Advertisement

Minimally Invasive Methods for the Assessment of Solitary Pulmonary Nodules

  • P. Schnyder
Conference paper
Part of the Syllabus book series (SYLLABUS)

Abstract

Among the noninvasive methods, the only valid proof of the benignity of a solitary pulmonary nodule (SPN) is an absence of growth for more than 2 years, documented by plain films or computed tomography (CT) [1]. A size inferior to 0.8 cm is no longer considered as a statistically reliable indicator of benignity [2], 42% and 15% of malignant SPN being less than 2 and less than 1 cm, respectively [2]. In contrast, the vast majority, over 95%, of SPN larger than 3 cm are malignant.

Keywords

Methylene Blue Hounsfield Unit Solitary Pulmonary Nodule Transbronchial Needle Aspiration Compute Tomography Pattern 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Caskey CI, Templeton PA, Zerhouni EA (1990) Current evaluation of the solitary pulmonary nodule. Radiol Clin North Am 28:511–520PubMedGoogle Scholar
  2. 2.
    Zerhouni EA, Stitik FP, Siegelmann SS et al (1986) Computed tomography of the pulmonary nodule a national cooperative study. Radiology 160:319–327PubMedGoogle Scholar
  3. 3.
    Rosado-de-Christenson ML, Templeton PA, Moran CA (1994) Bronchogenic carcinoma: radiologic-pathologic correlation. Radiographics 14:429–446PubMedGoogle Scholar
  4. 4.
    Siegelmann SS, Zerhouni EA, Leo FP et al (1980) CT of the solitary pulmonary nodule. AJR 135:1–13Google Scholar
  5. 5.
    Zerhouni EA, Boukadoun M, Siddiky MA et al (1983) A standard phantom for a quantitative CT analysis of pulmonary nodules. Radiology 149:767–773PubMedGoogle Scholar
  6. 6.
    Swensen SJ, Harms GF, Morin RL, Mayers JL (1991) CT evaluation of solitary pulmonary nodules. AJR 156:925–929PubMedGoogle Scholar
  7. 7.
    Siegelmann SS, Khouri NT, Leo FP et al (1986) Solitary pulmonary nodules: CT assessment. Radiology 160:307–312Google Scholar
  8. 8.
    Kurijama K, Tateishi R, Doi O et al (1991) Prevalence of air bronchogram in small peripheral carcinomas of the lung on thin-section CT: comparison with benign tumors. AJR 156:921–924Google Scholar
  9. 9.
    Khouri NF, Stitik FP, Erozan YS (1985) Transthoracic needle aspiration of benign and malignant lung lesions. AJR 144:281–288PubMedGoogle Scholar
  10. 10.
    Swensen SJ, Brown LR, Colby TV, Weaver AL (1995) Pulmonary nodule: CT evaluation of enhancement with iodi-nated contrast material. Radiology 194:393–398Google Scholar
  11. 11.
    Gaeta M, Pandolfo I, Volta S et al (1991) Bronchus sign on CT in peripheral carcinoma of the lung: value in predictive results of transbronchial biopsy. AJR 157:1181–1185PubMedGoogle Scholar
  12. 12.
    Gaeta M, Barone M, Russi EG et al (1993) Carcinomatous solitary pulmonary nodules: evaluation of the tumor bronchi relationship with thin-section CT. Radiology 187:535–539PubMedGoogle Scholar
  13. 13.
    Wicky S, Mayor B, Cuttat JF, Schnyder P (1993) CT-guided localization of pulmonary nodules with methylene blue injection for thoracoscopic resections. Chest 106:1326–1328CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia, Milano 1996

Authors and Affiliations

  • P. Schnyder
    • 1
  1. 1.Department of RadiologyUniversity Hospital, CHUVLausanneSwitzerland

Personalised recommendations