Analysis of video-assisted thoracoscopic treatment of small solitary pulmonary nodules

doi:10.3969/j.issn.1006-7795.2015.04.002

Abstract

Abstract:

Objective To investigate the diagnosis and surgical treatment of solitary pulmonary nodules(SPN). Methods A total of 110 cases who experienced SPN-resection(48 male, 62 female) in our hospital, from January 2006 to December 2013, were retrospectively analyzed. All cases were confirmed by chest CT scan, 24 of whom underwent preoperative lesion location. Simple excision was performed in 14 cases, wedge resection in 62 cases, segmental resection in 6 cases, and lobectomy in 28 cases. Results There were 43 cases with malignant signs in the chest CT scan before operation. Postoperative pathology confirmed malignant nodules in 63 cases(57.3%), including 41 cases with primary lung cancer, non-small cell lung cancer(26 cases), 22 cases of metastatic tumor, 47 cases with benign nodules(42.7%). The sensitivity of CT diagnosis of malignant SPNs was 60.3%(38/63), the specificity was 89.4%(42/47). Conclusion The SPN imaging features play an important role in the judgment of clinicians. The risk factors of diameter greater than 10 mm, the SPN should undergo corresponding examination, diagnosis and treatment measures.

Key words: solitary pulmonary nodule, video-assisted thoracic surgery, diagnosis, treatment

CLC Number:

R655.3

Su Lei, Zhi Xiuyi, Zhang Yi, Xu Qingsheng, Qian Kun. Analysis of video-assisted thoracoscopic treatment of small solitary pulmonary nodules[J]. Journal of Capital Medical University, 2015, 36(4): 525-528.

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URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2015.04.002

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2015/V36/I4/525

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