An integrated approach to evaluation of the solitary pulmonary nodule.

Swensen, S J; Jett, J R; Payne, W S; Viggiano, R W; Pairolero, P C; Trastek, V F

Swensen, S J; Jett, J R; Payne, W S; Viggiano, R W; Pairolero, P C; Trastek, V F.

Afiliación

Swensen SJ; Department of Diagnostic Radiology, Mayo Clinic, Rochester, MN 55905.

Mayo Clin Proc ; 65(2): 173-86, 1990 Feb.

Article en En | MEDLINE | ID: mdl-2248630

RESUMEN

In this article, we describe an integrated approach for detection and evaluation of solitary pulmonary nodules. Initial evaluation of the solitary pulmonary nodule includes tomography, fluoroscopy, and comparison with previously obtained roentgenograms. Subsequently, thin-section computed tomography and phantom densitometry can be used for analysis, if indicated. The rationale for the use of computed tomography in the radiologic staging of bronchogenic carcinoma is to expedite and assist in the identification of the subset of patients with resectable tumors. For nonsurgical tissue diagnosis, fiberoptic bronchoscopy is generally the initial procedure for lesions 2.0 cm or larger in diameter, and transthoracic needle biopsy is used for those smaller than 2.0 cm.

Asunto(s)

Nódulo Pulmonar Solitario/diagnóstico; Biopsia con Aguja; Humanos; Pulmón/patología; Neoplasias Pulmonares/diagnóstico; Neoplasias Pulmonares/patología; Metástasis de la Neoplasia; Estadificación de Neoplasias; Nódulo Pulmonar Solitario/patología; Tomografía Computarizada por Rayos X

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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Nódulo Pulmonar Solitario Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Humans Idioma: En Revista: Mayo Clin Proc Año: 1990 Tipo del documento: Article Pais de publicación: Reino Unido

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