肺结节诊治中国专家共识(2018年版)解读
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摘要
肺结节是局灶性、类圆形、密度增高的实性或亚实性肺部阴影,直径小于3 cm。肺结节,尤其是小结节,在临床实践中常见,但难以管理。如何合理的诊治肺结节一直是临床医生的一大困扰。文章将对肺结节诊治中国专家共识(2018年版)进行解读,旨在帮助临床医生更好地评估肺结节的性质及选择合适的诊疗方案。
Pulmonary nodules are spherical radiographic opacities that measures up to 30 mm in diameter. Nodules are extremely common in clinical practice and difficult to manage, especially small, "subcentimeter" nodules. Identification management of pulmonary nodules is important for the physicians. This article is to interpret the Chinese Expert Consensus on the Diagnosis and Treatment of Pulmonary Nodules(2018 version), in order to help the clinical physicians make better evaluation on the the characteristics of pulmonary nudules, which gives clues to the choice of the proper therapy.
Pulmonary nodules are spherical radiographic opacities that measures up to 30 mm in diameter. Nodules are extremely common in clinical practice and difficult to manage, especially small, "subcentimeter" nodules. Identification management of pulmonary nodules is important for the physicians. This article is to interpret the Chinese Expert Consensus on the Diagnosis and Treatment of Pulmonary Nodules(2018 version), in order to help the clinical physicians make better evaluation on the the characteristics of pulmonary nudules, which gives clues to the choice of the proper therapy.
引文
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[2]Gould MK,Fletcher J,Iannettoni MD,et al.Evaluation of Patients With Pulmonary Nodules:When Is It Lung Cancer?[J].Chest,2013143(5):E93-E120.
[3]Naidich DP,Bankier AA,MacMahon H,et al.Recommendations for the Management of subsolid Pulmonary nodules Detected at CT:AStatement from the Fleischner Society[J].Radiology,2013,266(1):304-317.
[4]中华医学会呼吸病学分会肺癌学组,中国肺癌防治联盟.肺部结节诊治中国专家共识[J].中华结核和呼吸杂志,2015,38(4):249-254.
[5]中华医学会呼吸病学分会肺癌学组.中国肺癌防治联盟专家组.肺结节诊治中国专家共识(2018年版)[J].中华结核和呼吸杂志,2018,41(10):763-771.
[6]MacMahon H,Naidich DP,Goo JM,et al.Guidelines for management of incidental Pulmonary nodules detected on CT images:from the Fleischner Society 2017[J].Radiology,2017,284(1):228-243.
[7]中华医学会放射学会心胸学组.低剂量螺旋CT肺癌筛查专家共识[J].中华放射学杂志,2015,49(5):328-335.
[8]中华医学会放射学分会心胸学组.肺亚实性结节影像处理专家共识[J].中华放射学杂志,2015,49(4):254-258.
[9]中国物联网辅助肺结节诊治专家组.物联网辅助肺结节诊治中国专家共识[J].国际呼吸杂志,2017,37(8):561-568.
[10]Yang DW,Zhang Y,Hong QY,et al.Role of a Serum-Based Biomarker Panel in the Early Diagnosis of Lung Cancer for a cohort of High-Risk Patients[J].Cancer,2015,121(Suppl 17):3113-3121.
[2]Gould MK,Fletcher J,Iannettoni MD,et al.Evaluation of Patients With Pulmonary Nodules:When Is It Lung Cancer?[J].Chest,2013143(5):E93-E120.
[3]Naidich DP,Bankier AA,MacMahon H,et al.Recommendations for the Management of subsolid Pulmonary nodules Detected at CT:AStatement from the Fleischner Society[J].Radiology,2013,266(1):304-317.
[4]中华医学会呼吸病学分会肺癌学组,中国肺癌防治联盟.肺部结节诊治中国专家共识[J].中华结核和呼吸杂志,2015,38(4):249-254.
[5]中华医学会呼吸病学分会肺癌学组.中国肺癌防治联盟专家组.肺结节诊治中国专家共识(2018年版)[J].中华结核和呼吸杂志,2018,41(10):763-771.
[6]MacMahon H,Naidich DP,Goo JM,et al.Guidelines for management of incidental Pulmonary nodules detected on CT images:from the Fleischner Society 2017[J].Radiology,2017,284(1):228-243.
[7]中华医学会放射学会心胸学组.低剂量螺旋CT肺癌筛查专家共识[J].中华放射学杂志,2015,49(5):328-335.
[8]中华医学会放射学分会心胸学组.肺亚实性结节影像处理专家共识[J].中华放射学杂志,2015,49(4):254-258.
[9]中国物联网辅助肺结节诊治专家组.物联网辅助肺结节诊治中国专家共识[J].国际呼吸杂志,2017,37(8):561-568.
[10]Yang DW,Zhang Y,Hong QY,et al.Role of a Serum-Based Biomarker Panel in the Early Diagnosis of Lung Cancer for a cohort of High-Risk Patients[J].Cancer,2015,121(Suppl 17):3113-3121.