孤立性肺结节的早期诊断
Early diagnosis of solitary pulmonary nodules.
作者信息
Xu Chunhua, Hao Keke, Song Yong, Yu Like, Hou Zhibo, Zhan Ping
机构信息
Department of Respiratory Medicine, Nanjing Chest Hospital, Nanjing 210029, China; ; Nanjing Clinical Center of Respiratory Diseases, Nanjing 210029, China;
Department of Respiratory Medicine, Jinling Hospital, Nanjing University School of Medicine, Nanjing 210029, China.
出版信息
J Thorac Dis. 2013 Dec;5(6):830-40. doi: 10.3978/j.issn.2072-1439.2013.11.19.
Abstract
Early detection of solitary pulmonary nodules (SPNs) and early treatment are of great importance. However, patients with early SPNs always do not present with any symptoms or signs, only to demonstrate SPNs in radiology findings. So it is very critical to improve the ability to identify the SPNs, and with the development of sorts of diagnostic modalities, the accuracy in the evaluation of the SPNs has improved greatly. In this paper, the diagnostic methods and techniques of SPNs are reviewed.
摘要
孤立性肺结节（SPN）的早期检测和早期治疗至关重要。然而，早期SPN患者通常没有任何症状或体征，仅在影像学检查中显示出SPN。因此，提高识别SPN的能力非常关键，随着各种诊断方式的发展，对SPN评估的准确性有了很大提高。本文对SPN的诊断方法和技术进行综述。
相似文献
1
Early diagnosis of solitary pulmonary nodules.孤立性肺结节的早期诊断
J Thorac Dis. 2013 Dec;5(6):830-40. doi: 10.3978/j.issn.2072-1439.2013.11.19.
2
[Diagnosis and management of solitary pulmonary nodules].[孤立性肺结节的诊断与管理]
Zhongguo Fei Ai Za Zhi. 2013 Sep;16(9):499-508. doi: 10.3779/j.issn.1009-3419.2013.09.11.
3
Characteristics of benign solitary pulmonary nodules confirmed by diagnostic video-assisted thoracoscopic surgery.经诊断性电视辅助胸腔镜手术确诊的良性孤立性肺结节的特征
Clin Respir J. 2016 Mar;10(2):181-8. doi: 10.1111/crj.12200. Epub 2014 Sep 12.
4
5
Combination diagnosis of multi-slice spiral computed tomography and secretary phospholipase A2-IIa for solitary pulmonary nodules.多层螺旋计算机断层扫描与分泌型磷脂酶A2-IIa联合诊断孤立性肺结节
J Clin Lab Anal. 2018 Feb;32(2). doi: 10.1002/jcla.22250. Epub 2017 May 11.
6
Visual assessment of calcification in solitary pulmonary nodules on chest radiography: correlation with volumetric quantification of calcification.胸部 X 线摄影中孤立性肺结节内钙化的目测评估：与钙化容积定量的相关性。
Eur Radiol. 2019 Aug;29(8):4324-4332. doi: 10.1007/s00330-018-5883-3. Epub 2019 Jan 7.
7
[Analysis of solitary pulmonary nodules found in chest radiograms].[胸部X光片中发现的孤立性肺结节分析]
Pneumonol Alergol Pol. 2009;77(1):37-42.
8
Endobronchial ultrasound-guided transbronchial lung biopsy in fluoroscopically invisible solitary pulmonary nodules: a prospective trial.荧光镜下不可见的孤立性肺结节的支气管内超声引导下经支气管肺活检：一项前瞻性试验。
Chest. 2006 Jan;129(1):147-50. doi: 10.1378/chest.129.1.147.
9
10
Comparison of Various Parameters of DWI in Distinguishing Solitary Pulmonary Nodules.弥散加权成像各参数在鉴别孤立性肺结节中的比较。
Curr Med Sci. 2018 Oct;38(5):920-924. doi: 10.1007/s11596-018-1963-5. Epub 2018 Oct 20.
引用本文的文献
1
Value of dual-layer spectral detector computed tomography in the diagnosis of benign/malignant solid solitary pulmonary nodules and establishment of a prediction model.双层光谱探测器计算机断层扫描在诊断良性/恶性实性孤立性肺结节及建立预测模型中的价值
Front Oncol. 2023 May 5;13:1147479. doi: 10.3389/fonc.2023.1147479. eCollection 2023.
2
Solitary Pulmonary Inflammatory Nodule: CT Features and Pathological Findings.孤立性肺炎性结节：CT特征与病理表现
J Inflamm Res. 2021 Jun 25;14:2741-2751. doi: 10.2147/JIR.S304431. eCollection 2021.
3
Evaluation of major complications associated with percutaneous CT-guided biopsy of lung nodules below 3 cm.评估 3cm 以下经皮 CT 引导肺结节穿刺活检的主要并发症。
Turk J Med Sci. 2020 Apr 9;50(2):369-374. doi: 10.3906/sag-1908-73.
