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155 results on '"Lee, Ming-Ching"'

4. Right middle lobe torsion after right upper lobectomy despite pneumopexy in an adult: a case report and review of the literature.

Author

Hsiao, Ching-Heng and Lee, Ming-Ching

Subjects
*FIBRIN tissue adhesive, *OPERATIVE surgery, *TORSION, *FOREIGN bodies, *LOBECTOMY (Lung surgery)
Abstract

Background: Right middle lobe (RML) torsion is the most common form of lobar torsion. It usually happens after right upper lobe (RUL) lobectomy, especially when pneumopexy is not performed. Although various surgical techniques have been introduced to prevent RML torsion, the efficacy of these techniques is not yet fully understood. We herein report a case of RML torsion that happened after RUL lobectomy despite pneumopexy together with a literature review. Case presentation: A 62-year-old female patient underwent RUL lobectomy due to adenocarcinoma of the lung. Prophylactic pneumopexy with a single stitch was performed to fix RML to the right lower lobe. RML was well inflated and did not rotate before wound closure was performed. However, the patient complained of foreign body sensation inside her chest on postoperative day 5, and a chest X-ray revealed atelectasis of RML. Bronchoscopy showed a collapsed middle lobe bronchus. Exploratory thoracotomy showed congested RML with a twisting bronchovascular pedicle, and therefore, RML lobectomy was performed. Conclusions: RML torsion is a rare but potentially fatal condition requiring high clinical alertness. Through our literature review and the presented case, we demonstrate that RML torsion may occur despite pneumopexy. A combination of surgical methods, such as the use of continuous sutures or fibrin glue, may be more effective in preventing torsion. [ABSTRACT FROM AUTHOR]

Published
2025
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43. Implementing the new IASLC/ATS/ERS classification of lung adenocarcinomas: results from international and Chinese cohorts

Author

Lee, Ming-Ching, Kadota, Kyuichi, Buitrago, Daniel, Jones, David R., and Adusumilli, Prasad S.

Subjects
Review Article
Abstract

A new histologic classification of lung adenocarcinoma was proposed by the International Association for the Study of Lung Cancer, American Thoracic Society, and European Respiratory Society (IASLC/ATS/ERS) in 2011 to provide uniform terminology and diagnostic criteria for multidisciplinary strategic management. This classification proposed a comprehensive histologic subtyping (lepidic, acinar, papillary, micropapillary, and solid pattern) and a semi-quantitative assessment of histologic patterns (in 5% increments) in an effort to choose a single, predominant pattern in invasive adenocarcinomas. The prognostic value of this classification has been validated in large, independent cohorts from multiple countries. In patients who underwent curative-intent surgery, those with either an adenocarcinoma in situ (AIS) or a minimal invasive adenocarcinoma have nearly 100% disease-free survival and are designated "low grade tumors". For invasive adenocarcinomas, the acinar and papillary predominant histologic subtypes were usually designated as "intermediate grade" while the solid and micropapillary predominant histologic subtypes were designated "high grade" tumors; this was based on the statistic difference of overall survival. This classification, coupled with additional prognostic factors [nuclear grade, cribriform pattern, high Ki-67 labeling index, thyroid transcription factor-1 (TTF-1) immunohistochemistry, immune markers, and (18)F-fluorodeoxyglucose uptake on positron emission tomography (PET)] that we have published on, could further stratify patients into prognostic subgroups and may prove helpful for individual patient care. With regard to Chinese oncologists, the implementation of this new classification only requires hematoxylin and eosin (HE) stained slides and basic pathologic training, both of which require no additional costs. More importantly, this new classification system could provide informative data for better selection and stratification of clinical trials and molecular studies.

Published
2014

45. Impact of Increasing Age on Cause-Specific Mortality and Morbidity in Patients With Stage I Non–Small-Cell Lung Cancer: A Competing Risks Analysis

Author

Eguchi, Takashi, primary, Bains, Sarina, additional, Lee, Ming-Ching, additional, Tan, Kay See, additional, Hristov, Boris, additional, Buitrago, Daniel H., additional, Bains, Manjit S., additional, Downey, Robert J., additional, Huang, James, additional, Isbell, James M., additional, Park, Bernard J., additional, Rusch, Valerie W., additional, Jones, David R., additional, and Adusumilli, Prasad S., additional

Published
2017
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49. Solid Predominant Histologic Subtype in Resected Stage I Lung Adenocarcinoma Is an Independent Predictor of Early, Extrathoracic, Multisite Recurrence and of Poor Postrecurrence Survival.

Author

Ujiie, Hideki, Kadota, Kyuichi, Chaft, Jamie E., Buitrago, Daniel, Sima, Camelia S., Lee, Ming-Ching, Huang, James, Travis, William D., Rizk, Nabil P, Rudin, Charles M., Jones, David R., Adusumilli, Prasad S., Ujiie, Hideki, Kadota, Kyuichi, Chaft, Jamie E., Buitrago, Daniel, Sima, Camelia S., Lee, Ming-Ching, Huang, James, Travis, William D., Rizk, Nabil P, Rudin, Charles M., Jones, David R., and Adusumilli, Prasad S.

Abstract

To examine the significance of the proposed International Association for the Study of Lung Cancer, American Thoracic Society, and European Respiratory Society (IASLC/ATS/ERS) histologic subtypes of lung adenocarcinoma for patterns of recurrence and, among patients who recur following resection of stage I lung adenocarcinoma, for postrecurrence survival (PRS).

Published
2015

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