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Editorials |

Primary vs Metastatic Pulmonary Adenocarcinoma: Toward a Fuller Understanding of Truth

Dani S. Zander, MD
Author and Funding Information

From the Department of Pathology, Penn State Milton S. Hershey Medical Center.

Correspondence to: Dani S. Zander, MD, Penn State Milton S. Hershey Medical Center-M.C. H083, PO Box 850, 500 University Drive, Hershey, PA 17033; e-mail: dzander@hmc.psu.edu


Financial/nonfinancial disclosures: The author has reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/site/misc/reprints.xhtml).


© 2010 American College of Chest Physicians


Chest. 2010;137(1):3-4. doi:10.1378/chest.09-1514
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Extract

The article by Girard et al 1 in this issue of CHEST (see page 46) focuses our attention upon an increasingly common clinical problem and offers us a practical and appealing new approach to solving it. Synchronous and metachronous pulmonary adenocarcinomas are discovered with growing frequency due to the development of more sensitive radiologic methods of detection, increased screening of smokers, closer postoperative surveillance, and other biologic factors that are not well understood. The prognosis and determination of the optimal treatment regimen depend upon whether the neoplasms represent independent, primary neoplasms or whether one represents a metastasis from the other.

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