Nandi P L, Tang S C, Mok C K, Lee W T, Ong G B
Aust N Z J Surg. 1981 Feb;51(1):56-8. doi: 10.1111/j.1445-2197.1981.tb05906.x.
The results of a study of 239 resected solitary pulmonary nodules are presented; 66.5% of the resected nodules were malignant, and there were three patients with malignant coin lesions who were under 30 years of age. These findings confirm the generally accepted fact that most solitary pulmonary nodules must be resected if the presence of cancer is to be excluded. Transbronchial biopsy under biplane fluoroscopic guidance through a flexible bronchoscope may provide an effective alternative to early thoracotomy in the future, so that malignant nodules can be diagnosed before operation and patients with benign lesions are spared a thoracotomy.
本文呈现了对239个切除的孤立性肺结节的研究结果；切除的结节中有66.5%为恶性，且有3例年龄在30岁以下的恶性硬币病灶患者。这些发现证实了一个普遍公认的事实，即如果要排除癌症的存在，大多数孤立性肺结节必须切除。在双平面荧光镜引导下通过可弯曲支气管镜进行经支气管活检可能在未来为早期开胸手术提供一种有效的替代方法，以便在术前诊断出恶性结节，使良性病变患者避免开胸手术。
