medigraphic.com
Revista Médica Sinergia

2020, Number 05

Next >>

Revista Médica Sinergia 2020; 5 (05)

Initial management of solitary pulmonary nodule

Elizondo VJR, Chaverri PG, Marín CAM

Language: Spanish
References: 23
Page: 349-349
PDF size: 168.63 Kb.


ABSTRACT

The solitary pulmonary nodule is documented by radiological studies as an opacity of less than 30mm, which can be secondary to multiple pathologies both benign and malignant. Due to its clear association with risk factors such as tobacco and the risk of malignancy, it is essential to give an accurate diagnosis and adequate follow-up to the patient. International guides are used to reduce the number of unnecessary examinations and give more autonomy in the management of this pathology.


REFERENCES

  1. MacMahon, H., P. Naidich, D. and Mo Goo, J. (2017). Guidelines for Management of Incidental Pulmonary Nodules Detected on CT Images: From the Fleischner Society 2017. Radiology, 284(1), pp.228-242. https://doi.org/10.1148/radiol.2017161659

  2. Callister MEJ, Baldwin DR, Akram AR, Barnard S, Cane P, Draffan J, Franks K, Gleeson F, Graham R, Malhotra P, Prokop M, Rodger K, Subesinghe M, Waller D, Woolhouse I, . British Thoracic Society guidelines for the investigation and management of pulmonary nodules: accredited by NICE. Thorax. 2015 06 16;70(Suppl 2):ii1-ii54. https://doi.org/10.1136/thoraxjnl-2015-207168

  3. Brosseau S, Nguenang M, Mahdjoub E. Nódulo pulmonar aislado. EMC. 2019;23(2):1-7. https://doi.org/10.1016/S1636-5410(19)41988-0

  4. Álvarez Martinez C. Nódulo pulmonar solitario. Elsevier. 2017;:29-38.

  5. Bueno J, Landeras L, Chung J. Updated Fleischner Society Guidelines for Managing Incidental Pulmonary Nodules: Common Questions and Challenging Scenarios. RadioGraphics. 2018;38(5):1337- 1350. https://doi.org/10.1148/rg.2018180017

  6. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2015. CA: A Cancer Journal for Clinicians. 2015 01;65(1):5-29. https://doi.org/10.3322/caac.21254

  7. He Y, Zhang Y, Shi G. Risk factors for pulmonary nodules in north China: A prospective cohort study. Elsevier. 2018;:122-129.https://doi.org/10.1016/j.lungcan.2018.03.021

  8. Trinidad López C, Delgado Sáenz-Gracián C, Utrera Pérez E. Nódulo pulmonar incidental: caracterización y manejo. Sociedad Española de Radiología Médica. 2019;61(5):357- 369.https://doi.org/10.1016/j.rx.2019.03.002

  9. Horeweg N, van Rosmalen J, Heuvelmans MA, van der Aalst CM, Vliegenthart R, Scholten ET, ten Haaf K, Nackaerts K, Lammers JJ, Weenink C, Groen HJ, van Ooijen P, de Jong PA, de Bock GH, Mali W, de Koning HJ, Oudkerk M. Lung cancer probability in patients with CT-detected pulmonary nodules: a prespecified analysis of data from the NELSON trial of low-dose CT screening. The Lancet Oncology. 2014 Nov;15(12):1332-1341. https://doi.org/10.1016/s1470-2045(14)70389-4

  10. Henschke CI, Yip R, Smith JP, Wolf AS, Flores RM, Liang M, Salvatore MM, Liu Y, Xu DM, Yankelevitz DF, . CT Screening for Lung Cancer: Part-Solid Nodules in Baseline and Annual Repeat Rounds. American Journal of Roentgenology. 2016 Dec;207(6):1176- 1184. https://doi.org/10.2214/ajr.16.16043

  11. Saji H, Matsubayashi J, Akata S. Correlation between whole tumor size and solid component size on highresolution computed tomography in the prediction of the degree of pathologic malignancy and the prognostic outcome in primary lung adenocarcinoma. Acta Radiologica. 2015;56(10):1187-1195. https://doi.org/10.1177/0284185114554823.

