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My approach to solitary pulmonary nodules

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Radiology Tutorials

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Develop an approach to solitary pulmonary nodules by learning the different features that differentiate benign vs malignant disease. We will begin by reviewing the definition of a solitary pulmonary nodule.

The main goal here is to gain an appreciation for what makes a pulmonary nodule likely to be benign and which features increase the probability of malignant lung disease. We will discuss the causes of pulmonary nodules. The underlying aetiology of malignant and benign lung nodules is vast and will not be the primary focus. Instead we need to develop an approach to solitary pulmonary nodules that allows us to risk stratify patients based on the radiological features of the nodule.

This lecture will help use to determine the chances of a nodule being cancerous.

The Brock model for pulmonary nodules will provide us with a cancer prediction probability using the features we have discussed in this video.

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Resources used in this video:

Calculator: Solitary pulmonary nodule malignancy risk in adults (Brock University cancer prediction equation) https://www.uptodate.com/contents/cal...

Probability of Cancer in Pulmonary Nodules Detected on First
Screening CT https://www.ncbi.nlm.nih.gov/pmc/arti...

Calcification images Khan AN, AlJahdali HH, Allen CM, Irion KL, Al Ghanem S, Koteyar SS. The calcified lung nodule: What does it mean?. Ann Thorac Med. 2010;5(2):6779. doi:10.4103/18171737.62469

Other cases:

Case courtesy of Dr Ayush Goel, Radiopaedia.org, rID: 29150
Case courtesy of Assoc Prof Craig Hacking, Radiopaedia.org, rID: 73520
Case courtesy of Dr Brian GilcreaseGarcia, Radiopaedia.org, rID: 59337

posted by atrobiacrorcev5