在现实世界中偶然的肺结节的结果
Helene Hjorth Vindum1, Katrine Kristensen1, Niels Lyhne Christensen2
1Department of Respiratory Disease and Allergy, Aarhus University Hospital, Aarhus, Denmark.
Clinical lung cancer
|October 15, 2023
概括
通过偶发性肺结节 (IPN) 随访来早期发现肺癌至关重要. 这项研究发现,IPN患者的肺癌发病率为6%,大多数患者被诊断为早期和可治愈的.
科学领域:
- 肺部病理学 肺部病理学
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
背景情况:
- 肺癌的早期诊断对于改善患者的生存率至关重要.
- 偶发性肺结节 (IPN) 经常在CT扫描中检测到,可能代表早期的肺癌.
- 管理IPN是资源密集型,需要有效的后续策略.
研究的目的:
- 评估基于CT的随访计划对偶发性肺结节患者的结果.
- 为了确定通过IPN随访检测到的肺癌的发病率.
- 评估接受侵袭性手术的患者比例及其后续结果.
主要方法:
- 在CT IPN后续计划中的患者的回顾性队列研究.
- 数据是从2018年到2021年在阿尔胡斯大学医院收集的.
- 分析包括接受肺针活检的患者.
主要成果:
- 共有4181名IPN患者被跟踪;6% (249) 被诊断为肺癌,其中90%通过IPN随访检测到.
- 75%的肺癌在I-II阶段被诊断出,其中77.9%有资格接受可治愈的治疗.
- 449名患者接受了CT指导的针活检,其中4.5%的IPN总人群在不检测恶性瘤的情况下进行了活检.
结论:
- 在IPN随访计划中,肺癌的累计发病率为6%.
- 在IPN的侵入性手术期间恶性瘤的概率为55.7%,主要是肺癌.
- 大多数确诊的肺癌都处于早期,可能可治愈的阶段,这凸显了IPN随访的价值.
相关概念视频
01:13Radiological Investigation III: Pulmonary Angiogram and PET Scan
98
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
98
01:30Endoscopic Studies I: Bronchoscopy and Thoracoscopy
228
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
228