Classifying solitary pulmonary nodules - New imaging methods to distinguish malignant, benign lesions

被引:9
作者
Hanley, KS
Rubins, JB
机构
[1] Vet Affairs Med Ctr, Div Pulm, Minneapolis, MN 55417 USA
[2] Univ Minnesota, Sch Med, Minneapolis, MN USA
[3] St Marys Hosp, Yale Primary Care Residency Program, Waterbury, CT USA
关键词
D O I
10.3810/pgm.2003.08.1472
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Detected in about 1 of 500 chest radiographs, solitary pulmonary nodules are a common problem in primary care. Management of these nodules relies on correct diagnosis of indeterminate lesions, which allows curative resection of early-stage malignant nodules and avoids the morbidity and mortality of surgery for benign ones. In this article, the authors propose an algorithm that incorporates newer imaging and diagnostic methods to facilitate the evaluation and management of solitary pulmonary nodules.
引用
收藏
页码:29 / 35
页数:7
相关论文
共 22 条
[1]   The solitary pulmonary nodule on chest radiography: Can we really tell if the nodule is calcified! [J].
Berger, WG ;
Erly, WK ;
Krupinski, EA ;
Standen, JR ;
Stern, RG .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2001, 176 (01) :201-204
[2]   A multicenter trial with a somatostatin analog 99mTc depreotide in the evaluation of solitary pulmonary nodules [J].
Blum, J ;
Handmaker, H ;
Lister-James, J ;
Rinne, N .
CHEST, 2000, 117 (05) :1232-1238
[3]   Role of nuclear medicine in the evaluation of the solitary pulmonary nodule [J].
Goldsmith, SJ ;
Kostakoglu, L .
SEMINARS IN ULTRASOUND CT AND MRI, 2000, 21 (02) :129-138
[4]   Second lung cancers in patients after treatment for an initial lung cancer [J].
Johnson, BE .
JNCI-JOURNAL OF THE NATIONAL CANCER INSTITUTE, 1998, 90 (18) :1335-1345
[5]   Management of solitary pulmonary nodules - How to decide when resection is required [J].
Lillington, GA .
POSTGRADUATE MEDICINE, 1997, 101 (03) :145-150
[6]   Prospective investigation of positron emission tomography in lung nodules [J].
Lowe, VJ ;
Fletcher, JW ;
Gobar, L ;
Lawson, M ;
Kirchner, P ;
Valk, P ;
Karis, J ;
Hubner, K ;
Delbeke, D ;
Heiberg, EV ;
Patz, EF ;
Coleman, RE .
JOURNAL OF CLINICAL ONCOLOGY, 1998, 16 (03) :1075-1084
[7]   Percutaneous needle biopsy of the lung and its impact on patient management [J].
Murphy, JM ;
Gleeson, FV ;
Flower, CDR .
WORLD JOURNAL OF SURGERY, 2001, 25 (03) :373-380
[8]   Evaluation and management of the solitary pulmonary nodule [J].
Ost, D ;
Fein, A .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2000, 162 (03) :782-787
[9]   Solitary pulmonary nodules in patients with extrapulmonary neoplasms [J].
Quint, LE ;
Park, CH ;
Iannettoni, MD .
RADIOLOGY, 2000, 217 (01) :257-261
[10]   Temporal trends in the prevalence of malignancy in resected solitary pulmonary lesions [J].
Rubins, JB ;
Rubins, HB .
CHEST, 1996, 109 (01) :100-103