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Yong Soo Choi 3 Articles
Size of Non-lepidic Invasive Pattern Predicts Recurrence in Pulmonary Mucinous Adenocarcinoma: Morphologic Analysis of 188 Resected Cases with Reappraisal of Invasion Criteria
Soohyun Hwang, Joungho Han, Misun Choi, Myung-Ju Ahn, Yong Soo Choi
J Pathol Transl Med. 2017;51(1):56-68.   Published online October 16, 2016
DOI: https://doi.org/10.4132/jptm.2016.09.17
  • 10,496 View
  • 232 Download
  • 8 Web of Science
  • 7 Crossref
AbstractAbstract PDF
Background
We reviewed a series of 188 resected pulmonary mucinous adenocarcinomas (MAs) to clarify the prognostic significance of lepidic and non-lepidic patterns.
Methods
Non-lepidic patterns were divided into bland, non-distorted acini with uncertain invasiveness (pattern 1), unequivocal invasion into stroma (pattern 2), or invasion into alveolar spaces (pattern 3).
Results
The mean proportion of invasive patterns (patterns 2 and 3) was lowest in small (≤ 3 cm) tumors, and gradually increased in intermediate (> 3 cm and ≤ 7 cm) and large (> 7 cm) tumors (8.4%, 34.3%, and 50.1%, respectively). Adjusted T (aT) stage, as determined by the size of invasive patterns, was positively correlated with adverse histologic and clinical features including older age, male sex, and ever smokers. aTis tumors, which were exclusively composed of lepidic pattern (n = 9), or a mixture of lepidic and pattern 1 (n = 40) without any invasive patterns, showed 100% disease- free survival (DFS). The aT1mi tumors, with minimal (≤ 5 mm) invasive patterns (n = 63), showed a 95.2% 5-year DFS, with recurrences (n = 2) limited to tumors greater than 3 cm in total size (n = 23). Both T and aT stage were significantly associated with DFS; however, survival within the separate T-stage subgroups was stratified according to the aT stage, most notably in the intermediatestage subgroups. In multivariate analysis, the size of invasive patterns (p = .020), pleural invasion (p < .001), and vascular invasion (p = .048) were independent predictors of recurrence, whereas total size failed to achieve statistical significance (p = .121).
Conclusions
This study provides a rationale for histologic risk stratification in pulmonary MA based on the extent of invasive growth patterns with refined criteria for invasion.

Citations

Citations to this article as recorded by  
  • Distinct Recurrence Pattern and Survival Outcomes of Invasive Mucinous Adenocarcinoma of the Lung: The Potential Role of Local Therapy in Intrapulmonary Spread
    Dong Woog Yoon, Soohyun Hwang, Tae Hee Hong, Yoon-La Choi, Hong Kwan Kim, Yong Soo Choi, Jhingook Kim, Young Mog Shim, Jong Ho Cho
    Annals of Surgical Oncology.2024; 31(1): 201.     CrossRef
  • Pulmonary invasive mucinous adenocarcinoma
    Wei‐Chin Chang, Yu Zhi Zhang, Andrew G Nicholson
    Histopathology.2024; 84(1): 18.     CrossRef
  • Micropapillary Pattern in Invasive Mucinous Adenocarcinoma of the Lung: Comparison With Invasive Non-Mucinous Adenocarcinoma
    Hui He, Lue Li, Yuan-yuan Wen, Li-yong Qian, Zhi-qiang Yang
    International Journal of Surgical Pathology.2024; 32(5): 926.     CrossRef
  • Radiological and clinical features of screening-detected pulmonary invasive mucinous adenocarcinoma
    Dae Hyeon Kim, So Young Bae, Kwon Joong Na, Samina Park, In Kyu Park, Chang Hyun Kang, Young Tae Kim
    Interactive CardioVascular and Thoracic Surgery.2022; 34(2): 229.     CrossRef
  • Micropapillary Pattern in Invasive Mucinous Adenocarcinoma of the Lung: Comparison with Invasive Non-Mucinous Adenocarcinoma
    Hui He, Yuanyuan Wen, Liyong Qian, Zhiqiang Yang
    SSRN Electronic Journal .2022;[Epub]     CrossRef
  • Optimal method for measuring invasive size that predicts survival in invasive mucinous adenocarcinoma of the lung
    Tomonari Oki, Keiju Aokage, Shogo Nomura, Kenta Tane, Tomohiro Miyoshi, Norihiko Shiiya, Kazuhito Funai, Masahiro Tsuboi, Genichiro Ishii
    Journal of Cancer Research and Clinical Oncology.2020; 146(5): 1291.     CrossRef
  • Prognostic Impact of Histopathologic Features in Pulmonary Invasive Mucinous Adenocarcinomas
    Wei-Chin Chang, Yu Zhi Zhang, Eric Lim, Andrew G Nicholson
    American Journal of Clinical Pathology.2020; 154(1): 88.     CrossRef
A Rare Case of Pulmonary Papillary Adenoma in Old Aged Woman: A Brief Case Report
In Ho Choi, Joungho Han, Jung Won Moon, Yong Soo Choi, Kyung-Jong Lee
Korean J Pathol. 2014;48(1):66-68.   Published online February 25, 2014
DOI: https://doi.org/10.4132/KoreanJPathol.2014.48.1.66
  • 6,901 View
  • 56 Download
  • 5 Crossref
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Citations

