Mucinous versus nonmucinous solitary pulmonary nodular bronchioloalveolar carcinoma: CT and FDG PET findings and pathologic comparisons

Abstract We aimed to evaluate the CT, PET, and pathologic findings of solitary pulmonary nodular mucinous and nonmucinous bronchioloalveolar carcinomas (BACs). From August 2003 to March 2008, we saw 24 patients with solitary pulmonary nodular mucinous ( n = 6) or nonmucinous ( n = 18) BACs that were...

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Veröffentlicht in:Lung cancer (Amsterdam, Netherlands) Netherlands), 2009-08, Vol.65 (2), p.170-175
Hauptverfasser: Lee, Ho Yun, Lee, Kyung Soo, Han, Joungho, Kim, Byung-Tae, Cho, Young-Seok, Shim, Young Mog, Kim, Jhingook
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container_issue 2
container_start_page 170
container_title Lung cancer (Amsterdam, Netherlands)
container_volume 65
creator Lee, Ho Yun
Lee, Kyung Soo
Han, Joungho
Kim, Byung-Tae
Cho, Young-Seok
Shim, Young Mog
Kim, Jhingook
description Abstract We aimed to evaluate the CT, PET, and pathologic findings of solitary pulmonary nodular mucinous and nonmucinous bronchioloalveolar carcinomas (BACs). From August 2003 to March 2008, we saw 24 patients with solitary pulmonary nodular mucinous ( n = 6) or nonmucinous ( n = 18) BACs that were resected. CT and PET findings of the lesions were assessed in terms of size, solidity, morphologic characteristics, attenuation and maximum standardized uptake value (mSUV). All nonmucinous BACs appeared as a pure ground-glass opacity (GGO) nodule, whereas mucinous BACs appeared as solid ( n = 4) or part-solid ( n = 2) nodules. CT attenuation values were significantly higher for mucinous BACs (−21.0 HU ± 4.9) than for nonmucinous BACs (−491.8 HU ± 172.5) ( P < .001). Mean mSUVs were 2.3 ± 1.9 for mucinous BACs and 0.5 ± 0.8 for nonmucinous BACs ( P = .007), but mSUVs were not statistically different after size adjustment ( r = 0.371, P = .081). Mucinous BACs appear as solid or part-solid nodules at CT, whereas nonmucinous BACs present as pure GGO nodules. Both subtypes of tumors show scant FDG uptake at PET.
doi_str_mv 10.1016/j.lungcan.2008.11.009
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From August 2003 to March 2008, we saw 24 patients with solitary pulmonary nodular mucinous ( n = 6) or nonmucinous ( n = 18) BACs that were resected. CT and PET findings of the lesions were assessed in terms of size, solidity, morphologic characteristics, attenuation and maximum standardized uptake value (mSUV). All nonmucinous BACs appeared as a pure ground-glass opacity (GGO) nodule, whereas mucinous BACs appeared as solid ( n = 4) or part-solid ( n = 2) nodules. CT attenuation values were significantly higher for mucinous BACs (−21.0 HU ± 4.9) than for nonmucinous BACs (−491.8 HU ± 172.5) ( P &lt; .001). Mean mSUVs were 2.3 ± 1.9 for mucinous BACs and 0.5 ± 0.8 for nonmucinous BACs ( P = .007), but mSUVs were not statistically different after size adjustment ( r = 0.371, P = .081). Mucinous BACs appear as solid or part-solid nodules at CT, whereas nonmucinous BACs present as pure GGO nodules. 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Lee, Kyung Soo ; Han, Joungho ; Kim, Byung-Tae ; Cho, Young-Seok ; Shim, Young Mog ; Kim, Jhingook</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c514t-385c5465df174e750899c3bc3c02267f8466cbc7da7999afa2ee93dbee8c8af83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adenocarcinoma, Bronchiolo-Alveolar - pathology</topic><topic>Adenocarcinoma, Mucinous - pathology</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Bronchioloalveolar carcinoma</topic><topic>CT lung neoplasms</topic><topic>Female</topic><topic>Ground-glass