PILL series. The solitary pulmonary nodule
Singapore medical journal
;
: 372-quiz 376, 2012.
Article
Dans Anglais
| WPRIM
| ID: wpr-334474
ABSTRACT
The solitary pulmonary nodule on chest X-ray (CXR) is a common problem in pulmonary medicine. Its presence raises the question of lung cancer. As five-year survival after resection of a solitary bronchogenic carcinoma can be as high as 80%, prompt evaluation is crucial. This should begin with a cancer risk assessment based on clinical and radiographic factors. The risk and benefits of surgery should next be assessed, and together with the patient's preferences, a management plan can be decided upon. Surgery is recommended for patients at high risk of malignancy with a low surgical risk, while careful observation is adopted for patients at low risk of malignancy coupled with a high surgical risk. Further diagnostic tests may be warranted to aid in this decision process. Although CXR is not useful for lung cancer screening, low-dose computed tomography imaging is increasingly recommended for individuals at high risk for lung cancer.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Imagerie diagnostique
/
Radiographie
/
Radiographie thoracique
/
Pneumologie
/
Facteurs de risque
/
Nodule pulmonaire solitaire
/
Appréciation des risques
/
Diagnostic
/
Maladies pulmonaires
/
Tumeurs du poumon
Type d'étude:
Etude diagnostique
/
Etude d'étiologie
/
Étude pronostique
/
Facteurs de risque
Limites du sujet:
Adulte très âgé
/
Humains
langue:
Anglais
Texte intégral:
Singapore medical journal
Année:
2012
Type:
Article
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