An integrated approach to evaluation of the solitary pulmonary nodule.

Abstract:

: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.

journal_name

Mayo Clin Proc

journal_title

Mayo Clinic proceedings

authors

Swensen SJ,Jett JR,Payne WS,Viggiano RW,Pairolero PC,Trastek VF

doi

10.1016/s0025-6196(12)65012-5

subject

Has Abstract

pub_date

1990-02-01 00:00:00

pages

173-86

issue

2

eissn

0025-6196

issn

1942-5546

pii

S0025-6196(12)65012-5

journal_volume

65

pub_type

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