Mosmann Marcos Pretto, Borba Marcelle Alves, de Macedo Francisco Pires Negromonte, Liguori Adriano de Araujo Lima, Villarim Neto Arthur, de Lima Kenio Costa
Master, Nuclear Physician at Liga Norte Riograndense Contra o Câncer, Natal, RN, Brazil.
MDs, Radiologists at Liga Norte Riograndense Contra o Câncer, Natal, RN, Brazil.
Radiol Bras. 2016 Jan-Feb;49(1):35-42. doi: 10.1590/0100-3984.2014.0012.
Solitary pulmonary nodule corresponds to a common radiographic finding, which is frequently detected incidentally. The investigation of this entity remains complex, since characteristics of benign and malignant processes overlap in the differential diagnosis. Currently, many strategies are available to evaluate solitary pulmonary nodules with the main objective of characterizing benign lesions as best as possible, while avoiding to expose patients to the risks inherent to invasive methods, besides correctly detecting cases of lung cancer so as the potential curative treatment is not delayed. This first part of the study focuses on the epidemiology, the morfological evaluation and the methods to determine the likelihood of cancer in cases of indeterminate solitary pulmonary nodule.
孤立性肺结节是一种常见的影像学表现,常为偶然发现。对这一实体的研究仍然复杂,因为在鉴别诊断中良性和恶性病变的特征相互重叠。目前,有许多策略可用于评估孤立性肺结节,主要目的是尽可能准确地鉴别良性病变,同时避免让患者承受侵入性方法固有的风险,此外还要正确检测肺癌病例,以免延误潜在的治愈性治疗。本研究的第一部分重点关注孤立性肺结节的流行病学、形态学评估以及确定其恶性可能性的方法。