The management and evaluation of the solitary pulmonary nodule.
The management and evaluation of the solitary pulmonary nodule.
复制标题
孤立性肺结节的治疗和评估。
作者：
G. Trunk;D. Gracey;R. Byrd
为了针对这一问题制定合理的治疗方法，我们对 137 名患有孤立性肺结节的患者的病例记录和影像学结果进行了分析。 35岁以下的患者中，没有一个结节是支气管癌。对文献的回顾表明其他研究人员也有类似的经历，发现该年龄段的孤立结节中只有不到 1% 是恶性的。考虑到开胸手术的风险虽小但确实存在，因此对该年龄段的患者进行手术切除似乎不合理。如果以前的胸片可以显示结节在过去两年内没有扩大，也不需要手术。最后，大多数钙化结节不需要去除。
An analysis of the case records and radiographic findings in 137 patients presenting with solitary pulmonary nodules was made in order to develop a rational therapeutic approach to this problem. None of the nodules was bronchogenic carcinoma in those patients under 35 years of age. A review of the literature indicated other investigators to have had a similar experience, finding less than 1 percent of the solitary nodules in this age group malignant. Considering the small but definite risk of thoracotomy, surgical removal would not appear justified in this age group of patients. Operation is also not necessary if one can show by previous chest films that the nodule has not enlarged over the preceding two years. Finally, most calcified nodules need not be removed.