Citations to this article as recorded by  
  • Papillary adenoma of the lung: A case report and literature review
    Li-Qian Chen, Mai-Qing Yang, Su-Mei Gao, Zheng-Jiang Wang, Hong-Tao Xu
    Experimental and Therapeutic Medicine.2024;[Epub]     CrossRef
  • Pulmonary papillary adenoma with malignant potential: a case report and literature review
    Ping Liu, Junjian Feng, Min Yang, Jingqiu Chen, Luyao Fu, Junxu Lu
    Diagnostic Pathology.2022;[Epub]     CrossRef
  • Central papillary adenoma of the lung diagnosed in a bronchoscopy-guided FNA: Cytological and histological characterization of this rare entity
    Iñigo Gorostiaga, Adriano Martinez-Aracil, Blanca Catón, Alvaro Perez-Rodriguez
    Revista Española de Patología.2021; 54(3): 206.     CrossRef
  • Retrospective study of clinical and pathologic features of pulmonary papillary adenoma
    Pengcheng Zhou, Wei Yu, Li Wang, Qianming Xia, Keling Chen
    Medicine.2020; 99(44): e23066.     CrossRef
  • Pulmonary papillary adenoma presenting in central portion: a case report
    Xu-Yong Lin, Qiang Han, En-Hua Wang, Yong Zhang
    Diagnostic Pathology.2015;[Epub]     CrossRef
Micropapillary Mucinous Adenocarcinoma of the Lung: A Brief Case Report
In Ho Choi, Boin Lee, Joungho Han, Chin A Yi, Yong Soo Choi, Jin Seok Ahn
Korean J Pathol. 2013;47(6):603-605.   Published online December 24, 2013
DOI: https://doi.org/10.4132/KoreanJPathol.2013.47.6.603
  • 7,371 View
  • 44 Download
  • 3 Crossref
PDF

Citations

Citations to this article as recorded by  
  • Molecular Pathology of Lung Cancer
    James J. Saller, Theresa A. Boyle
    Cold Spring Harbor Perspectives in Medicine.2022; 12(3): a037812.     CrossRef
  • The clinicopathological significance of ALK rearrangements and KRAS and EGFR mutations in primary pulmonary mucinous adenocarcinoma
    Yang Qu, Nanying Che, Dan Zhao, Chen Zhang, Dan Su, Lijuan Zhou, Lili Zhang, Chongli Wang, Haiqing Zhang, Lixin Wei
    Tumor Biology.2015; 36(8): 6417.     CrossRef
  • Cytomorphological identification of advanced pulmonary adenocarcinoma harboring KRAS mutation in lymph node fine‐needle aspiration specimens: Comparative investigation of adenocarcinoma with KRAS and EGFR mutations
    Dae Hyun Song, Boram Lee, Yooju Shin, In Ho Choi, Sang Yun Ha, Jae Jun Lee, Min Eui Hong, Yoon‐La Choi, Joungho Han, Sang‐Won Um
    Diagnostic Cytopathology.2015; 43(7): 539.     CrossRef

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