| The role of video-assisted thoracoscopic surgery in the diagnosis of the small peripheral pulmonary nodule. | |
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MedLine Citation:
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PMID: 11591979 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The use of imaging techniques to detect small peripheral pulmonary nodules often results in a missed diagnosis. Thoracoscopy had limited application until recently, when advances in technology allowed thoracic surgeons greater visualization and mobility within the chest. METHODS: Between September 1992 and June 1997, 81 patients were treated for small peripheral pulmonary nodules by pulmonary wedge excision using video-assisted thoracoscopic techniques. The patients were 39 men and 42 women with an average age of 59.5 years. RESULTS: A definitive diagnosis was obtained in all cases. Malignancies were found in 44 patients (55%), which involved primary lung cancer in 28 patients and metastatic lesions in 16 patients. The rate of malignancy in nodules measuring 1 cm or less was 18%. There was no operative mortality or morbidity. CONCLUSIONS: We conclude that video-assisted thoracoscopic lung biopsy is a more effective and less invasive diagnostic tool for small peripheral pulmonary nodules. |
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Authors:
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M Murasugi; T Onuki; T Ikeda; M Kanzaki; S Nitta |
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Publication Detail:
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Type: Comparative Study; Journal Article Date: 2001-04-03 |
Journal Detail:
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Title: Surgical endoscopy Volume: 15 ISSN: 1432-2218 ISO Abbreviation: Surg Endosc Publication Date: 2001 Jul |
Date Detail:
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Created Date: 2001-10-09 Completed Date: 2002-02-04 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 8806653 Medline TA: Surg Endosc Country: Germany |
Other Details:
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Languages: eng Pagination: 734-6 Citation Subset: IM |
Affiliation:
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Department of Surgery I, School of Medicine, Tokyo Women's Medical University, 8-1 Kawadacho Shinjuku-ku, Tokyo 162-8666, Japan. murasugi@chi.twmu.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Female Humans Lung / surgery Lung Neoplasms / diagnosis, surgery Male Middle Aged Solitary Pulmonary Nodule / diagnosis*, surgery Thoracic Surgery, Video-Assisted / methods, standards* Thoracoscopy / methods |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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