Incidental pulmonary nodules: Characterization and management

López, Carmen Trinidad; Sánchez-Gracián, C. Delgado; Pérez, E. Utrera; Basildo, C. Jurado; Villegas, C.A. Sepúlveda

doi:10.1016/j.rxeng.2019.06.002

Cited by 3 publications

(2 citation statements)

References 40 publications

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“…An incidental lung nodule (ILN) is a pulmonary nodule detected during imaging studies performed for an unrelated reason. 1 - 3 Although most pulmonary nodules are benign, 1%-5% are malignant. Therefore, ILN should be strictly managed following international guidelines to identify potentially malignant nodules and improve the chances of diagnosing lung cancer at an early stage.…”

Section: Introductionmentioning

confidence: 99%

Natural Language Processing for the Identification of Incidental Lung Nodules in Computed Tomography Reports: A Quality Control Tool

Basilio,

Carvalho,

Rodrigues

et al. 2023

JCO Glob Oncol

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Section: Introductionmentioning

confidence: 99%

Natural Language Processing for the Identification of Incidental Lung Nodules in Computed Tomography Reports: A Quality Control Tool

Basilio,

Carvalho,

Rodrigues

et al. 2023

JCO Glob Oncol

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“…Pulmonary nodules are well-circumscribed opacities in the lung, measuring under 3 cm in diameter ( 1 , 2 ). Incidental pulmonary nodules (IPNs) are asymptomatic nodules detected by imaging performed to investigate unrelated symptoms or conditions and are detected outside of a lung cancer screening program.…”

Section: Introductionmentioning

confidence: 99%

Incidental pulmonary nodule management in Canada: exploring current state through a narrative literature review and expert interviews

Digby,

Habert,

Sahota

et al. 2024

J Thorac Dis

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Background and Objective Incidental pulmonary nodules (IPNs) are common and increasingly detected with the overall rise of radiologic imaging. Effective IPN management is necessary to ensure lung cancer is not missed. This study aims to describe the current landscape of IPN management in Canada, understand barriers to optimal IPN management, and identify opportunities for improvement. Methods We performed a narrative literature review by searching biomedical electronic databases for relevant articles published between January 1, 2010, and November 22, 2023. To validate and complement the identified literature, we conducted structured interviews with multidisciplinary experts involved in the pathway of patients with IPNs across Canada. Interviews between December 2021 and May 2022 were audiovisual recorded, transcribed, and thematically analyzed. Key Content and Findings A total of 1,299 records were identified, of which 37 studies were included for analysis. Most studies were conducted in Canada and the United States and highlighted variability in radiology reporting of IPNs and patient management, and limited adherence to recommended follow-up imaging. Twenty experts were interviewed, including radiologists, respirologists, thoracic surgeons, primary care physicians, medical oncologists, and an epidemiologist. Three themes emerged from the interviews, supported by the literature, including: variability in radiology reporting of IPNs, suboptimal communication, and variability in guideline adherence and patient management. Conclusions Despite general awareness of guidelines, there is inconsistency and lack of standardization in the management of patients with IPNs in Canada. Multidisciplinary expert consensus is recommended to help overcome the communication and operational barriers to a safe and cost-effective approach to this common clinical issue.

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European guidelines for the surgical management of pure ground-glass opacities and part-solid nodules: Task Force of the European Association of Cardio-Thoracic Surgery and the European Society of Thoracic Surgeons

Cardillo

Petersen

2023

European Journal of Cardio-Thoracic Surgery

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Pulmonary nodules are often encountered by respiratory physicians, radiologists, and thoracic surgeons alike. The European Society of Thoracic Surgery (ESTS) and European Association of Cardiothoracic Surgery (EACTS) established a multidisciplinary collaboration of clinicians with expertise in managing pulmonary nodules with the aim of producing the first joint comprehensive review of the scientific literature, with a specific focus on the management of pure ground glass opacities and part-solid nodules. The scope of the document has been defined by the EACTS and ESTS governing bodies and focuses on six areas of main interest agreed upon by the Task Force. These include: management of solitary and multiple pure ground glass nodules, solitary part-solid nodules, identifying the non-palpable lesion, the role of minimally invasive surgery and the decision making behind sub-lobar versus lobar resection. The literature revealed that with the increasing use of incidental CT scans and CT lung cancer screening programs, the detection of early-stage lung cancer is going to rise with a higher number of potential cancers presenting on the ground glass and part-solid nodule spectrum. Given that the gold standard for improved survival is surgical resection, there is an urgent need for comprehensive characterisation of these nodules and guidelines that are directed towards their surgical management. It is recommended that standard decision-making tools are used to determine the risk of malignancy and thus guide referral for surgical management and decisions for surgical resection are made in a multidisciplinary setting with equitable consideration given to radiological characteristics, the evolution of the lesion, presence of solid component, patient fitness and co-morbidities. Given the recent surge in robust level I data comparing sublobar and lobar resection with the release of JCOG0802 and CALGB140503 data, a global overview of an individual case must be adopted into clinical practice. This set of recommendations are based on the available literature; however, close collaboration in the design and conduct of randomized controlled trials is still of utmost importance to answer further questions in this rapidly evolving field.

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Incidental pulmonary nodules: Characterization and management

Cited by 3 publications

References 40 publications

Natural Language Processing for the Identification of Incidental Lung Nodules in Computed Tomography Reports: A Quality Control Tool

Natural Language Processing for the Identification of Incidental Lung Nodules in Computed Tomography Reports: A Quality Control Tool

Incidental pulmonary nodule management in Canada: exploring current state through a narrative literature review and expert interviews

European guidelines for the surgical management of pure ground-glass opacities and part-solid nodules: Task Force of the European Association of Cardio-Thoracic Surgery and the European Society of Thoracic Surgeons

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