Management of solitary pulmonary nodule

Federico Varoli, Contardo Vergani, Rocco Caminiti, Massimo Francese, Camillo Gerosa, Marco Bongini, Giancarlo Roviaro

Research output: Contribution to journalArticle

Abstract

Objectives: The pulmonary nodule is an important diagnostic and therapeutic problem. Diagnostic certainty is only obtained by histological examination. Mini-invasive surgery allows removal of the nodule with minimal sequelae for the patient. Methods: From October 1991 to December 2006, 370 resections for a pulmonary nodule were performed at our Department of General Surgery of the University of Milan: 276 wedge resections and 94 lobectomies. Results: Frozen section was performed in all the wedge resections, and in the presence of cancer (77 cases), whenever possible (61 cases), the intervention was converted to lobectomy in the same session. In the other 94 cases, the nodule was removed by lobectomy due to the impossibility of performing a wedge resection. Conclusions: Despite the refinement of diagnostic techniques, only exeresis of a pulmonary nodule ensures a definitive diagnosis, thus resolving the problem of benign pathologies and initiating the correct therapy for malignant lesions in the same session.

Original languageEnglish
Pages (from-to)461-465
Number of pages5
JournalEuropean Journal of Cardio-thoracic Surgery
Volume33
Issue number3
DOIs
Publication statusPublished - Mar 2008

Keywords

  • Coin lesion
  • Non-small cell lung cancer
  • Pulmonary nodule
  • VATS surgery
  • Videothoracoscopy

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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  • Cite this

    Varoli, F., Vergani, C., Caminiti, R., Francese, M., Gerosa, C., Bongini, M., & Roviaro, G. (2008). Management of solitary pulmonary nodule. European Journal of Cardio-thoracic Surgery, 33(3), 461-465. https://doi.org/10.1016/j.ejcts.2007.12.004