肺结节性质待定的评估与处理

Evaluation and management of indeterminate pulmonary nodules.

作者信息

Hodnett Philip A, Ko Jane P

机构信息

Thoracic Imaging Department of Radiology, New York University Langone Medical Center, IRM 236, 560 First Avenue, New York, NY 10016, USA.

出版信息

Radiol Clin North Am. 2012 Sep;50(5):895-914. doi: 10.1016/j.rcl.2012.06.005.

DOI:10.1016/j.rcl.2012.06.005

PMID:22974777

Abstract

The radiologic evaluation and management of the indeterminate solitary pulmonary nodule provide common diagnostic dilemma. With continued technologic advancements in multidetector computed tomography leading to higher spatial resolution and greater overall sensitivity of computed tomography scanners, increasing numbers of indeterminate solitary pulmonary nodules are being detected. Malignant and benign solitary pulmonary nodules have similar imaging features. Clinical management of these incidental nodules relies not only on imaging characteristics but also on malignancy risk factors, along with the risks and benefits of further investigation.

摘要

对不明确的孤立性肺结节进行放射学评估和处理是常见的诊断难题。随着多排螺旋计算机断层扫描技术的不断进步，计算机断层扫描仪的空间分辨率更高，整体敏感性更强，越来越多不明确的孤立性肺结节被检测出来。恶性和良性孤立性肺结节具有相似的影像学特征。这些偶然发现的结节的临床处理不仅依赖于影像学特征，还取决于恶性风险因素以及进一步检查的风险和益处。