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This shift improves prognostic stratification and requires a more nuanced approach to tumour measurements in challenging situations. Similarly, the adoption of new grading criteria based on the predominant and highest\u2010grade pattern proposed by the International Association for the Study of Lung Cancer (IASLC) shows improved prognostication, and therefore clinical utility, relative to previous grading systems. Spread through airspaces (STAS) is a form of tumour invasion involving tumour cells spreading through the airspaces, which has been highly researched in recent years. This review discusses updates in pathological T staging, adenocarcinoma grading and STAS and illustrates the utility and limitations of current concepts in lung adenocarcinoma.<\/jats:p>","DOI":"10.1111\/his.15077","type":"journal-article","created":{"date-parts":[[2023,10,23]],"date-time":"2023-10-23T22:50:41Z","timestamp":1698101441000},"page":"6-17","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["Updates on lung adenocarcinoma: invasive size, grading and\u00a0\n                    <scp>STAS<\/scp>"],"prefix":"10.1111","volume":"84","author":[{"given":"Jonathan","family":"Willner","sequence":"first","affiliation":[{"name":"Department of Pathology New York University Grossman School of Medicine  New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Navneet","family":"Narula","sequence":"additional","affiliation":[{"name":"Department of Pathology New York University Grossman School of Medicine  New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1857-3774","authenticated-orcid":false,"given":"Andre L","family":"Moreira","sequence":"additional","affiliation":[{"name":"Department of Pathology New York University Grossman School of Medicine  New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,10,23]]},"reference":[{"key":"e_1_2_15_2_1","first-page":"344","volume-title":"Pathology and genetics of tumours of the lung, pleura, thymus and heart. 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