The 2023 American Association for Thoracic Surgery (AATS) Expert Consensus Document: Management of subsolid lung...

Area of Science:

• Pulmonology
• Thoracic Surgery
• Radiology
• Pathology

Background:

• Subsolid nodules represent a distinct subtype of lung cancer with unique biological behavior.
• Effective management strategies are crucial for improving patient outcomes.

Purpose of the Study:

• To review existing literature and establish expert consensus on the clinical management of subsolid lung nodules.
• To provide specific, evidence-based recommendations for healthcare professionals.

Main Methods:

• An international, multidisciplinary expert panel was assembled by the American Association for Thoracic Surgery.
• A focused literature review and a modified Delphi method were used to develop consensus statements.
• Recommendations covered definitions, surveillance, diagnosis, surgical interventions, and management of multiple nodules.

Main Results:

• Seventeen consensus recommendations were achieved by the expert panel.
• The recommendations incorporate updated insights on radiologic-pathologic correlation.
• Individualized surveillance and surgical strategies, along with multimodality therapies, are emphasized.

Conclusions:

• Consensus was reached on key recommendations for managing subsolid lung nodules.
• These guidelines offer practical guidance for thoracic surgeons and medical professionals.
• The recommendations aim to standardize and optimize patient care for this lung cancer subtype.