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Eur J Cardiothorac Surg 2003;24:175
© 2003 Elsevier Science NL

Letter to the Editor

Reply to Filosso and Ruffini

Morris Beshay*, Thierry Roth, Robert Stein, Ralph A. Schmid

Division of General Thoracic Surgery, University Hospital, Berne, Switzerland

Received 9 March 2003; accepted 13 March 2003.

* Corresponding author
e-mail: morris.beshay{at}insel.ch

Key Words: Lung • Neuroendocrine tumour • Positron emission tomography scan • Solitary pulmonary nodule • Surgery

We performed an open biopsy to get histological diagnosis, and as with a bilateral process, we did not expect to have to perform a lobectomy and the patient was not informed about this larger operation. The suspected diagnosis was metastases in both lungs with unknown origin.

Positron emission tomography (PET)-scan is only paid by the insurance if the diagnosis (e.g. bronchial carcinoma) has been confirmed histologically.

We will do a follow-up with yearly computed tomography (CT)-scan of the chest for the next 5 years. Thereafter, a chest X-ray will be done yearly.





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