surgery Study Group (JNETS)
Ministry of Health, Labour and Welfare
Japanese Governmental office
NO
2011 | Year | 07 | Month | 03 | Day |
https://academic.oup.com/ejcts/advance-article-abstract/doi/10.1093/ejcts/ezx418/4718127?redirectedF
Published
https://academic.oup.com/ejcts/advance-article-abstract/doi/10.1093/ejcts/ezx418/4718127?redirectedF
From November 2006 to April 2012, 73 patients were collected from 13 institutions. One patient was ineligible and remaining 72 patients were pre-registered. The tumors of 3 and 14 cases were intraoperatively diagnosed as benign lesions and adenocarcinomas with mixed subtype, respectively. Intraoperative cytological/histological examination of surgical margin was not performed in 2 cases, and remaining 53 patients were ultimately eligible for this study.
The mean tumour size was 14.0 mm and the mean GGO ratio was 95.9%. Thirty-nine and 14 patients underwent wedge resection and segmentectomy, respectively. Although all tumors were intraoperatively diagnosed as bronchioloalveolar carcinomas, 6 were ultimately diagnosed as adenocarcinoma with mixed subtype. No completion lobectomy was performed.
As of May 1, 2017, no recurrence of the original lung cancer was observed during 60.0-126.3 months after surgery. Two patients died from other diseases. The 5-year disease-specific and overall survival rates were 100% and 98.1%, respectively. The reduction in the pulmonary function after limited resection was minimal.
With these criteria, limited resection was performed safely without any recurrence, and the postoperative pulmonary function was well-preserved. The outcomes of limited resection for small-sized lung cancer with GGOs that met the criteria of this study were satisfactory.
Completed
2006 | Year | 01 | Month | 03 | Day |
2006 | Year | 01 | Month | 04 | Day |
2017 | Year | 06 | Month | 01 | Day |
2017 | Year | 06 | Month | 01 | Day |
2017 | Year | 07 | Month | 01 | Day |
2017 | Year | 08 | Month | 01 | Day |
None
2011 | Year | 07 | Month | 02 | Day |
2018 | Year | 01 | Month | 04 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006980