SPN-CGR1003.ppt

The Solitary Pulmonary Nodule Suneel S. Kumar MD The Solitary Pulmonary Nodule “Coin lesion” Defined as 3 cm Completely surrounded by lung parenchyma Lesions 3 cm called “masses” and often malignant The Solitary Pulmonary Nodule Incidence of cancer from 10 – 70% Found on 0.09 to 0.20 % of all CXRs (approximately 1 in 500) 90% incidental findings 150,000 SPNs found annually Increased with incidental findings on CT The Solitary Pulmonary Nodule Patients with best prognosis are stage IA (T1N0M0) 61 – 75% 5-year survival following surgical resection Approximately half of all lung cancers have ex