Discussion on the diagnosis and surgical treatment of peripheral solitary pulmonary nodule

VernacularTitle:外周型孤立性肺结节的诊断和外科治疗探讨
Author: Hongxia GAO ; Shushan QI ; Weisheng LI
Publication Type:Journal Article
Keywords: Solitary pulmonary nodule; Lung neoplasms; Diagnosis; Treatment
From: Chinese Journal of Postgraduates of Medicine 2013;36(17):8-10
CountryChina
Language:Chinese
Abstract: Objective To investigate the diagnosis and surgical treatment of peripheral solitary pulmonary nodule (SPN).Methods From January 2007 to October 2012,the clinical data of 69 cases of SPN treated were analyzed prospectively.And postoperative pathologic examination results as the gold standard to determine spiral CT enhanced check the accuracy and consistency test (Kappa test).Results Twenty-eight cases were diagnosed as malignant SPN by preoperative CT,25 cases were diagnosed as malignant SPN by postoperative pathology.The accuracy of CT judgment SPN benign and malignancy was 89.3％ (25/28),the Kappa value was 0.503.All patients were followed up for 6-12 (9.6 ± 1.4) months.There was no recurrence or enlargement.Conclusions Enhanced spiral CT scan is more economical and practical way for identifying benign and malignant SPN.Malignant SPN diagnosed by CT should be considered having surgery and auxiliary thoracoscopy combined with intraoperative rapid freezing to determine the surgical approach.