Management strategy of solitary pulmonary nodules

被引：20

作者：

Zhan, Ping ^{[1
,2
]}

Xie, Haiyan ^{[1
,2
]}

Xu, Chunhua ^{[1
,2
]}

Hao, Keke ^{[1
,2
]}

Hou, Zhibo ^{[1
,2
]}

Song, Yong ^{[2
,3
]}

机构：

[1] Nanjing Chest Hosp, Dept Resp Med, Nanjing 210029, Jiangsu, Peoples R China

[2] Nanjing Clin Ctr Resp Dis, Nanjing 210029, Jiangsu, Peoples R China

[3] Nanjing Univ, Sch Med, Jinling Hosp, Dept Resp Med, Nanjing 210002, Jiangsu, Peoples R China

来源：

JOURNAL OF THORACIC DISEASE | 2013年 / 5卷 / 06期

关键词：

Solitary pulmonary nodule (SPNs); ground; glass-opacity (GGO); subcentimeter nodules; management strategy; PRACTICAL ALGORITHMIC APPROACH; LUNG-CANCER; GROWTH-RATE; CT; PROBABILITY; TOMOGRAPHY; DIAGNOSIS;

D O I：

10.3978/j.issn.2072-1439.2013.12.13

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Solitary pulmonary nodules (SPNs) are increasingly detected with the widespread use of chest computed tomography (CT) scans. The management of patients with SPN should begin with estimating the probability of cancer from the patient's clinical risk factors and CT characteristics. The decision-making process need to incorporate the probability of cancer, the potential benefits and harms of surgery, the accuracy of the available diagnostic tests and patient preferences. For patients with a very low probability of cancer, careful observation with serial CT is warranted. For patients in the intermediate range of probabilities, either CT-guided fine-needle aspiration biopsy (FNAB) or positron emission tomography (PET), is recommended. For those with a high probability of cancer, surgical diagnosis is warranted.

引用

页码：824 / 829

页数：6

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