15 Lung cancer and the solitary pulmonary nodule Fig. 15.1A This patient has a rounded irregular abnormality in the right mid-zone peripherally. This is a solitary pulmonary nodule, with subsequent diagnosis of lung cancer. Background The solitary pulmonary nodule may be encountered in the patient presenting acutely, or in the outpatient setting, and detecting a malignant pulmonary nodule is important for patient management. The differential diagnosis of a solitary nodule on a CXR is wide but the possibility of malignancy should always be considered. • Is the patient a smoker and at risk? • Does the patient have a known malignancy to make a metastasis a possibility? This abnormality may be encountered by any doctor who evaluates CXRs and should be sought on every CXR. Differential diagnosis Common causes to be considered are: • primary tumour (malignant) – lung carcinoma • primary tumour (benign) – adenoma/hamartoma Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related posts: Permanent pacemakers Empyema Chronic pancreatitis Large bowel obstruction Brodie’s abscess Slipped upper femoral epiphysis Stay updated, free articles. Join our Telegram channel Join Tags: On-Call X-Rays Made Easy Aug 20, 2016 | Posted by admin in ULTRASONOGRAPHY | Comments Off on Lung cancer and the solitary pulmonary nodule Full access? Get Clinical Tree
15 Lung cancer and the solitary pulmonary nodule Fig. 15.1A This patient has a rounded irregular abnormality in the right mid-zone peripherally. This is a solitary pulmonary nodule, with subsequent diagnosis of lung cancer. Background The solitary pulmonary nodule may be encountered in the patient presenting acutely, or in the outpatient setting, and detecting a malignant pulmonary nodule is important for patient management. The differential diagnosis of a solitary nodule on a CXR is wide but the possibility of malignancy should always be considered. • Is the patient a smoker and at risk? • Does the patient have a known malignancy to make a metastasis a possibility? This abnormality may be encountered by any doctor who evaluates CXRs and should be sought on every CXR. Differential diagnosis Common causes to be considered are: • primary tumour (malignant) – lung carcinoma • primary tumour (benign) – adenoma/hamartoma Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related posts: Permanent pacemakers Empyema Chronic pancreatitis Large bowel obstruction Brodie’s abscess Slipped upper femoral epiphysis Stay updated, free articles. Join our Telegram channel Join Tags: On-Call X-Rays Made Easy Aug 20, 2016 | Posted by admin in ULTRASONOGRAPHY | Comments Off on Lung cancer and the solitary pulmonary nodule Full access? Get Clinical Tree
