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肺癌筛查中的偶然发现:意义与管理

Incidental Findings on Lung Cancer Screening: Significance and Management.

作者信息

Tsai Emily B, Chiles Caroline, Carter Brett W, Godoy Myrna C B, Shroff Girish S, Munden Reginald F, Truong Mylene T, Wu Carol C

机构信息

Department of Radiology, Stanford University School of Medicine, Stanford, CA.

Department of Radiology, Wake Forest Health Sciences Center, Winston-Salem, NC.

出版信息

Semin Ultrasound CT MR. 2018 Jun;39(3):273-281. doi: 10.1053/j.sult.2018.02.005. Epub 2018 Mar 1.

Abstract

Incidental findings are commonly detected by computed tomography, but distinguishing which findings have little or no clinical consequence and which are significant enough to require further evaluation is not always clear. This distinction is important for patient care and to ensure appropriate use of health care resources. This article aims to highlight some of the incidental findings detected by low-dose CT (LDCT) performed for lung cancer screening and to present an overview of currently accepted management recommendations.

摘要

偶然发现通常通过计算机断层扫描检测到,但区分哪些发现几乎没有或没有临床意义,哪些发现具有足够的重要性需要进一步评估并不总是明确的。这种区分对于患者护理以及确保合理使用医疗资源很重要。本文旨在强调在肺癌筛查的低剂量CT(LDCT)检查中发现的一些偶然发现,并概述目前公认的管理建议。

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