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中华胸部外科电子杂志 ›› 2023, Vol. 10 ›› Issue (02) : 126 -130. doi: 10.3877/cma.j.issn.2095-8773.2023.02.10

综述

肺腺癌气腔播散的研究现状
陈笑, 柳常青, 周杭城, 李田, 孙效辉, 吴明胜, 徐粮东, 徐美青, 解明然()   
  1. 230001 合肥,中国科学技术大学附属第一医院胸外科
    230001 合肥,中国科学技术大学附属第一医院病理科
  • 收稿日期:2023-01-13 修回日期:2023-03-17 接受日期:2023-05-16 出版日期:2023-05-28
  • 通信作者: 解明然
  • 基金资助:
    国家自然科学基金(81973643); 安徽省重点研究与开发计划项目(202004j07020017)

Research progress of spread through air space on lung adenocarcinoma

Xiao Chen, Changqing Liu, Hangcheng Zhou, Tian Li, Xiaohui Sun, Mingsheng Wu, Liangdong Xu, Meiqing Xu, Mingran Xie()   

  1. Department of Thoracic Surgery, The First Affiliated Hospital of USTC, Division of Life Science and Medicine, University of Science and Technology of China, Hefei 230001, China
    Department of Pathology, The First Affiliated Hospital of USTC, Division of Life Science and Medicine, University of Science and Technology of China, Hefei 230001, China
  • Received:2023-01-13 Revised:2023-03-17 Accepted:2023-05-16 Published:2023-05-28
  • Corresponding author: Mingran Xie
引用本文:

陈笑, 柳常青, 周杭城, 李田, 孙效辉, 吴明胜, 徐粮东, 徐美青, 解明然. 肺腺癌气腔播散的研究现状[J]. 中华胸部外科电子杂志, 2023, 10(02): 126-130.

Xiao Chen, Changqing Liu, Hangcheng Zhou, Tian Li, Xiaohui Sun, Mingsheng Wu, Liangdong Xu, Meiqing Xu, Mingran Xie. Research progress of spread through air space on lung adenocarcinoma[J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2023, 10(02): 126-130.

气腔播散(STAS)是WHO于2015年纳入的肺癌新的侵袭方式。STAS被认为是肺腺癌患者预后不良的危险因素,与肿瘤的病理类型、分期、淋巴结转移、血管侵犯都有密切关系。研究STAS对肺腺癌患者的远期预后有重要意义。本文就STAS的定义、可能的发生机制、与不同病理类型肺腺癌之间的关系、手术方式及其预后以及目前存在问题予以综述。

The World Health Organization (WHO) recognized spread through air space (STAS) as a new invasive form of lung cancer in 2015. STAS has a close relationship with tumor histology, clinical stage, lymphatic invasion, and vascular invasion as a risk factor for poor patient prognosis. STAS research has crucial implications for patients with lung adenocarcinoma’s long-term prognosis. This page discusses STAS’s definition, potential mechanisms, association with various pathological forms of lung cancer, surgical procedures, prognosis, and current disputes.

