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

doi:10.1016/S0025-6196(12)65012-5

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

Radiology

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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 language	English (US)
Pages (from-to)	173-186
Number of pages	14
Journal	Mayo Clinic proceedings
Volume	65
Issue number	2
DOIs	https://doi.org/10.1016/S0025-6196(12)65012-5
State	Published - 1990

ASJC Scopus subject areas

General Medicine

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10.1016/S0025-6196(12)65012-5

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title = "An Integrated Approach to Evaluation of the Solitary Pulmonary Nodule",

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.",

author = "SWENSEN, {STEPHEN J.} and JETT, {JAMES R.} and PAYNE, {W. SPENCER} and VIGGIANO, {ROBERT W.} and PAIROLERO, {PETER C.} and TRASTEK, {VICTOR F.}",

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T1 - An Integrated Approach to Evaluation of the Solitary Pulmonary Nodule

AU - SWENSEN, STEPHEN J.

AU - JETT, JAMES R.

AU - PAYNE, W. SPENCER

AU - VIGGIANO, ROBERT W.

AU - PAIROLERO, PETER C.

AU - TRASTEK, VICTOR F.

PY - 1990

Y1 - 1990

N2 - 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.

AB - 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.

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An Integrated Approach to Evaluation of the Solitary Pulmonary Nodule

Abstract

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