Pulmonary nodules resected at video-assisted thoracoscopic surgery: Etiology in 426 patients Journal Article
| Authors: | Ginsberg, M. S.; Griff, S. K.; Go, B. D.; Yoo, H. H.; Schwartz, L. H.; Panicek, D. M. |
| Article Title: | Pulmonary nodules resected at video-assisted thoracoscopic surgery: Etiology in 426 patients |
| Abstract: | PURPOSE: To determine the etiology of pulmonary nodules resected at video-assisted thoracoscopic surgery (VATS) and establish the probabilities that single or multiple nodules resected at VATS represent malignancy in patients with or patients without known cancer. MATERIALS AND METHODS: Pathology reports from VATS performed between January 1995 and July 1997 were searched for data on gross specimens revealing pulmonary nodules 3 cm or smaller. Findings were correlated with clinical and histologic data. RESULTS: In 254 patients with one nodule resected at VATS. the nodules were malignant in 108 patients with and in 32 patients without known cancer (P < .03). Among 172 patients with multiple nodules resected, at least one nodule was malignant in 85 patients with and in 20 patients without known cancer (P > .05). Nodules larger than 1 cm were more likely to be malignant than were smaller nodules (P < .002). In patients with known malignancy, nodules smaller than 0.5 cm were more likely to be benign, whereas nodules larger than 0.5 cm but smaller than 1 cm were more likely to be malignant (P < .001). CONCLUSION: A single pulmonary nodule resected at VATS was more likely to be malignant in patients with known cancer. Nodules larger than 1 cm but smaller than 3 cm resected at VATS were more likely to be malignant. Nodules smaller than 0.5 cm were more likely to be benign. |
| Keywords: | major clinical study; disease classification; tumor volume; lung neoplasms; videorecording; histology; lung tumor; lung surgery; thoracic surgery, video-assisted; radiodiagnosis; thoracoscopy; lung diseases; coin lesion, pulmonary; humans; human; priority journal; article; lung, diseases; lung, nodule; lung, surgery |
| Journal Title: | Radiology |
| Volume: | 213 |
| Issue: | 1 |
| ISSN: | 0033-8419 |
| Publisher: | Radiological Society of North America, Inc. |
| Date Published: | 1999-10-01 |
| Start Page: | 277 |
| End Page: | 282 |
| Language: | English |
| PUBMED: | 10540672 |
| PROVIDER: | scopus |
| DOI: | 10.1148/radiology.213.1.r99oc08277 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 16 August 2016 -- Source: Scopus |
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