1
Sung HFerlay JSiegel RL,et al.Global Cancer Statistics 2020:GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries[J].CA Cancer J Clin202171(3):209-249.
2
Travis WDBrambilla ENicholson AG,et al.The 2015 World Health Organization Classification of Lung Tumors:Impact of Genetic,Clinical and Radiologic Advances Since the 2004 Classification[J].J Thorac Oncol201510(9):1243-1260.
3
Giraud PAntoine MLarrouy A,et al.Evaluation of microscopic tumor extension in non-small-cell lung cancer for three-dimensional conformal radiotherapy planning[J].Int J Radiat Oncol Biol Phys200048(4):1015-1024.
4
Onozato MLKovach AEYeap BY,et al.Tumor islands in resected early-stage lung adenocarcinomas are associated with unique clinicopathologic and molecular characteristics and worse prognosis[J].Am J Surg Pathol201337(2):287-294.
5
Kadota KNitadori JISima CS,et al.Tumor Spread through Air Spaces is an Important Pattern of Invasion and Impacts the Frequency and Location of Recurrences after Limited Resection for Small Stage I Lung Adenocarcinomas[J].J Thorac Oncol201510(5):806-814.
6
Lewis CEPollard JW.Distinct role of macrophages in different tumor microenvironments[J].Cancer Res200666(2):605-612.
7
Yoshida CKadota KIkeda T,et al.Tumor-associated macrophage infiltration is associated with a higher rate of tumor spread through air spaces in resected lung adenocarcinomas[J].Lung Cancer2021158:91-96.
8
Yoshida CKadota KYamada K,et al.Tumor-associated CD163(+) macrophage as a predictor of tumor spread through air spaces and with CD25(+) lymphocyte as a prognostic factor in resected stage I lung adenocarcinoma[J].Lung Cancer2022167:34-40.
9
Dongre AWeinberg RA.New insights into the mechanisms of epithelial-mesenchymal transition and implications for cancer[J].Nat Rev Mol Cell Biol201920(2):69-84.
10
Jung WChung JHYum S,et al.The differential prognostic impact of spread through air spaces in early-stage lung adenocarcinoma after lobectomy according to the pT descriptor[J].J Thorac Cardiovasc Surg2022163(1):277-284.
11
Shiono SYanagawa N.Spread through air spaces is a predictive factor of recurrence and a prognostic factor in stage I lung adenocarcinoma[J].Interact Cardiovasc Thorac Surg201623(4):567-572.
12
Lee JSKim EKKim M,et al.Genetic and clinicopathologic characteristics of lung adenocarcinoma with tumor spread through air spaces[J].Lung Cancer2018123:121-126.
13
Hu SYHsieh MSHsu HH,et al.Correlation of tumor spread through air spaces and clinicopathological characteristics in surgically resected lung adenocarcinomas[J].Lung Cancer2018126:189-193.
14
Thunnissen EBlaauwgeers HJde Cuba EM,et al.Ex Vivo Artifacts and Histopathologic Pitfalls in the Lung[J].Arch Pathol Lab Med2016140(3):212-220.
15
Song TJiang LZhuo Z,et al.Impacts of thoracoscopic surgery and high grade histologic subtypes on spread through air spaces in small stage I lung adenocarcinomas[J].J Cancer Res Clin Oncol2019145(9):2375-2382.
16
Metovic JFalco ECVissio E,et al.Gross Specimen Handling Procedures Do Not Impact the Occurrence of Spread Through Air Spaces(STAS) in Lung Cancer[J].Am J Surg Pathol202145(2):215-222.
17
Gross DJHsieh MSLi Y,et al.Spread Through Air Spaces (STAS) in Non-Small Cell Lung Carcinoma:Evidence Supportive of an In Vivo Phenomenon[J].Am J Surg Pathol202145(11):1509-1515.
18
Eguchi TKameda KLu S,et al.Lobectomy Is Associated with Better Outcomes than Sublobar Resection in Spread through Air Spaces (STAS)-Positive T1 Lung Adenocarcinoma:A Propensity Score-Matched Analysis[J].J Thorac Oncol201914(1):87-98.
19
Vaghjiani RGTakahashi YEguchi T,et al.Tumor Spread Through Air Spaces Is a Predictor of Occult Lymph Node Metastasis in Clinical Stage IA Lung Adenocarcinoma[J].J Thorac Oncol202015(5):792-802.
20
Kadota KKushida YKatsuki N,et al.Tumor Spread Through Air Spaces Is an Independent Predictor of Recurrence-free Survival in Patients With Resected Lung Squamous Cell Carcinoma[J].Am J Surg Pathol201741(8):1077-1086.
21
Mino-Kenudson M.Significance of tumor spread through air spaces (STAS) in lung cancer from the pathologist perspective[J].Transl Lung Cancer Res20209(3):847-859.
22
Villalba JAShih ARSayo TMS,et al.Accuracy and Reproducibility of Intraoperative Assessment on Tumor Spread Through Air Spaces in Stage 1 Lung Adenocarcinomas[J].J Thorac Oncol202116(4):619-629.
23
Yagi YAly RGTabata K,et al.Three-Dimensional Histologic,Immunohistochemical,and Multiplex Immunofluorescence Analyses of Dynamic Vessel Co-Option of Spread Through Air Spaces in Lung Adenocarcinoma[J].J Thorac Oncol202015(4):589-600.
24
Bains SEguchi TWarth A,et al.Procedure-Specific Risk Prediction for Recurrence in Patients Undergoing Lobectomy or Sublobar Resection for Small (≤2 cm) Lung Adenocarcinoma:An International Cohort Analysis[J].J Thorac Oncol201914(1):72-86.
25
Ren YXie HDai C,et al.Prognostic Impact of Tumor Spread Through Air Spaces in Sublobar Resection for 1A Lung Adenocarcinoma Patients[J].Ann Surg Oncol201926(6):1901-1908.
26
Kadota KKushida YKagawa S,et al.Limited Resection Is Associated With a Higher Risk of Locoregional Recurrence than Lobectomy in Stage I Lung Adenocarcinoma With Tumor Spread Through Air Spaces[J].Am J Surg Pathol201943(8):1033-1041.
27
Shiono SEndo MSuzuki K,et al.Spread Through Air Spaces Is a Prognostic Factor in Sublobar Resection of Non-Small Cell Lung Cancer[J].Ann Thorac Surg2018106(2):354-360.
28
Uruga HFujii TFujimori S,et al.Semiquantitative Assessment of Tumor Spread through Air Spaces (STAS) in Early-Stage Lung Adenocarcinomas[J].J Thorac Oncol201712(7):1046-1051.
29
Han YBKim HMino-Kenudson M,et al.Tumor spread through air spaces (STAS):prognostic significance of grading in non-small cell lung cancer[J].Mod Pathol202134(3):549-561.
30
Saji HOkada MTsuboi M,et al.Segmentectomy versus lobectomy in small-sized peripheral non-small-cell lung cancer (JCOG0802/WJOG4607L):a multicentre,open-label,phase 3,randomised,controlled,non-inferiority trial[J].Lancet2022399(10335):1607-1617.
31
Ding YChen YWen H,et al.Pretreatment prediction of tumour spread through air spaces in clinical stage I non-small-cell lung cancer[J].Eur J Cardiothorac Surg202262(3):ezac248.
32
Kadota KKushida YKatsuki N,et al.Tumor Spread Through Air Spaces Is an Independent Predictor of Recurrence-free Survival in Patients With Resected Lung Squamous Cell Carcinoma[J].Am J Surg Pathol201741(8):1077-1086.
33
Warth AMuley TKossakowski CA,et al.Prognostic Impact of Intra-alveolar Tumor Spread in Pulmonary Adenocarcinoma[J].Am J Surg Pathol201539(6):793-801.
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