Section of Thoracic Surgery, Department of Surgery, Yale School of Medicine, 330 Cedar Street, BB 205, New Haven, CT 06520, USA.
Clin Chest Med. 2011 Dec;32(4):811-25. doi: 10.1016/j.ccm.2011.08.007.
The optimal management of an additional pulmonary nodule in a patient with a known primary lung cancer is unclear. Additional pulmonary nodules are often identified during pathologic evaluation after resection of a primary tumor rather than before surgery. Although correlating these pathologic data with preoperative information can be useful, their applicability to management and decision making is often limited. This article focuses on the malignant additional pulmonary nodule in the same lobe as the known primary tumor, in a different lobe in the same lung as the known primary tumor, and in the contralateral lung.
对于已知原发性肺癌患者中出现的额外肺结节，其最佳管理方法尚不清楚。通常是在切除原发性肿瘤后进行病理评估时发现额外肺结节，而不是在手术前。虽然将这些病理数据与术前信息相关联可能会有所帮助，但它们在管理和决策中的适用性通常受到限制。本文重点介绍了与已知原发性肿瘤位于同一肺叶中的恶性额外肺结节、位于同一肺内已知原发性肿瘤不同肺叶中的恶性额外肺结节以及位于对侧肺中的恶性额外肺结节。
