Managing Persistent Subsolid Nodules in Lung Cancer: Education, Decision Making, and Impact of Interval Growth Patterns

被引:7
|
作者
Liu, Yung-Chi [1 ,2 ,3 ]
Liang, Chia-Hao [4 ]
Wu, Yun-Ju [5 ,6 ]
Chen, Chi-Shen [7 ]
Tang, En-Kuei [8 ]
Wu, Fu-Zong [5 ,9 ,10 ,11 ]
机构
[1] Xiamen Chang Gung Hosp, Dept Radiol, Xiamen 361028, Peoples R China
[2] Xiamen Chang Gung Hosp, Dept Imaging Technol Div, Xiamen 361028, Peoples R China
[3] Xiamen Chang Gung Hosp, Dept Healthcare Adm Dept, Xiamen 361028, Peoples R China
[4] Natl Yang Ming Univ, Dept Biomed Imaging & Radiol Sci, Taipei 112304, Taiwan
[5] Kaohsiung Vet Gen Hosp, Dept Radiol, Kaohsiung 81362, Taiwan
[6] Natl Kaohsiung Normal Univ, Dept Software Engn & Management, Kaohsiung 80201, Taiwan
[7] Kaohsiung Vet Gen Hosp, Phys Examinat Ctr, Kaohsiung 81362, Taiwan
[8] Kaohsiung Vet Gen Hosp, Dept Surg, Kaohsiung 813414, Taiwan
[9] Natl Sun Yat Sen Univ, Coll Med, Sch Med, Kaohsiung 80424, Taiwan
[10] Natl Yang Ming Chiao Tung Univ, Fac Med, Sch Med, Taipei 112, Taiwan
[11] Natl Sun Yat Sen Univ, Inst Educ, Kaohsiung 804241, Taiwan
关键词
subsolid nodules; interval growth; overdiagnosis; lung cancer; GROUND-GLASS OPACITY; PULMONARY NODULES; SCREENING-PROGRAM; NATURAL-HISTORY; DOUBLING TIMES; T CATEGORY; BASE-LINE; FOLLOW-UP; CT; LONG;
D O I
10.3390/diagnostics13162674
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
With the popularization of lung cancer screening, many persistent subsolid nodules (SSNs) have been identified clinically, especially in Asian non-smokers. However, many studies have found that SSNs exhibit heterogeneous growth trends during long-term follow ups. This article adopted a narrative approach to extensively review the available literature on the topic to explore the definitions, rationale, and clinical application of different interval growths of subsolid pulmonary nodule management and follow-up strategies. The development of SSN growth thresholds with different growth patterns could support clinical decision making with follow-up guidelines to reduce over- and delayed diagnoses. In conclusion, using different SSN growth thresholds could optimize the follow-up management and clinical decision making of SSNs in lung cancer screening programs. This could further reduce the lung cancer mortality rate and potential harm from overdiagnosis and over management.
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页数:17
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