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Solitary Pulmonary Nodule

Description

USMLE Step 2 Pulmonology (2b Lung Neoplasms) Flashcards on Solitary Pulmonary Nodule, created by Aaron Samide on 23/05/2016.
Aaron Samide
Flashcards by Aaron Samide, updated more than 1 year ago
Aaron Samide
Created by Aaron Samide over 8 years ago
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Question Answer
6 features that favor malignant vs. benign lung nodules 1. Age (50% chance it's malignant if patient is over 50) 2. Smoking history 3. Larger size (>2 cm) 4. Border irregularity 5. Eccentric, asymmetric calcification (vs. dense, central calcification) 6. Enlarging in size
Appropriate management of low-probability nodule Serial CT scans
Appropriate management of intermediate-probability nodule 1 cm or larger PET scan If PET positive, biopsy
Appropriate management of high-probability nodule Biopsy, followed by lobectomy if appropriate
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