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高危双侧肺磨玻璃密度结节的诊断与治疗。

Diagnosis and treatment of high-risk bilateral lung ground-glass opacity nodules.

机构信息

Department of Thoracic Surgery, General Hospital of Northern Theater Command, Shenyang, 110016, China.

Department of Thoracic Surgery, General Hospital of Northern Theater Command, Shenyang, 110016, China.

出版信息

Asian J Surg. 2024 Jul;47(7):2969-2974. doi: 10.1016/j.asjsur.2024.01.072. Epub 2024 Jan 20.

DOI:10.1016/j.asjsur.2024.01.072
PMID:38246790
Abstract

In recent years, there has been a significant increase in the detection rate of Ground Glass Opacity (GGO) nodules through high-resolution computed tomography (HRCT). GGO is an imaging finding that encompasses various pathological types, some of which exhibit indolent growth, while others may represent early lung cancer or remain relatively stable, not significantly impacting the surgical treatment outcome. In clinical practice, patients often experience psychological anxiety when multiple pulmonary GGO nodules are present, and they may request simultaneous resection. However, there is currently no standardized criterion for determining when multiple GGO nodules should be resected. As personalized medicine continues to advance, the treatment approach for multiple pulmonary GGO nodules needs to prioritize accuracy. High-risk factors associated with multiple pulmonary GGO nodules may necessitate surgical intervention along with mediastinal lymph node dissection or sampling. This article provides a review of the characteristics, treatment methods, and clinical experiences related to multiple pulmonary GGO nodules, offering practical insights and guidance for healthcare professionals.

摘要

近年来,高分辨率计算机断层扫描(HRCT)检测到的磨玻璃密度(GGO)结节的检出率显著增加。GGO 是一种影像学表现,涵盖了多种病理类型,其中一些表现为惰性生长,而另一些则可能代表早期肺癌或保持相对稳定,对手术治疗结果影响不大。在临床实践中,当多个肺部 GGO 结节存在时,患者通常会感到心理焦虑,并可能要求同时切除。然而,目前还没有确定多个 GGO 结节何时应切除的标准化标准。随着个性化医学的不断发展,多个肺部 GGO 结节的治疗方法需要优先考虑准确性。与多个肺部 GGO 结节相关的高危因素可能需要手术干预,同时进行纵隔淋巴结清扫或取样。本文综述了多个肺部 GGO 结节的特征、治疗方法和临床经验,为医疗保健专业人员提供了实用的见解和指导。

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