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(Chest. 1999;116:523S-524S.)
© 1999 American College of Chest Physicians

Management of the Solitary Pulmonary Nodule*

Role of Thoracoscopy in Diagnosis and Therapy

Scott J. Swanson, MD, FCCP; Michael T. Jaklitsch, MD, FCCP; Steven J. Mentzer, MD, FCCP; Raphael Bueno, MD, FCCP; Jeanne M. Lukanich, MD and David J. Sugarbaker, MD, FCCP

* From the Division of Thoracic Surgery, Brigham and Women’s Hospital, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA.

Correspondence to: Scott J. Swanson, MD, FCCP, Division of Thoracic Surgery, Brigham and Women’s Hospital, 75 Francis St, Boston, MA 02115

Objectives: The solitary pulmonary nodule remains a common clinical problem. The essential question is whether the lesion is malignant or not. This discussion presents the clinical practice and looks at the problem.

Design: Didactic.

Setting: Academic tertiary-care hospital.

Patients: Prospective thoracic database.

Interventions: Minimally invasive technique.

Results: The workup and treatment of the solitary pulmonary nodule is presented with particular emphasis on the role of minimally invasive techniques. A small single-institution series is referenced.

Conclusions: The approach is safe and highly effective in diagnosing and often in treating solitary pulmonary nodules.




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