The solitary pulmonary nodule

被引:0
|
作者
Koh, Jansen Meng Kwang [2 ]
Tan, Gerald Jit Shen [3 ,4 ]
How, Choon How [1 ]
机构
[1] Singhlth Polyclin Sengkang, Singapore 545025, Singapore
[2] Changi Gen Hosp, Dept Resp & Crit Care Med, Singapore, Singapore
[3] Tan Tock Seng Hosp, Dept Radiol, Singapore, Singapore
[4] Lee Kong Chian Sch Med, Singapore, Singapore
关键词
lung cancer; lung cancer screening; lung nodule; solitary pulmonary nodule; LUNG-CANCER; CT; BENIGN; PREVALENCE;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The solitary pulmonary nodule on chest X-ray (CXR) is a common problem in pulmonary medicine. Its presence raises the question of lung cancer. As five-year survival after resection of a solitary bronchogenic carcinoma can be as high as 80%, prompt evaluation is crucial. This should begin with a cancer risk assessment based on clinical and radiographic factors. The risk and benefits of surgery should next be assessed, and together with the patient's preferences, a management plan can be decided upon. Surgery is recommended for patients at high risk of malignancy with a low surgical risk, while careful observation is adopted for patients at low risk of malignancy coupled with a high surgical risk. Further diagnostic tests may be warranted to aid in this decision process. Although CXR is not useful for lung cancer screening, low-dose computed tomography imaging is increasingly recommended for individuals at high risk for lung cancer.
引用
收藏
页码:372 / 375
页数:4
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