孤立性肺结节的良恶性鉴别诊断进展.pdfVIP

2011 4 18 2 Chin J Clin T horac Cardiovasc Surg, A pril 2011,V ol. 18, No. 2 1 3 秦卫 张爱平 ( , 210006) : ( solitary pulmonary nodule, SPN) 30 mm , , , SPN , , SPN , , CT, SPN , SPN : ; ; : R6 . 3 : A : 2011) 0201 304 Advance of Differential Diagnosis between Benign and Malignant Solitary Pulmonary Nodule QI N Wei , ZH A N G A i p ing . ( Dep ar tment of Thor ac ic and Car diov asc u ar S urg ery , N anj ing F irs t H osp ita , N anj ing M edica Univ er sity , N anj ing 210006, P . R . Ch ina; E mai : qinw u g k@ 163. com) Abstract: Diagnosis and treatment of solitary pulmonary nodule ( SPN, less than 30 mm in diameter) has been a form idable problem in clinical w ork. It is often det ected in medical examination or other disease examinations by chance. There are no corresponding signs and symptoms of SPN except those on the imaging, so it is difficult to make a correct diagnosis as early as possible. Literature shows that there is a cert ain probabilit y of malignant SPN, so early correct diagnosis is the key factor in deciding the prognosis and appropriate t reatment. Wit h the accumulat ion of clinical experiences, the development of new fiberoptic bronchoscopy, highresolution CT , and videoassisted thoracoscopic surgery, as w ell as t he evolution of some invasive examination technologies, it is less difficult in distinguishing benign from malignant SPN than ever before. In this art icle, w e will make a comprehensive review on the development in t he aspect of differential diagnosis of SPN. Key words: Solitary pulmonary nodule; Differential diagnosis; Prognosis