Zusammenfassung
Kleine Lungenrundherde unter 1 cm Durchmesser werden zunehmend im Rahmen von hochauflösenden CT-Thorax-Untersuchungen nachgewiesen. Weniger als 10 % dieser Herde sind bösartig. Die weitere diagnostische und therapeutische Behandlung dieser Patienten folgt einem Algorithmus, der unnötige Untersuchungen und Eingriffe vermeidet. Relevante Faktoren sind das Patientenrisiko (Alter, Rauchen, Malignomanamnese), radiologische Kriterien des Lungenrundherdes sowie das Wachstumsverhalten. Die konsequente Anwendung des Algorithmus vermeidet Unsicherheiten bei Patient und Arzt.
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Literatur
Carr SR, et al. (2012) Impact of tumor size on outcomes after anatomic lung resection for stage 1A non–small cell lung cancer based on the current staging system. J Thorac Cardiovasc Surg 143: 390–397
Cronin P, et al. (2008) Solitary Pulmonary Nodules: Meta-analytic comparison of cross-sectional imaging modalities for diagnosis of malignancy. Radiology 246: 772–782
Gould MK, et al. (2013) Evaluation of individuals with pulmonary. When is it lung cancer? Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. CHEST 143: e93S–e120S
Jennings SG, et al. (2006) Distribution of Stage I Lung Cancer Growth Rates determined with serial volumetric CT measurements. Radiology 241: 554–563
Kobayachi J, et al. (2014) The association between baseline clinical–radiological characteristics and growth of pulmonary nodules with ground-glass opacity. Lung Cancer 83: 61–66
Lee HY, et al. (2012) Solitary pulmonary nodular lung adenocarcinoma: correlation of histopathologic scorng and patient survival with imaging biomarkers. Radiology 264: 884–893
Li X, et al. (2012) Mediastinal lymph nodes staging by 18F-FDG PET/CT for early stage non-small cell lung cancer: A multicenter study. Radiotherapy and Oncology 102: 246–250
Tuddenham WJ (1984) Glossary of terms for thoracic radiology: recommendations of the Nomenclature Committee of the Fleischner Society. AJR Am J Roentgenol 143: 509–517
van Klaveren RJ, et al. (2009) Management of lung nodules detected by volume CT scanning. N Engl J Med 361: 2221–2229
Zhong C, et al. (2012) Comparison of thoracoscopic segmentectomy and thoracoscopic lobectomy for small-sized stage IA lung cancer. Ann Thorac Surg 94: 362–367
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Stoelben, E., Gossmann, A. (2018). Differenzialdiagnose des Lungenrundherdes und diagnostische Abklärung. In: Schneider, P., Kruschewski, M., Buhr, H. (eds) Thoraxchirurgie für den Allgemein- und Viszeralchirurgen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48710-5_13
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DOI: https://doi.org/10.1007/978-3-662-48710-5_13
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