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亚实性肺结节:争议与展望。

Subsolid pulmonary nodules: Controversy and perspective.

作者信息

Hammer Mark M, Hatabu Hiroto

机构信息

Departments of Radiology, Brigham and Women's Hospital, Boston, MA, USA.

出版信息

Eur J Radiol Open. 2020 Sep 4;7:100267. doi: 10.1016/j.ejro.2020.100267. eCollection 2020.

Abstract

Ground glass and part-solid nodules, collectively referred to as subsolid nodules, present a challenge in management, with a high risk of malignancy but, when malignant, demonstrating indolent behavior. Emerging data suggest longer follow-up intervals and shorter duration of follow-up is likely appropriate in these nodules. Additionally, definitive therapy is shifting to less aggressive approaches such as sub-lobar resection. Patients may benefit from individualized approaches, incorporating both patient and imaging features to determine whether treatment is necessary.

摘要

磨玻璃结节和部分实性结节统称为亚实性结节,其处理具有挑战性,恶性风险高,但如果是恶性的,表现为惰性生长。新出现的数据表明,对这些结节可能采用更长的随访间隔和更短的随访时间是合适的。此外,确定性治疗正转向如亚肺叶切除等侵袭性较小的方法。患者可能受益于个体化方法,综合考虑患者和影像学特征来确定是否需要治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d73/7481135/45f5a5b367c7/gr1.jpg

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