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(Chest. 2003;123:89S-96S.)
© 2003 American College of Chest Physicians

The Solitary Pulmonary Nodule*

Bethany B. Tan, MD; Kevin R. Flaherty, MD; Ella A. Kazerooni, MD and Mark D. Iannettoni, MD, FCCP

* From the University of Michigan Section of Thoracic Surgery, Ann Arbor, MI.

Correspondence to: Mark D. Iannettoni, MD, FCCP, University of Michigan Section of Thoracic Surgery, 2120 Taubman Center, Box 0334, 1500 E Medical Center Dr, Ann Arbor, Michigan 48109; e-mail: mdi{at}umich.edu

More than 150,00 patients a year present to their physicians with the diagnostic dilemma of a solitary pulmonary nodule (SPN) found either on chest radiography or chest CT. A thoughtful and timely workup of this finding is essential if lung cancer is to be recognized early and the chance for cure optimized. Based on the literature to date, recommendations are made for appropriate imaging modalities and diagnostic testing, as well as indications for obtaining preoperative tissue diagnosis for the patient with an SPN.

Key Words: diagnostic workup • lung cancer • malignancy • solitary pulmonary nodule




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