Difference between revisions of "Lung cancer after neoadjuvant therapy"

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==Major pathologic response==
==Major pathologic response==
:<math>V = T/B</math>
:<math>V ={ {T} \over {B} } \times 100 \%</math>


Where:
Where:
:V = percent viable tumour.
:T = tumour area.
:T = tumour area.
:B = tumour bed area.
:B = tumour bed area.
:V = viable tumour.
 


Major pathologic response is defined as: V <=10%.
Major pathologic response is defined as: V <=10%.
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At cut-up the tumour bed was estimated at 5.0 cm. The residual cancer's size is estimated as 1.5 cm (based on a linear measurement of the tumour on slide D15-D16).   
At cut-up the tumour bed was estimated at 5.0 cm. The residual cancer's size is estimated as 1.5 cm (based on a linear measurement of the tumour on slide D15-D16).   


The estimated viable tumour was assessed in slides D14-D17 and was determined to be: 30%. The estimated viable tumour exceeds the cut-off (<=10%) for "Major Pathologic Response".[1]   
The estimated viable tumour was assessed in slides D14-D17 and was determined to be: 30%. The estimated viable tumour EXCEEDS the cut-off value (<=10%); thus, the specimen is NEGATIVE for a major pathologic response.[1]   


1. J Thorac Oncol. 2020 May;15(5):709-740. doi: 10.1016/j.jtho.2020.01.005  
1. J Thorac Oncol. 2020 May;15(5):709-740. doi: 10.1016/j.jtho.2020.01.005  
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===At cut-off value for major pathology response===
===At cut-off value for major pathology response===
<pre>
<pre>
The estimated viable tumour was assessed in slides C10-C13 and was determined to be: 10%. The estimated viable tumour is at the cut-off (<=10%) for 'Major Pathologic Response'.[1]  Additional sections of the tumour bed are negative; thus, a 'Major Pathologic Response' is favoured.
The estimated viable tumour was assessed in slides C10-C13 and was determined to be: 10%. The estimated viable tumour is at the cut-off (<=10%) for major pathologic response.[1]  Additional sections of the tumour bed are negative; thus, a major pathologic response is favoured.


1. J Thorac Oncol. 2020 May;15(5):709-740. doi: 10.1016/j.jtho.2020.01.005  
1. J Thorac Oncol. 2020 May;15(5):709-740. doi: 10.1016/j.jtho.2020.01.005  
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