Classifying solitary pulmonary nodules. New imaging methods to distinguish malignant, benign lesions. Postgrad Med 2003 Aug;114(2):29-35; quiz 16
Date
08/21/2003Pubmed ID
12926175DOI
10.3810/pgm.2003.08.1472Scopus ID
2-s2.0-0041519327 (requires institutional sign-in at Scopus site) 11 CitationsAbstract
Physicians often are faced with determining benignity or malignancy in solitary pulmonary nodules in order to refer patients appropriately for curative resection of early-stage malignant nodules and to avoid the morbidity and mortality of a surgical procedure for benign nodules. Nodules are easily deemed benign when they are unchanged on chest radiographs over 2 years or have symmetrical patterns of calcification or central fat on chest CT. Similarly, growing, spiculated lesions in older patients with an extensive smoking history or other risk factors for cancer are easily recognized as likely to be malignant. However, solitary pulmonary nodules classified as indeterminate after consideration of radiologic characteristics and patient risk factors have traditionally posed a diagnostic dilemma. The use of newer imaging modalities, including contrast-enhanced chest CT, fluorodeoxyglucose PET, and technetium Tc 99m SPECT, can help distinguish benign nodules from those that are malignant.
Author List
Hanley KS, Rubins JBMESH terms used to index this publication - Major topics in bold
Biopsy, NeedleBronchoscopy
Diagnosis, Differential
Humans
Lung Diseases
Lung Neoplasms
Solitary Pulmonary Nodule
Tomography, Emission-Computed
Tomography, X-Ray Computed
