GRACE :: Lung Cancer



Denise Brock

Lung Cancer Video Library 2017-What is the Optimal Follow-up for Patients After Resection of an Early Stage Non-Small Cell Lung Cancer (NSCLC)



GRACE Cancer Video Library - Lung


H. Jack West, MD
President & CEO, GRACE


We are pleased to have GRACE’s Jack West, MD, Medical Director, Thoracic Oncology Program, Swedish Cancer Institute in Seattle, Washington, and President and CEO of GRACE bring 2017 updates to our Lung Cancer Video Library.  

In this latest video, Dr. West discusses the optimal follow up for patients after resection of an early-stage non-small cell lung cancer (NSCLC), and IFCT0302.





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Dr West

How Long A Period of Follow-Up is Long Enough to Be Confident a Ground Glass Opacity Won’t Grow?


GGO over timeAn interesting article from Japan was published out in the Journal of Thoracic Oncology that asks how long a duration of follow-up imaging of a ground-glass opacity (GGO) is really needed to be confident it’s going to remain stable and not grow.   It’s very common to see small lung nodules that are ambiguous in their significance, for which follow-up scans are typically recommended rather than diving into a biopsy, and non-solid, hazy GGOs are another form of lung lesion that might possibly represent a lung cancer but are also the way a little inflammation or small infection would appear.   Even when they turn out to be something technically called cancer based on its appearance under the microscope, it’s often a non-invasive adenocarcinoma (sometimes termed bronchioloalveolar carcinoma, or BAC, but shifting in terminology to adenocarcinoma in situ, or AIS) or minimally invasive adenocarcinoma (MIA), in which the invasive component is less than 5 mm in diameter.  Even when they grow, it can be at an extremely slow pace.

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