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Imaging Bronchogenic Adenocarcinoma: Emerging Concepts

Wallis, Adam FRCR; Chandratreya, Ladli FRCR; Bhatt, Nidhi FRCPath; Edey, Anthony FRCR

Journal of Computer Assisted Tomography: November/December 2012 - Volume 36 - Issue 6 - p 629–635
doi: 10.1097/RCT.0b013e3182689305
Cardiothoracic Imaging

Advances in our understanding of lung adenocarcinoma have led to the recently revised classification of lung adenocarcinoma. This replaces the term bronchoalveolar carcinoma and introduces the concept of preinvasive, minimally invasive, and frankly invasive lesions to the classification. Although more work is required to validate these concepts, it is likely that they will be incorporated into the next World Health Organization and TNM classifications. We illustrate the likely radiographic appearance of lesions in the new classification, highlight salient features to watch for on follow-up, and offer guidance on their management.

From the *Severn School of Radiology, Bristol, UK; †North Bristol NHS Trust, Bristol, UK; ‡University Hospitals Bristol NHS Foundation Trust, Bristol, UK.

Received for publication May 8, 2012; accepted July 3, 2012.

Reprints: Anthony Edey, FRCR, Department of Radiology, Southmead Hospital, Southmead Road, Westbury-on-Trym, BS10 5NB, Bristol, UK (e-mail:

No funding was received for this work.

The authors have no conflicts of interest.

Copyright © 2012 Wolters Kluwer Health, Inc. All rights reserved.