An integrated approach to evaluation of the solitary pulmonary nodule

S. J. Swensen, J. R. Jett, W. S. Payne, R. W. Viggiano, P. C. Pairolero, V. F. Trastek

Research output: Contribution to journalArticle

85 Citations (Scopus)

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
StatePublished - 1990
Externally publishedYes

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Solitary Pulmonary Nodule
Tomography
Bronchogenic Carcinoma
Densitometry
Fluoroscopy
Needle Biopsy
Bronchoscopy
Neoplasms

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Swensen, S. J., Jett, J. R., Payne, W. S., Viggiano, R. W., Pairolero, P. C., & Trastek, V. F. (1990). An integrated approach to evaluation of the solitary pulmonary nodule. Mayo Clinic Proceedings, 65(2), 173-186.

An integrated approach to evaluation of the solitary pulmonary nodule. / Swensen, S. J.; Jett, J. R.; Payne, W. S.; Viggiano, R. W.; Pairolero, P. C.; Trastek, V. F.

In: Mayo Clinic Proceedings, Vol. 65, No. 2, 1990, p. 173-186.

Research output: Contribution to journalArticle

Swensen, SJ, Jett, JR, Payne, WS, Viggiano, RW, Pairolero, PC & Trastek, VF 1990, 'An integrated approach to evaluation of the solitary pulmonary nodule', Mayo Clinic Proceedings, vol. 65, no. 2, pp. 173-186.
Swensen SJ, Jett JR, Payne WS, Viggiano RW, Pairolero PC, Trastek VF. An integrated approach to evaluation of the solitary pulmonary nodule. Mayo Clinic Proceedings. 1990;65(2):173-186.
Swensen, S. J. ; Jett, J. R. ; Payne, W. S. ; Viggiano, R. W. ; Pairolero, P. C. ; Trastek, V. F. / An integrated approach to evaluation of the solitary pulmonary nodule. In: Mayo Clinic Proceedings. 1990 ; Vol. 65, No. 2. pp. 173-186.
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