Table 1. Studies applied divergent definitions of STAS and/or related morphological features.
Study | Entity | Number of cases | Stage | Definition of STAS or related features |
---|---|---|---|---|
Onozato et al. 2013 (7) | ADC | 261 | I–II | Isolated, large collection of tumor cells present within alveolar spaces that lacked well-demarcated micropapillary configuration. The islands were located at the periphery of the tumor and were separated by at least a few alveoli |
Kadota et al. 2015 (1) | ADC | 411 | I | Micropapillary clusters, solid nests, or single cells spreading within air spaces beyond the edge of the main tumor |
Warth et al. 2015 (2) | ADC | 569 | I–IV | Detachment of small cell nests (at least 5 tumor cells) <3 alveoli away from the main tumor mass (limited STAS) and tumor cell nests >3 alveoli away from the main tumor mass (extensive STAS) |
Morimoto et al., 2016 (10) | ADC | 67 | I–III | A group of more than 3 small clusters containing <20 nonintegrated micropapillary tumor cells that were spreading within air spaces, >3 mm apart from the main tumor |
Shiono and Yanagawa, 2016 (11) | ADC | 318 | I | Tumor cell clusters lying freely within the alveolar space at a distance of at least 0.5 mm from the main tumor |
Lu et al., 2017 (12) | SCC | 445 | I–III | Tumor cell nests identified beyond the edge of the main tumor even if present only in the first alveolar layer from the tumor edge |
Uruga et al., 2017 (13) | ADC | 208 | I | Micropapillary clusters, solid nests, or single cells spreading within air spaces beyond the edge of the main tumor. Cases were further classified as no STAS, low STAS (1–4 clusters of micropapillary or solid nest-predominant STAS), or high STAS (≥5 clusters of STAS) |
Dai et al., 2017 (14) | ADC | 554 | I | Tumor cells observed within air spaces in the surrounding lung parenchyma beyond the edge of the main tumor. It was classified into three morphologic subtypes: (I) single cells, (II) micropapillary clusters, and (III) solid nests |
STAS, spread through air spaces; ADC, adenocarcinomas; SCC, squamous cell carcinomas.