opacity</topic><topic>Hematology, Oncology and Palliative Medicine</topic><topic>Humans</topic><topic>Image Interpretation, Computer-Assisted</topic><topic>Lung neoplasms</topic><topic>Lung Neoplasms - pathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>PET</topic><topic>Pneumology</topic><topic>Positron-Emission Tomography</topic><topic>Pulmonary/Respiratory</topic><topic>Solitary Pulmonary Nodule - pathology</topic><topic>Tomography, X-Ray Computed</topic><topic>Tumors</topic><topic>Tumors of the respiratory system and mediastinum</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Ho Yun</creatorcontrib><creatorcontrib>Lee, Kyung Soo</creatorcontrib><creatorcontrib>Han, Joungho</creatorcontrib><creatorcontrib>Kim, Byung-Tae</creatorcontrib><creatorcontrib>Cho, Young-Seok</creatorcontrib><creatorcontrib>Shim, Young Mog</creatorcontrib><creatorcontrib>Kim, Jhingook</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Lung cancer (Amsterdam, Netherlands)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Ho Yun</au><au>Lee, Kyung Soo</au><au>Han, Joungho</au><au>Kim, Byung-Tae</au><au>Cho, Young-Seok</au><au>Shim, Young Mog</au><au>Kim, Jhingook</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mucinous versus nonmucinous solitary pulmonary nodular bronchioloalveolar carcinoma: CT and FDG PET findings and pathologic comparisons</atitle><jtitle>Lung cancer (Amsterdam, Netherlands)</jtitle><addtitle>Lung Cancer</addtitle><date>2009-08-01</date><risdate>2009</risdate><volume>65</volume><issue>2</issue><spage>170</spage><epage>175</epage><pages>170-175</pages><issn>0169-5002</issn><eissn>1872-8332</eissn><coden>LUCAE5</coden><abstract>Abstract We aimed to evaluate the CT, PET, and pathologic findings of solitary pulmonary nodular mucinous and nonmucinous bronchioloalveolar carcinomas (BACs). From August 2003 to March 2008, we saw 24 patients with solitary pulmonary nodular mucinous ( n = 6) or nonmucinous ( n = 18) BACs that were resected. CT and PET findings of the lesions were assessed in terms of size, solidity, morphologic characteristics, attenuation and maximum standardized uptake value (mSUV). All nonmucinous BACs appeared as a pure ground-glass opacity (GGO) nodule, whereas mucinous BACs appeared as solid ( n = 4) or part-solid ( n = 2) nodules. CT attenuation values were significantly higher for mucinous BACs (−21.0 HU ± 4.9) than for nonmucinous BACs (−491.8 HU ± 172.5) ( P &lt; .001). Mean mSUVs were 2.3 ± 1.9 for mucinous BACs and 0.5 ± 0.8 for nonmucinous BACs ( P = .007), but mSUVs were not statistically different after size adjustment ( r = 0.371, P = .081). Mucinous BACs appear as solid or part-solid nodules at CT, whereas nonmucinous BACs present as pure GGO nodules. Both subtypes of tumors show scant FDG uptake at PET.</abstract><cop>Oxford</cop><pub>Elsevier Ireland Ltd</pub><pmid>19111932</pmid><doi>10.1016/j.lungcan.2008.11.009</doi><tpages>6</tpages></addata></record>
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subjects Adenocarcinoma, Bronchiolo-Alveolar - pathology
Adenocarcinoma, Mucinous - pathology
Adult
Biological and medical sciences
Bronchioloalveolar carcinoma
CT lung neoplasms
Female
Ground-glass opacity
Hematology, Oncology and Palliative Medicine
Humans
Image Interpretation, Computer-Assisted
Lung neoplasms
Lung Neoplasms - pathology
Male
Medical sciences
PET
Pneumology
Positron-Emission Tomography
Pulmonary/Respiratory
Solitary Pulmonary Nodule - pathology
Tomography, X-Ray Computed
Tumors
Tumors of the respiratory system and mediastinum
title Mucinous versus nonmucinous solitary pulmonary nodular bronchioloalveolar carcinoma: CT and FDG PET findings and pathologic comparisons
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