Caracterización de nódulos pulmonares resecados. Experiencia de manejo por un programa multidisciplinario

Background: Pulmonary nodules are common, and surgery is the only alternative that allows a diagnostic and therapeutic management in a single procedure. Aim: To report the epidemiological, radiological, surgical and pathological features of excised pulmonary nodules. Material and Methods: Review of medical records of patients in whom a pulmonary nodule was excised between 2014 and 2018. Those with incomplete data or without a pathological study were excluded from analysis. Results: We retrieved 108 records and 8 had to be excluded, therefore 100 patients aged 34 to 82 years (57% females) were analyzed. Sixty percent had a history of smoking. Mean nodule size was 16 mm and the solid type was the most common (65%). Forty five percent of nodules had irregular margins and 55% were in the superior lobes. All patients operated by video-assisted thoracoscopic surgery and 40% underwent a lobectomy. Malignant lesions were observed in 87% of biopsies and a pulmonary adenocarcinoma was found in pathology in 40%. Conclusions: A multidisciplinary approach of pulmonary nodules, using adapted international guidelines, accomplishes an appropriate management, decreasing unnecessary surgical interventions.

Bibliographic Details

Main Authors:	Vega S.,Javier, Lazo P.,David, Undurraga M.,Felipe, Clavero R.,Jóse Miguel, Rodríguez D.,Patricio
Format:	Digital revista
Language:	Spanish / Castilian
Published:	Sociedad Médica de Santiago 2018
Online Access:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001101261
Tags:	Add Tag No Tags, Be the first to tag this record!