Ko Jane P, Azour Lea
Department of Radiology, NYU Langone Health, New York, NY.
Department of Radiology, NYU Langone Health, New York, NY.
Semin Ultrasound CT MR. 2018 Jun;39(3):249-259. doi: 10.1053/j.sult.2018.02.006. Epub 2018 Mar 26.
The incidental pulmonary nodule is commonly encountered when interpreting chest CTs. The management of pulmonary nodules requires a multidisciplinary approach entailing integration of nodule size and features, clinical risk factors, and patient preference and comorbidities. Guidelines have been issued for the management of both solid and subsolid nodules, with the Fleischner Society issuing revised guidelines in 2017. This article focuses on the CT imaging characteristics and clinical behavior of pulmonary nodules, with review of the current management guidelines that reflect this knowledge.
在解读胸部CT时,偶然发现的肺结节很常见。肺结节的管理需要多学科方法,包括综合考虑结节大小和特征、临床风险因素、患者偏好及合并症。针对实性和亚实性结节的管理已发布了指南,弗莱施纳学会于2017年发布了修订版指南。本文重点关注肺结节的CT成像特征和临床行为,并回顾反映这些知识的当前管理指南。