[問題] 肺腺癌術後後續治療及相關問題

第一次在抗癌版發文
目前媽媽53歲，先前健檢照LDCT的時候照到右肺三公分的GGO及其他不到一公分的小結節及左
肺也有其他不到一公分的結節，目前已經開刀拿掉右肺上的結節，病理報告如下

Lung, right upper lobe, S1 segmentectomy, minimally invasive adenocarcinoma andadenocarcinoma in situ. (staging with right lower lobe, minimally invasive adenocarcinoma)(mpT1miN0Mb) Pleura, right, pleurectomy, chronic lymphocytic inflammation. Lymph nodes, sites specified as below, lymphadenectomy, free of cancer metastasis. SUMMARY OF GROSS AND MICROSCOPIC FINDINGS: Tumor type: minimally invasive adenocarcinoma, nonmucinous. Histologic grade: well differentiated. Tumor location: right upper lobe. Tumor size: Total tumor size:(MIA)1.9x1.6x1.0 and (AIS)0.7x0.4x0.4 cm, Invasive tumor size:0.3 cm. Tumor Focality: Separate tumor nodules in different lobes: right upper lobe AIS, right lower lobe MIA. Lymphovascular Invasion: Not identified. Perineural invasion: Not identified. Spread Through Air Spaces (STAS): Not identified. Main bronchus: not included. Pleura: The pleura is free from tumor (type PL0). Non-neoplastic lung: There are multiple subpleural chronic lympocytic inflammation, fibrosis, bronchiectatic change, mucous plugs with granulmatous inflammation and reactive respiratory metaplasia. There isfocal lymphocytic pleuritis. Margins: All margins are uninvolved by carcinoma, specify closest margin: parenchymal margin, distance:3mm. Bronchial margin: not involved. Vascular margin: not involved. Parenchymal margin: not involved. Lymphnode status: no evidence of metastasis. N2: group 7: 0/3; group 9: 0/2; group3:0/3; Extranodal Extension: Not identified. TNM Descriptors: m (multiple primarytumors). Primary Tumor (pT): pT1mi: Minimally invasive adenocarcinoma: adenocarcinoma (≦3 cm in

醫生說明因為切下來的兩顆都不是原位癌，原則上兩顆都是各自原發的，但醫生看有點多顆左肺上也有其他結節，怕有可能是同一病灶，所以建議術後輔助治療，口服化療或是用注射的都可以

想請問因為我看報告上是說一顆是MIA一顆是AIS，不過我看網路上及文獻說AIS也算是原位癌
的其中一種，不曉得醫生是有沒有其他的考慮才說不是原位癌的？

還有這種狀況的五年復發率會不會跟一般的MIA有差？

病人一直很焦慮，所以才想上來問一下，謝謝大家了！

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