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Old 09-10-2013
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Lungs Management of Solitary Pulmonary Nodule

Please anyone put some shine on the management of solitary pulmonary nodule.

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Old 09-10-2013
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Well, Solitary pulmonary nodule as radiographic finding is always creates a diagnostic dilemma as because one third of these are malignant in nature. So it's important to differentiate whether it's benign or malignant.So it's always to proceed as follows.............
First of all look for a previous Chest X- ray of the patient to compare it with the present one. If it is not there than you have to worry about it.................as it is a new nodule being observed.........
So then try to give attention to the size,margin and calcification of the nodule. Benign tumour are usually of less than 3 cm in size and always associated with calcification i.e. so called popcorn calcification.
Later stratify the patient whether of high or low risk...............
If patient age < 35 years with non-smoker than patient is labelled as low risk...................follow up the patient 3 months interval for 2 years to see the progression of the nodule or any change if not then nothing to worry.............
If pt > 50 years nd a smoker than it's high risk group may be of bronchogenic carcinoma who definitely need further procedure..........it's better to do a open lung biopsy and cut out the nodule from the lung. Bronchoscopic biopsy 10% occassion may not reveal the specific tissue sample containing neoplastic change rather it may show inflammatory change.

I think it may help you.
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The above post was thanked by:
Mr Mapsy (09-10-2013)



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