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Nódulo pulmonar solitario - Treatment

Tratamiento:

Pregúntele al médico acerca de los riesgos de una biopsia versus el control del tamaño del nódulo con radiografías regulares.

Las razones para una biopsia o extirpación del nódulo pueden abarcar:

  • Tabaquismo
  • El tamaño del nódulo ha crecido en comparación con radiografías anteriores
  • Una tomografía computarizada sugiere que la lesión es maligna (cancerosa)

Pronóstico:

El pronóstico generalmente es bueno si el nódulo es benigno. Si el nódulo no aumenta de tamaño en un período de dos años, bajo la mayoría de las circunstancias, no es necesario hacer nada más. En ocasiones, la apariencia del nódulo en una tomografía computarizada puede justificar un control continuo.

Cuándo contactar a un profesional médico:

Un nódulo pulmonar solitario generalmente lo encuentra el médico cuando realiza una radiografía de tórax por cualquier otra razón.

  • 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.

Referencias

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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