Evidence map›Paper›PMID 31019789›Full record

ReviewJournal of thoracic disease2019

Diagnostic and clinical features of lung cancer associated with cystic airspaces.

Annemie Snoeckx, Pieter Reyntiens, Laurens Carp, Maarten J Spinhoven, Haroun El Addouli, Astrid Van Hoyweghen, Simon Nicolay, Paul E Van Schil, Patrick Pauwels, Jan P van Meerbeeck and 1 more

Open access · diamondAbstract readReview
In one paragraph

Review in Journal of thoracic disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Annemie SnoeckxDepartment of Radiology, Antwerp University Hospital and University of Antwerp, Edegem, Belgium.
Pieter ReyntiensDepartment of Radiology, Antwerp University Hospital and University of Antwerp, Edegem, Belgium.
Laurens CarpDepartment of Nuclear Medicine, Antwerp University Hospital and University of Antwerp, Edegem, Belgium.
Maarten J SpinhovenDepartment of Radiology, Antwerp University Hospital and University of Antwerp, Edegem, Belgium.
Haroun El AddouliDepartment of Radiology, Antwerp University Hospital and University of Antwerp, Edegem, Belgium.
Astrid Van HoyweghenDepartment of Radiology, Antwerp University Hospital and University of Antwerp, Edegem, Belgium.
Simon NicolayDepartment of Radiology, Antwerp University Hospital and University of Antwerp, Edegem, Belgium.
Paul E Van SchilDepartment of Thoracic and Vascular Surgery, Antwerp University Hospital and University of Antwerp, Edegem, Belgium.
Patrick PauwelsDepartment of Pathology Antwerp University Hospital and University of Antwerp, Edegem, Belgium.
Jan P van MeerbeeckDepartment of Pulmonology and Thoracic Oncology, Antwerp University Hospital and University of Antwerp, Edegem, Belgium.
Paul M ParizelDepartment of Radiology, Antwerp University Hospital and University of Antwerp, Edegem, Belgium.
Antwerp University Hospital · BEUniversity of Antwerp · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

"Lung cancer associated with cystic airspaces" is an uncommon manifestation, in which lung cancer presents on imaging studies with a cystic area with associated consolidation and/or ground glass. With the widespread use of computed tomography (CT), both in clinical practice and for lung cancer screening, these tumors are being more frequently recognized. An association of this entity with smoking has been established with the majority of cases reported being in former and current smokers. The true pathogenesis of the cystic airspace is not yet fully understood. Different causes of this cystic airspace have been described, including a check-valve mechanism obstructing the small airways, lepidic growth of adenocarcinoma on emphysematous lung parenchyma, cyst formation of tumor and tumor growth along the wall of a pre-existing bulla. Adenocarcinoma is the commonest histological type, followed by squamous cell carcinoma. Two classification systems have been described, based on morphological features of the lesion, taking into account both the cystic airspace as well as the morphology of the surrounding consolidation or ground glass. The cystic component may mislead radiologists to a benign etiology and the many different faces on imaging can make early diagnosis challenging. Special attention should be made to focal or diffuse wall thickening and consolidation or ground glass abutting or interspersed with cystic airspaces. Despite their atypical morphology, staging and management currently are still similar to that of other lung cancer types. Although the rarity of this entity will hamper larger studies, numerous aspects regarding this particular lung cancer type still need to be unraveled. This manuscript reviews the CT-imaging findings and gives an overview of available data in the English literature on pathogenesis, histopathology and clinical findings. Differential diagnosis and pitfalls are discussed as well as future directions regarding staging and management.

Indexed as

Computed tomography (CT)cysticearly diagnosislung neoplasms

Identifiers

PMID31019789
PMCPMC6462709
OpenAlexW2922666889

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.