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Eur J Cardiothorac Surg 2008;33:461-465. doi:10.1016/j.ejcts.2007.12.004
Copyright © 2008, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
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Management of solitary pulmonary nodule

Federico Varolia,*, Contardo Verganib, Rocco Caminitic, Massimo Franceseb, Camillo Gerosaa, Marco Bonginia, Giancarlo Roviarob

a Department of General Surgery, University of Milan, Ospedale San Giuseppe, A.Fa.R., Milan, Italy
b Department and Chair of General Surgery, University of Milan, Ospedale Maggiore Policlinico IRCCS, Milan, Italy
c Department of Human Pathology, Emergency Surgery and Organ Transplant Unit, University Policlinic G. Martino, Messina, Italy

Received 17 August 2007; received in revised form 12 November 2007; accepted 10 December 2007.

* Corresponding author. University of Milan, Department of Surgery, Ospedale San Giuseppe, Via San Vittore, 12 Milan, Italy. Tel.: +39 02 85994198; fax: +39 02 85994198. (Email: federico.varoli{at}unimi.it).

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.

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




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Interactive CardioVascular and Thoracic Surgery, July 1, 2009; 9(1): 11 - 14.
[Abstract] [Full Text] [PDF]


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Copyright © 2008 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.