| Autor: |
Javier, Vega S, David, Lazo P, Felipe, Undurraga M, Jóse Miguel, Clavero R, Patricio, Rodríguez D |
| Rok vydání: |
2018 |
| Předmět: |
|
| Zdroj: |
Revista medica de Chile. 146(11) |
| ISSN: |
0717-6163 |
| Popis: |
Pulmonary nodules are common, and surgery is the only alternative that allows a diagnostic and therapeutic management in a single procedure.To report the epidemiological, radiological, surgical and pathological features of excised pulmonary nodules.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.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%.A multidisciplinary approach of pulmonary nodules, using adapted international guidelines, accomplishes an appropriate management, decreasing unnecessary surgical interventions. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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