Caracterización de nódulos pulmonares resecados. Experiencia de manejo por un programa multidisciplinario / Features of excised pulmonary nodules in 100 patients
Rev. méd. Chile
;
146(11): 1261-1268, nov. 2018. tab, graf
Article
Dans Espagnol
| 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 andMethods:
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.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Carcinomes
/
Nodules pulmonaires multiples
/
Adénocarcinome pulmonaire
/
Tumeurs du poumon
Type d'étude:
Guide de pratique
/
Étude observationnelle
/
Facteurs de risque
Limites du sujet:
Adulte
/
Adulte très âgé
/
Aged80
/
Femelle
/
Humains
/
Mâle
Pays comme sujet:
Amérique du Sud
/
Chili
langue:
Espagnol
Texte intégral:
Rev. méd. Chile
Thème du journal:
Médicament
Année:
2018
Type:
Article
Pays d'affiliation:
Chili
Institution/Pays d'affiliation:
Clínica Las Condes/CL
/
Universidad de Chile/CL
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