Most frequent causes of solitary pulmonary nodule and its relationship with lung cancer
DOI:
https://doi.org/10.51481/amc.v48i2.246Keywords:
solitary pulmonary nodule, histoplasmoma, carcinoide tumor, histologyAbstract
Justification and objectives: Lung cancer has increased inthe last few years. It ranks ninth in cancer incidence in LatinAmerica, equally affecting men an women. Lung carcinomais the third most common cause of death among men andthe sixth cause of death among women in Costa Rica. Theobjective of this study was to determine the rate for lungcancer to appear as a solitary pulmonary nodule accordingto the records of the Chest Surgery Service of the RafaelAngel Calderón Guardia Hospital in San José.
Methods: 49 patients were included in the study. Some wereadmitted with the diagnosis of solitary pulmonary nodule,others had another illness and during their hospital stay asolitary pulmonary nodule was also found. This study wasconducted from january 1996 to december 2001. The datawere gathered form the patients charts.
Result: From the 49 patients with this diagnosis, 23 weremen (47%) and 26 were women (53%). The most frequent-ly occurring age groups was equal or over 50 years. The tumors were most frequently benign. The predominant his-tological, report of bening pathology was histoplasmomaand the prevailing magnant pathology was that of carcinoidtumors followed by lung cancer and linfoma.
Conclusion: The results obtained in this groups show that asolitary pulmonary nodule is frequently benign with a lowmalignant percentage. There is a low incidence of lung can-cer, presenting as a solitary pulmonary nodule.
Downloads
References
Fraser RG, Peter Paré JA, paré PD, Fraser RS, Genereux GP.Neoplastic Disease of the Lung. En: Fraser RG, Peter Paré JA, ParéPD, Fraser RS, Genereux GP editores. Diagnosis of Disease of theChest, 3ra edición. Philadelphia: W.B. Saunders Company, 1989;1327-1699.
Pedrosa CS, Cepeda MT, El tórax: lesiones intersticiales infiltrativasdifusas. En: Sánchez AP, Casanova R editores. Diagnóstico por ima-gen compendio de radiología clínica. España: McGraw HillInteramericana;1998:63-64.
Estévez JC, Peña RE, Sagreda PJ, Justel JP, Heras SG, Suárez delVilla T et al. Guía de actualización ante un nódulo pulmonar solitario.Pud Med 2001, noviembre. En:http//WWW.fisterra.com/guias2/nps.htm.
Bermúdez S, Solarte I. Enfoque del paciente asintomático conalteración radiológica. En : Roa J, Bermúdez M, Acero R editores.Neumología. Colombia: Mcgraw Hill Interamericana; 2000:139-142.
Shaffer K. Role of Radiology form imaging and biopsy of solitarypulmonary nodules. Chest, 1999;116: 519-522.
Dirección de Vigilancia de la Salud, Ministerio de Salud. Informaciónestadística registro nacional de tumores. Costa Rica: MS, 2003.
Lillington Ga, Debinger L. Investigating the solitary pulmonarynodule. Patient Care 2000; 34:21-29.
Velez H, Rojas W, Borrero J, Restrepo J. Fundamentos de medicinaneumología. Colombia: CIB;1993.
Cruz Estrada A, Espinoza Roy J, López Barcera J. Nódulo pulmonarsolitario. En: Ramiro HM, Halabe CJ, Lifshitz GA , López BJ edi-tores. El Internista medicina interna para internistas. 2da edición.México: McGraw-Hill Interamericana 2002; 643-646.
Rusch VW, Ginsberg RJ. Pared torácica, pleura, pulmón y mediasti-no. En: Schwatz S, Shires G, spencer F, Galloway AC, Fisher JE,Daly JM editores. Principio de Cirugía Vol 1 7ma edición. México:McGraw-Hill 2000; 719-848.
Buján GR, Jiménez FJ, Arias OG. Nódulo pulmonar solitario. RevMed de CR y Cent 2000; 57:103-105.
D'Amico T, Sabiston DC Jr. Neoplasms of the lung.I Carcinoma ofthe lung. En: Sabiston DC Jr, Spencer FC editores. Surgery of theChest Vol 1 6ta edición,. Philadelphia: WB Saunders Company 1995;634-675.
García-Navarro GA, Rosell Costa R. Tumores broncopulmonares.En: Farreras VP, Rozman C editores. Medicina Interna. España:Harcourt 2000: 894-907.
Peña AM. Factores predictores de malignidad del nódulo pulmonarsolitario en el Hospital Nacional Edgardo Rebagliati Marthins 1998-2000. Tesis postgrado, 2001.En:http//susbib.unmsm.edu.pe/Bibvirtual/tesis/salud/peña_UA/con-tenido.htm.
Torres A, Czischke del Pozo C, Jara V, Begoña I. Nódulo pulmonarsolitario. Rev Chilena de Cirugía 2001;54:375-379.
Downloads
Published
Issue
Section
License
Copyright (c) 2008 Acta Médica Costarricense
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Los autores que publican en la revista Acta Médica Costarricense pueden distribuir, copiar, remezclar, retocar, leer, descargar, imprimir, buscar y crear a partir de su obra de modo no comercial, indicando los créditos a la revista y sus autores y compartir su obra en las mismas condiciones. Para ello se aplica la licencia Creative Commons Reconocimiento-NoComercial-CompartirIgual 4.0 Internacional(CC BY-NC-SA 4.0)
