An Integrated Approach to Evaluation of the Solitary Pulmonary Nodule

STEPHEN J. SWENSEN, JAMES R. JETT, W. SPENCER PAYNE, ROBERT W. VIGGIANO, PETER C. PAIROLERO, VICTOR F. TRASTEK

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Abstract

In this article, we describe an integrated approach for detection and evaluation of solitary pulmonary nodules. Initial evaluation of the solitary pulmonary nodule includes tomography, fluoroscopy, and comparison with previously obtained roentgenograms. Subsequently, thin-section computed tomography and phantom densitometry can be used for analysis, if indicated. The rationale for the use of computed tomography in the radiologic staging of bronchogenic carcinoma is to expedite and assist in the identification of the subset of patients with resectable tumors. For nonsurgical tissue diagnosis, fiberoptic bronchoscopy is generally the initial procedure for lesions 2.0 cm or larger in diameter, and transthoracic needle biopsy is used for those smaller than 2.0 cm.

Original languageEnglish (US)
Pages (from-to)173-186
Number of pages14
JournalMayo Clinic proceedings
Volume65
Issue number2
DOIs
StatePublished - Jan 1 1990

ASJC Scopus subject areas

  • Medicine(all)

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    SWENSEN, STEPHEN. J., JETT, JAMES. R., PAYNE, W. SPENCER., VIGGIANO, ROBERT. W., PAIROLERO, PETER. C., & TRASTEK, VICTOR. F. (1990). An Integrated Approach to Evaluation of the Solitary Pulmonary Nodule. Mayo Clinic proceedings, 65(2), 173-186. https://doi.org/10.1016/S0025-6196(12)65012-5