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題 名 | Management Strategies for Solitary Pulmonary Nodule (SPN)=孤立肺結節的處置策略 |
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作 者 | 歐建志; 曹昌堯; 黃德兒; 陸希平; | 書刊名 | 胸腔醫學 |
卷 期 | 26:1 2011.02[民100.02] |
頁 次 | 頁1-7 |
分類號 | 415.46 |
關鍵詞 | 孤立肺結節; 定位; 胸腔內視鏡手術; Solitary pulmonary nodule; Localization; Video-assisted thoracic surgery; |
語 文 | 英文(English) |
中文摘要 | 孤立肺結節的發生率約為1/500,在診斷上需要注意的就是惡性腫瘤的鑑別診斷,電腦斷層可用為檢查民眾有無肺部孤立結節並提供進一步鑑別診斷已決定處置策略的工具。進一步的影像評估,包括正子攝影,對於孤立結節診斷比起傳統工具並無明顯進一步的診斷價值。組織診斷除非是在臨床判斷惡性機會很低或病人健康狀況不許可的情況下,否則都應執行。使用電腦斷層及超音波針刺切片在診斷上的偽陰性仍高,且其風險也並非極低(其合併症包括氣胸、血胸等)。針對臨床上高度懷疑的病患,使用胸腔內視鏡或傳統外科手術全切除確診後再執行相關處置仍是較為精確即有效率的方法。針對小或深處的腫瘤,我們可以採取許多定位的技術以輔助後續的腫瘤切除,包括鉤針定位,放射同位素註記,螺旋標誌注入等技巧。 |
英文摘要 | Solitary pulmonary nodule (SPN) is seen in about 1 per 500 chest radiographs. The most important goal of its diagnosis is to differentiate benign from malignant lesions. Computed tomography (CT) should be considered for all patients with SPNs, because it can provide more information for subsequent management strategies. Further imaging evaluation, such as positron emission tomography (PET), is generally not recommended because of its limited specificity for the diagnosis of SPN. Tissue diagnosis is usually required, except in cases in which the possibility of finding malignancy is very low. Needle biopsy through the guidance of CT or sonography is not recommended because of its lower specificity and significant complications, such as pneumothorax and hemothorax. Total excision of the SPN through video-assisted thoracic surgery or thoracotomy is usually indicated for specific diagnosis and definite therapy. Many localization techniques, such as hooks, coils, and radiotracer markers can be used to facilitate the subsequent resection procedures. |
本系統中英文摘要資訊取自各篇刊載內容。