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肺部磨玻璃结节的诊治策略

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中国肺癌杂志2018,Vol.21Issue(3):160-162,3.
中国肺癌杂志2018,Vol.21Issue(3):160-162,3.DOI:10.3779/j.issn.1009-3419.2018.03.06

肺部磨玻璃结节的诊治策略

Management Strategies of Pulmonary Ground Galss Nodule

王群1

作者信息

  • 1. 200032 上海,复旦大学附属中山医院胸外科
  • 折叠

摘要

Abstract

Pulmonary ground glass nodule (GGN) is a term of radiological manifestation, which may be malignant or benign. The management for pulmonary GGN remains controversial. Both Fleischner society and National Comprehensive Cancer Network (NCCN) panel updated the guideline for the management of GGN in 2017. Compared with previous ver-sions, the indication for surgery or biopsy is stricter, and the recommended follow-up interval is prolonged. In clinical practice, the size of GGN component, the size of consolidation component, dynamic change during follow-up and computed tomog-raphy (CT) value are the four factors that help surgeons to decide the timing of surgery. There are some misunderstandings for the management of GGN, such as the administration of antibiotics, the use of positron emission tomography-computed tomography (PET-CT), pure GGN adjacent to visceral pleura, and GGN with penetrating vessel. In conclusion, GGN is a kind of slowly growing lesion, which can be followed up safely.

关键词

肺肿瘤/肺部磨玻璃结节/诊断

Key words

Lung neoplasms/Pulmonary ground glass nodule/Diagnosis

引用本文复制引用

王群..肺部磨玻璃结节的诊治策略[J].中国肺癌杂志,2018,21(3):160-162,3.

中国肺癌杂志

OA北大核心CSCDCSTPCD

1009-3419

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