estratégia diagnóstica do nódulo pulmonar solitário

Clicks: 7
ID: 169733
1995
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Abstract
RESUMO: Na sequência da definição de Nódulo Pulmonar Solitário (NPS) os autores analisam a sua etiologia, salientando neste contexto os condicionalismos epidemiológicos que a influenciam, assim como a importância assumida pelas lesões tumorais infecciosas, micóticas e parasitárias nas diferentes séries publicadas.Seguidamente, abordam a estratégia diagnóstica desta situação clínica, com especial destaque para os exames clínico-radiológico, tomodensitométrico, broncofibroscópico e cito-histopatológico.Em relação às semiologias clínico-radiológica e tomodensitométrica, salientam os critérios utilizados na determinação da natureza benigna ou maligna das lesões.Quanto ao estudo cito-histopatológico, chamam a ateoção para a importância do material recolhido por broncofibroscopia e para a elevada rendabilidade foroecida pela punção aspirativa transtorácica.No decurso da exposição são pontualmente apresentados os resultados de um estudo retrospectivo efectuado com os elementos recolhidos dos processos clínicos, hospitalares e extra-hospitalares, de 72 indivíduos operados por NPS.No âmbito desta avaliação deram um especial relevo aos resultados fornecidos pela tomodensitometria (nas suas vertentes qualitativa e quantitativa) e pela punção aspirativa transtorácica e, ainda, a relação de alguns parâmetros (hábitos tabágicos, idade, dimensões, estabilidade lesional e calcificação) com a natureza benigna ou maligna das respectivas formações nodulares.Finalmente, tecem algumas considerações sobre as opções terapêuticas destas lesões, as quais, para além das situações que apenas requerem tratamento médico, oscilam entre uma cuidadosa vigilância e a intervenção cirúrgica mais ou menos alargada. SUMMARY: Solitary Lung Nodule. Diagnostic strategiesIn sequence of the definition of a Solitary Lung Nodule (SLN) the authors referred to its etiology underlining in this context the influence of the epidemiology and the role played by tumour lesions, infections both mycotic and parasitic, in the various series published.Following this, referal to the diagnostic strategy directed at this clinical situations, with special attention to the clinical, radiological, tomodensitometric, bronchofibroscopy and citological histopathology has made.In relation to the clinical, radiological and tomodensitometric semiology, the criteria used in determining the benign or malignant nature of the lesions are underlined.ln the case of the cito-histological studies, attention was drawn to the significance of the material recovered with the bronchofibroscopy and the high rentability furnished by transthoracic aspirating puncture.Along the exposition, the results of a retrospective study were presented one by one of all the elements recovered from the hospital non hospitalar clinical files of the operated 72 SLN.In the ambit of this study special attention was given to the results furnished by the tomodensitometry (both quantitatively and qualitatively) and the result of the transthoracic aspirative puncture and also the relation of some parameters (smoking habits, age, dimensions, lesion stability and calcifications) of the respective nodular formations with a benign or malignant nature.Finally, the authors refered to the treatement strategy of the lesions which besides from situations that only require medical treatemeot also may require careful vigilance and more or less widened surgical intervention. Palavras-chave: Nódulo Pulmonar Solitário, Broncofibroscopia, Tomografia Axial Computorizada, Punção Aspirativa Transtorácica, Key-words: Solitary Lung Nodule, Bronchofibroscopy, CT-Scan, Transthoracic Aspirating Puncture
Reference Key
baganha1995revistaestratgia Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;M.F. Baganha;M.A. Sousa;M.A.T. Marques;L. Carvalho;M.L. Teixeira;M.F. Botelho;C. Robalo Cordeiro;M.C. Loureiro;A. Pégo;D.C. Telo De Morais;A.J.A. Robalo Cordeiro
Journal the journal of applied psychology
Year 1995
DOI
DOI not found
URL
http://www.sciencedirect.com/science/article/pii/S0873215915312198
Keywords
diseases of the respiratory system

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