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Review
. 2016 Jun 20;19(6):355-8.
doi: 10.3779/j.issn.1009-3419.2016.06.11.

[Surgery for Pulmonary Multiple Ground Glass Opacities]

[Article in Chinese]
Qun Wang  1 , Wei Jiang  1 , Junjie Xi  1
Affiliations
Review

[Surgery for Pulmonary Multiple Ground Glass Opacities]

[Article in Chinese]
Qun Wang et al. Zhongguo Fei Ai Za Zhi. .

Abstract
in English, Chinese

The incidence of pulmonary ground glass opacity (GGO) has been increasing in recent years, with a great number of patients having multiple GGOs. Unfortunately, the management of multiple GGOs is still controversial. Pulmonary GGO is a radiological term, consisting of different pathological types. Some of the GGOs are early-staged lung cancer. GGO is an indolent nodule, only a small proportion of GGOs change during observation, which does not influence the efficacy of surgery. . The timing of surgery for multiple GGOs mainly depends on the predominant nodule and surgery is recommended if the solid component of the predominant nodule >5 mm. Either lobectomy or sub-lobectomy is feasible. GGOs other than the predominant nodule can be left unresected. Multiple GGOs with high risk factors need mediastinal lymph node dissection or sampling.

肺部磨玻璃影（ground glass opacity, GGO）的发病率近年来日益增高，很多患者发现有多发GGO，但多发GGO的诊疗还存在争议。肺部GGO是一种影像学表现，包含了多种病理类型，其中有一部分GGO是早期肺癌。GGO是一种惰性结节，只有少数GGO会发生变化，且随访不会影响外科治疗的效果。多发GGO的手术时机主要由主病灶决定，主病灶中实性成分大于5 mm时建议外科干预。手术方式可以选择肺叶切除或亚肺叶切除，除主病灶以外，其他GGO不必全部切除。具有高危因素的多发GGO需要纵隔淋巴结清扫或采样。.

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