4
Computed tomography-guided percutaneous transthoracic needle biopsy for solitary pulmonary nodules in diameter less than 20 mm.计算机断层扫描引导下经皮穿刺针吸活检术用于直径小于20毫米的孤立性肺结节
Medicine (Baltimore). 2018 Apr;97(14):e0154. doi: 10.1097/MD.0000000000010154.
5
Factors affecting the accuracy and safety of computed tomography-guided biopsy of intrapulmonary solitary nodules ≤30 mm in a retrospective study of 155 patients.在一项对155例患者的回顾性研究中，影响直径≤30mm的肺内孤立结节CT引导下活检准确性和安全性的因素。
Exp Ther Med. 2017 May;13(5):1986-1992. doi: 10.3892/etm.2017.4179. Epub 2017 Mar 2.
6
Shortness of breath, what did the CXR show?呼吸急促，胸部X线检查显示了什么？
Intern Emerg Med. 2017 Sep;12(6):899-900. doi: 10.1007/s11739-016-1593-5. Epub 2016 Dec 30.
7
Value of radial probe endobronchial ultrasound-guided localization of solitary pulmonary nodules with the combination of ultrathin bronchoscopy and methylene blue prior to video-assisted thoracoscopic surgery.在电视辅助胸腔镜手术前，联合使用超薄支气管镜和亚甲蓝，经径向探头支气管内超声引导对孤立性肺结节进行定位的价值。
Mol Clin Oncol. 2016 Aug;5(2):279-282. doi: 10.3892/mco.2016.913. Epub 2016 May 26.
本文引用的文献
1
Evaluation of solitary pulmonary nodule detected during computed tomography examination.计算机断层扫描检查中发现的孤立性肺结节的评估。
Pol J Radiol. 2012 Apr;77(2):22-34. doi: 10.12659/pjr.882967.
2
In patients undergoing video-assisted thoracoscopic surgery excision, what is the best way to locate a subcentimetre solitary pulmonary nodule in order to achieve successful excision?在接受电视辅助胸腔镜手术切除的患者中，为了成功切除，定位小于一厘米的孤立性肺结节的最佳方法是什么？
Interact Cardiovasc Thorac Surg. 2012 Aug;15(2):266-72. doi: 10.1093/icvts/ivs068. Epub 2012 May 9.
3
Ground-glass nodules on chest CT as imaging biomarkers in the management of lung adenocarcinoma.胸部 CT 上的磨玻璃结节作为肺腺癌管理中的影像生物标志物。
AJR Am J Roentgenol. 2011 Mar;196(3):533-43. doi: 10.2214/AJR.10.5813.
4
Combined fluoroscopy- and CT-guided transthoracic needle biopsy using a C-arm cone-beam CT system: comparison with fluoroscopy-guided biopsy.使用 C 臂锥形束 CT 系统进行透视和 CT 引导下经胸针吸活检：与透视引导活检的比较。
Korean J Radiol. 2011 Jan-Feb;12(1):89-96. doi: 10.3348/kjr.2011.12.1.89. Epub 2011 Jan 3.
5
Multidetector CT of solitary pulmonary nodules.多层螺旋 CT 扫描孤立性肺结节
Thorac Surg Clin. 2010 Feb;20(1):9-23. doi: 10.1016/j.thorsurg.2009.12.002.
6
Evaluation of the solitary pulmonary nodule.孤立性肺结节的评估
Am Fam Physician. 2009 Oct 15;80(8):827-31.
7
The efficacy of serum carcinoembryonic antigen (CEA), cancer antigen 125 (CA125), carbohydrate antigen 19-9 (CA19-9), carbohydrate antigen 15-3 (CA15-3), alpha-fetoprotein (AFP) and human chorionic gonadotropin (hCG) levels in determining the malignancy of solitary pulmonary nodules.血清癌胚抗原（CEA）、癌抗原125（CA125）、糖类抗原19-9（CA19-9）、糖类抗原15-3（CA15-3）、甲胎蛋白（AFP）及人绒毛膜促性腺激素（hCG）水平在判定孤立性肺结节恶性程度方面的效能。
J Int Med Res. 2009 Mar-Apr;37(2):438-45. doi: 10.1177/147323000903700219.
8
Persistent pulmonary nodular ground-glass opacity at thin-section CT: histopathologic comparisons.薄层CT上持续性肺结节状磨玻璃影：组织病理学比较
Radiology. 2007 Oct;245(1):267-75. doi: 10.1148/radiol.2451061682.
9
Evaluation of patients with pulmonary nodules: when is it lung cancer?: ACCP evidence-based clinical practice guidelines (2nd edition).肺结节患者的评估：何时为肺癌？：美国胸科医师学会循证临床实践指南（第2版）
Chest. 2007 Sep;132(3 Suppl):108S-130S. doi: 10.1378/chest.07-1353.
10
Factors related to diagnostic yield of transbronchial biopsy using endobronchial ultrasonography with a guide sheath in small peripheral pulmonary lesions.在小的周围型肺病变中，使用带引导鞘的支气管内超声引导下经支气管活检的诊断率相关因素。
Chest. 2007 Aug;132(2):603-8. doi: 10.1378/chest.07-0637. Epub 2007 Jun 15.
Zotero 插件