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Caracterización de nódulos pulmonares resecados. Experiencia de manejo por un programa multidisciplinario / Features of excised pulmonary nodules in 100 patients
Vega S, Javier; Lazo P, David; Undurraga M, Felipe; Clavero R, Jóse Miguel; Rodríguez D, Patricio.
  • Vega S, Javier; Universidad de Chile. Facultad de Medicina. Santiago. CL
  • Lazo P, David; Clínica Las Condes. Departamento de Cirugía Adultos. Santiago. CL
  • Undurraga M, Felipe; Clínica Las Condes. Departamento de Cirugía Adultos. Santiago. CL
  • Clavero R, Jóse Miguel; Clínica Las Condes. Departamento de Cirugía Adultos. Santiago. CL
  • Rodríguez D, Patricio; Clínica Las Condes. Departamento de Cirugía Adultos. Santiago. CL
Rev. méd. Chile ; 146(11): 1261-1268, nov. 2018. tab, graf
Article in Spanish | LILACS | ID: biblio-985699
ABSTRACT

Background:

Pulmonary nodules are common, and surgery is the only alternative that allows a diagnostic and therapeutic management in a single procedure.

Aim:

To report the epidemiological, radiological, surgical and pathological features of excised pulmonary nodules. Material and

Methods:

Review of medical records of patients in whom a pulmonary nodule was excised between 2014 and 2018. Those with incomplete data or without a pathological study were excluded from analysis.

Results:

We retrieved 108 records and 8 had to be excluded, therefore 100 patients aged 34 to 82 years (57% females) were analyzed. Sixty percent had a history of smoking. Mean nodule size was 16 mm and the solid type was the most common (65%). Forty five percent of nodules had irregular margins and 55% were in the superior lobes. All patients operated by video-assisted thoracoscopic surgery and 40% underwent a lobectomy. Malignant lesions were observed in 87% of biopsies and a pulmonary adenocarcinoma was found in pathology in 40%.

Conclusions:

A multidisciplinary approach of pulmonary nodules, using adapted international guidelines, accomplishes an appropriate management, decreasing unnecessary surgical interventions.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Carcinoma / Multiple Pulmonary Nodules / Adenocarcinoma of Lung / Lung Neoplasms Type of study: Practice guideline / Observational study / Risk factors Limits: Adult / Aged / Aged80 / Female / Humans / Male Country/Region as subject: South America / Chile Language: Spanish Journal: Rev. méd. Chile Journal subject: Medicine Year: 2018 Type: Article Affiliation country: Chile Institution/Affiliation country: Clínica Las Condes/CL / Universidad de Chile/CL

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Full text: Available Index: LILACS (Americas) Main subject: Carcinoma / Multiple Pulmonary Nodules / Adenocarcinoma of Lung / Lung Neoplasms Type of study: Practice guideline / Observational study / Risk factors Limits: Adult / Aged / Aged80 / Female / Humans / Male Country/Region as subject: South America / Chile Language: Spanish Journal: Rev. méd. Chile Journal subject: Medicine Year: 2018 Type: Article Affiliation country: Chile Institution/Affiliation country: Clínica Las Condes/CL / Universidad de Chile/CL