Article
Clinical characteristics of 288 cases of pathologically confirmed benign pulmonary nodules post-surgery
Zhang Shengxiong, Shi Guochao
Published 2021-05-12
Cite as Chin J Tuberc Respir Dis, 2021, 44(5): 456-461. DOI: 10.3760/cma.j.cn112147-20200516-00602
Abstract
ObjectiveTo analyze retrospectively the clinical characteristics of pathologically confirmed benign pulmonary nodules post-surgery, and therefore to provide evidence for the diagnosis of benign pulmonary nodules.
Methods288 cases of pulmonary nodules were selected in the Ruijin Hospital from 1st January 2017 to 31st October 2019. All the lesions of these patients were confirmed by surgery and had definite pathological diagnosis. The clinical data were collected, including demography, clinical data, radiological features. Features that indicated benign pulmonary nodules were summarized.
ResultsThe main etiologies of benign pulmonary nodules were granulomas, hamartomas, cryptococcus infection, organizing pneumonia and non-specific inflammation. In our cohort, we found that the radiological characteristics of benign nodules were single, solid, less than 10 mm in average diameter, with well-defined margins, absence of vacuole sign or vascular convergence , and negative functional imaging.
ConclusionThe most common etiologies of post-surgical benign nodules were granulomas, hamartomas, and cryptococcus infection, characterized by being single, solid and with well-defined margins. Caution should be taken before considering surgery for such nodules.
Key words:
Pulmonary nodule; Benign; Post-surgery
Contributor Information
Zhang Shengxiong
Department of Respiratory and Critical Care Medicine, Ruijin Hospital,Shanghai Jiaotong University School of Medicine
Institute of Respiratory Diseases, Shanghai Jiaotong University School of Medicine,Shanghai 200025,China
Shi Guochao
Department of Respiratory and Critical Care Medicine, Ruijin Hospital,Shanghai Jiaotong University School of Medicine
Institute of Respiratory Diseases, Shanghai Jiaotong University School of Medicine,Shanghai 200025,China