  12. Sheard S, Moser J, Sayer C, Stefanidis K, Devaraj A, Vlahos I. Lung Cancers Associated with Cystic Airspaces: Underrecognized Features of Early Disease. RadioGraphics. 2018 05;38(3):704- 717. https://doi.org/10.1148/rg.2018170099

  13. Heuvelmans MA, Walter JE, Peters RB, Bock GHD, Yousaf-Khan U, Aalst CMVD, Groen HJM, Nackaerts K, Ooijen PMV, Koning HJD, Oudkerk M, Vliegenthart R. Relationship between nodule count and lung cancer probability in baseline CT lung cancer screening: The NELSON study. Lung Cancer. 2017 Nov;113:45-50. https://doi.org/10.1016/j.lungcan.2017.08.023

  14. Revel M, Mannes I, Benzakoun J, Guinet C, Léger T, Grenier P, Lupo A, Fournel L, Chassagnon G, Bommart S. Subsolid Lung Nodule Classification: A CT Criterion for Improving Interobserver Agreement. Radiology. 2018 01;286(1):316-325. https://doi.org/10.1148/radiol.2017170044

  15. Chen PA, Huang EP, Shih LY, Tang EK, Chien CC, Wu MT, Wu FZ. Qualitative CT Criterion for Subsolid Nodule Subclassification. Academic Radiology. 2018 Nov;25(11):1439- 1445. https://doi.org/10.1016/j.acra.2018.01.011

  16. Ridge CA, Yildirim A, Boiselle PM, Franquet T, Schaefer-Prokop CM, Tack D, Gevenois PA, Bankier AA. Differentiating between Subsolid and Solid Pulmonary Nodules at CT: Inter- and Intraobserver Agreement between Experienced Thoracic Radiologists. Radiology. 2016 03;278(3):888- 896. https://doi.org/10.1148/radiol.2015150714

  17. Van Riel S, Sánchez C, Bankier A. Observer Variability for Classification of Pulmonary Nodules on Low- Dose CT Images and Its Effect on Nodule Management. Radiology. 2015;277(3):863-871. https://doi.org/10.1148/radiol.201514270

  18. Horeweg N, van Rosmalen J, Heuvelmans M, van der Aalst C, Vliegenthart R, Scholten E et al. Lung cancer probability in patients with CT-detected pulmonary nodules: a prespecified analysis of data from the NELSON trial of low-dose CT screening. The Lancet Oncology. 2014;15(12):1332-1341. https://doi.org/10.1016/S1470-2045(14)70389-4

  19. Shin K, Lee K, Yi C, Chung M, Shin M, Choi Y. Subcentimeter lung nodules stable for 2 years at LDCT: Long-term follow-up using volumetry. Respirology. 2014;19(6):921-928. https://doi.org/10.1111/resp.12337

  20. Gould M, Fletcher J, Iannettoni M, Lynch W, Midthun D, Naidich D et al. Evaluation of Patients With Pulmonary Nodules: When Is It Lung Cancer?. Chest. 2007;132(3):108S-130S. https://doi.org/10.1378/chest.07-1353

  21. Kakinuma R, Muramatsu Y, Kusumoto M, Tsuchida T, Tsuta K, Maeshima A et al. Solitary Pure Ground- Glass Nodules 5 mm or Smaller: Frequency of Growth. Radiology. 2015;276(3):873-882. https://doi.org/10.1148/radiol.2015141071

  22. Silva M, Bankier A, Centra F, Colombi D, Ampollini L, Carbognani P et al. Longitudinal evolution of incidentally detected solitary pure ground-glass nodules on CT: relation to clinical metrics. Diagnostic and Interventional Radiology. 2015;21(5):385-390. 10.5152/dir.2015.14457

  23. Lee, J.H., Park, C.M., Lee, S.M. et al. Persistent pulmonary subsolid nodules with solid portions of 5 mm or smaller: Their natural course and predictors of interval growth. Eur Radiol 26, 1529–1537 (2016). https://doi.org/10.1007/s00330-015-4017-4




2020     |     www.medigraphic.com