Caracterización de nódulos pulmonares resecados. Experiencia de manejo por un programa multidisciplinario
| Autor: | David Lazo P, José M Clavero R, Felipe Undurraga M, Patricio Rodríguez D, Javier Vega S |
|---|---|
| Jazyk: | Spanish; Castilian |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
business.industry Medical record Pulmonary adenocarcinoma Video-Assisted Thoracic Surgery Retrospective cohort study Nodule (medicine) Adenocarcinoma of Lung General Medicine Cardiothoracic surgery Radiological weapon Epidemiology medicine Multiple Pulmonary Nodules Radiology medicine.symptom business Pathological |
| Zdroj: | Revista médica de Chile v.146 n.11 2018 SciELO Chile CONICYT Chile instacron:CONICYT |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|