Guideline on Management of Solitary Pulmonary Nodule |
| |
| Affiliation: | 1. Servico de Neumología, Hospital Universitario 12 de Octubre, Madrid, Spain, CIBERES;2. Cardiothoracic Imaging Division, University of Toronto, Sunnybrook Health Sciences Centre, Toronto, Canada;3. Servicio de Radiología, Clínica Universidad de Navarra, Pamplona, Spain;4. Servicio de Neumología, Hospital Universitario Valladolid, Valladolid, Spain;5. Servicio de Neumología, Hospital de Vigo, Vigo, Spain;6. Servicio de Neumología, Complejo Asistencial de Ávila, Hospital de Ávila, Ávila, Spain;7. Servicio de Medicina Nuclear, Hospital Universitario Quirón, Madrid, Spain;8. Servicio de Cirugía Torácica, Hospital Virgen Rocío, Sevilla, Spain;9. Servicio de Neumología, Hospital Universitario de Bellvitge, Barcelona, Spain;1. Servico de Neumología, Hospital Universitario 12 de Octubre, Madrid, Spain, CIBERES;2. Cardiothoracic Imaging Division, University of Toronto, Sunnybrook Health Sciences Centre, Toronto, Canada;3. Servicio de Radiología, Clínica Universidad de Navarra, Pamplona, Spain;4. Servicio de Neumología, Hospital Universitario Valladolid, Valladolid, Spain;5. Servicio de Neumología, Hospital de Vigo, Vigo, Spain;6. Servicio de Neumología, Complejo Asistencial de Ávila, Hospital de Ávila, Ávila, Spain;7. Servicio de Medicina Nuclear, Hospital Universitario Quirón, Madrid, Spain;8. Servicio de Cirugía Torácica, Hospital Virgen Rocío, Sevilla, Spain;9. Servicio de Neumología, Hospital Universitario de Bellvitge, Barcelona, Spain;1. Servicio de Otorrinolaringología, Complejo Hospitalario Insular Materno Infantil (CHUIMI), Las Palmas de Gran Canaria, Spain;2. Servicio de Otorrinolaringología, Hospital Universitario de Gran Canaria Dr. Negrín (HUGCDN), Las Palmas de Gran Canaria, Spain;3. Servicio de Otorrinolaringología, Hospital Universitario Marqués de Valdecilla (HUMV), Santander, Spain;1. Department of Pulmonary and Critical Care, University of Arizona, Tucson, AZ;2. Department of Pathology, University of Arizona, Tucson, AZ;3. Department of Radiology, University of Arizona, Tucson, AZ;1. Hospices Civils de Lyon, pôle information médicale évaluation recherche, 69003 Lyon, France;2. Université de Lyon, EA santé individu société 4129, 69002 Lyon, France;3. Université Lyon 1, 69008 Lyon, France |
| |
| Abstract: | The aim of the proposed recommendations is to be a tool to facilitate decision-making in patients with a solitary pulmonary nodule (SPN). For an optimal decision, accessibility to the different diagnostics techniques and patient preferences need to be incorporated.The first assessment, which includes a chest computed tomography scan, separates a group of patients with extrapulmonary neoplasm or a high surgical risk who require individualized management. Another two groups of patients are patients with SPN up to 8 mm and those who have a subsolid SPN, for which specific recommendations are established.SPNs larger than 8 mm are classified according to their probability of malignancy into low (less than 5%), where observation is recommended, high (higher than 65%), which are managed with a presumptive diagnosis of localized stage carcinoma, and intermediate, where positron emission tomography-computed tomography has high yield for reclassifying them into high or low probability. In cases of intermediate or high probability of malignancy, transbronchial needle aspiration or biopsy of the nodule may be an option.Radiologic observation with low radiation computed tomography without contrast is recommended in SPN with low probability of malignancy, and resection with videothoracoscopy in undiagnosed cases with intermediate or high probability of malignancy. |
| |
| Keywords: | Solitary pulmonary nodule Subsolid nodule Subcentimeter nodule Lung cancer Nódulo pulmonar solitario Nódulo subsólido Nódulo subcentimétrico Cáncer de pulmón |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
