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Editorials |

Visceral Pleural InvasionVisceral Pleural Invasion: Crossing a (Thin) Line

Frank C. Detterbeck, MD, FCCP
Author and Funding Information

From Yale Thoracic Surgery, Yale School of Medicine.

CORRESPONDENCE TO: Frank C. Detterbeck, MD, FCCP, Yale Thoracic Surgery, Yale School of Medicine, 330 Cedar St BB205, New Haven, CT 06520-8062; e-mail: frank.detterbeck@yale.edu


CONFLICT OF INTEREST: None declared.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2015;148(4):846-848. doi:10.1378/chest.15-0866
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In this issue of CHEST (see page 903), Jiang et al1 present a well-done study on the impact of visceral pleural invasion (VPI) in patients with node-negative lung cancer. They conducted a systematic literature review involving > 21,000 patients and demonstrated that VPI reduced overall survival. This was seen for all patients (OR, 0.7; 95% CI, 0.59-0.83; P < .0001), but also within specific size subgroups: 0 to 3 cm (OR, 0.71 [CI, 0.64-0.79]; P < .0001), 3 to 5 cm (OR, 0.69 [CI, 0.56-0.86]; P = .0008), and 5 to 7 cm (OR, 0.7 [CI, 0.54-0.91]; P = .007).1 This meta-analysis provides compelling evidence that VPI is indeed a prognostic factor in patients with lung cancer.

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