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Solitary pulmonary nodule - Symptom

Symptoms:

There are usually no symptoms.

Signs and tests:

A solitary pulmonary nodule is usually found on a chest x-ray. If x-rays repeated over time show the nodule size has remain unchanged for 2 years, it is generally considered benign.

A chest CT scan is often done to look at a solitary pulmonary nodule in more detail.

Other tests used to examine a solitary pulmonary nodule may include:

  • PET scan
  • Percutaneous needle biopsy
  • Single-photon emission CT (SPECT) scan
  • Skin tests to rule out infectious causes
  • Lung biopsy
  • Reviewed last on: 8/17/2009
  • Allen J. Blaivas, DO, Clinical Assistant Professor of Medicine UMDNJ-NJMS, Attending Physician in the Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Veteran Affairs, VA New Jersey Health Care System, East Orange, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Cronin P, Dwamena BA, Kelly AM, Carlos RC. Solitary pulmonary nodules: meta-analytic comparison of cross-sectional imaging modalities for diagnosis of malignancy. Radiology. 2008 Mar;246(3):772-82.

Gould MK, Fletcher J, Iannettoni MD, et al. Evaluation of patients with pulmonary nodules: when is it lung cancer?: ACCP evidence-based clinical practice guidelines (2nd edition). Chest. 2007;132:108S-130S.

Wahidi MM, Govert JA, Goudar RK, et al. Evidence for the treatment of patients with pulmonary nodules: when is it lung cancer?: ACCP evidence-based clinical practice guidelines (2nd edition). Chest. 2007;132:94S-107S.

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