Evidence map›Paper›PMID 41524824›Full record

ReviewClinical & experimental metastasis2026

What we can learn from the lepidic growth pattern of pulmonary metastases.

Alberto Ficarelli, Carolina Sassorossi, Filippo Lococo, Andrea Galli

Abstract readReview
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In one paragraph

Review in Clinical & experimental metastasis, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Alberto FicarelliDepartment of Clinical and Experimental Biomedical Sciences "Mario Serio", University of Florence, 50134, Florence, Italy.
Carolina SassorossiThoracic Surgery Unit, A. Gemelli University Hospital Foundation IRCCS, 00168, Rome, Italy.
Filippo LococoThoracic Surgery Unit, A. Gemelli University Hospital Foundation IRCCS, 00168, Rome, Italy.
Andrea GalliDepartment of Clinical and Experimental Biomedical Sciences "Mario Serio", University of Florence, 50134, Florence, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In lung adenocarcinoma, cancer cells can grow in a peculiar modality, replacing normal pneumocytes and creating glandular-like structures based on the alveolar architecture. This lepidic growth pattern is characterized by well differentiated epithelial cancer cells, that preserve their monolayer disposition, avoiding invasion of the interstitial space and dispersion into the airways. The same growth pattern can be assumed also by cancer cells originating from distant organs and a new interest has arisen around this modality of growth related to pulmonary metastases. Here we systematically reviewed the current literature about reports describing pulmonary metastases with a lepidic pattern and their clinical management. Although the small number of cases does not allow definitive conclusions about the frequency and clinical relevance, the existence of this peculiar manifestation reinforces the idea that metastatic disease is more complex and heterogeneous than is conveyed by the clinical guidelines.

Indexed as

AdenocarcinomaLung NeoplasmsAdenocarcinoma of LungHumansEarly metastatic disseminationHistological growth patternLepidicLung metastasisPulmonary metastasis

Identifiers

What OpenQuestion holds

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Registered trials

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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.