肺部亚厘米结节诊疗进展

Advances in Diagnosis and Management of Subcentimeter Pulmonary Nodules

随着高分辨多层螺旋计算机断层扫描(computed tomography, CT)的广泛应用和定期体检的普及,临床诊断的肺部亚厘米结节的数量日益增多。肺部亚厘米结节的恶性概率和恶性程度较低,诊治难度较高,易误诊、漏诊,因此肺部亚厘米结节的定性和诊疗策略一直为临床工作的重点难点和研究热点。本文对肺部亚厘米结节病变的性质评估、处理治疗及预后等方面的进展进行了综述,并对肺部亚厘米结节的临床诊疗进行了总结及分析。

With the widespread use of high-resolution multislice spiral computed tomography and the popularization of regular physical examinations, the prevalence of clinically diagnosed subcentimeter pulmonary nodules is increasing. Subcentimeter pulmonary nodules have low malignant probability, however, the diagnosis and management are of high difficulty and it is likely to misdiagnose and miss malignant nodules. Therefore, the evaluation and management of subcentimeter pulmonary nodules have always been the key points of clinical work. This article reviews and summarizes the progress in the evaluation and management of subcentimeter pulmonary nodules.