Clinical review for general practice

ISSN (Print) 2713-2552
ISSN (Online) 2782-5671
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FULLSCREEN > Archive > 2024 > Vol 5, №4 (2024) > The actions of the doctor in detecting a focal formation in the lung tissue

The actions of the doctor in detecting a focal formation in the lung tissue

Elena V. Usacheva , Alina V. Palenykh , Nikita A. Usachev , Irina Yu. Botvinko

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  • Abstract
  • About the Author
  • References

Abstract

In order to provide timely and quality medical care to the population within the framework of improving the material base of medical organizations, many treatment and preventive care institutions have been equipped with modern X-ray equipment in the last three years. A large number of patients have been subjected to computed tomography of the chest organs, which has made it possible to detect asymptomatic pulmonary masses in a number of individuals. Taking into account the necessity of timely differential diagnostics of such masses and, first of all, in order to exclude malignant pulmonary neoplasms, the question arises what tactics should be followed by a primary care physician in case of detection of pulmonary neoplasms in a patient for the first time. The article presents a Clinical case demonstrating the detection of pulmonary neoplasm, which required active tactics of patient management, and presents tools, the use of which gives the doctor confidence in his actions for early diagnosis of malignant neoplasms.
Keywords: nodes, pulmonary fibrosis, lung cancer, risk of malignant neoplasms, computed tomography, outpatient care.

About the Author

Elena V. Usacheva 1 , Alina V. Palenykh 1 , Nikita A. Usachev 2 , Irina Yu. Botvinko 3

1 Omsk State Medical University, Omsk, Russia

2 City Polyclinic No. 4, Omsk, Russia

3 Clinical Medical and Sanitary Unit No. 7, Omsk, Russia

References

1. Лактионов К.К., Артамонова Е.В., Борисова Т.Н. и др. Злокачественное новообразование бронхов и легкого. Современная онкология. 2022;24(3):269-304.
Laktionov K.K., Artamonova E.V., Borisova T.N. et al. Malignant neoplasm of the bronchi and lung. Modern Oncology. 2022;24(3):269-304 (in Russian).
2. Тюрин И.Е. Дифференциальная диагностика одиночных очагов в легких. Поликлиника. 2014;(3-1):28-32.
Tyurin I.E. Differential diagnosis of single lesions in the lungs. Clinic. 2014;(3-1):28-32. (in Russian).
3. Mazzone PJ, Lam L. Evaluating the Patient With a Pulmonary Nodule: A Review. Journal of the American Medical Association Health Forum 2022;327(3):264-73.
4. Силантьева Н.К., Петросян А.П., Агабабян Т.А. и др. Динамическая и перфузионная компьютерная томография при одиночных очагах в легких. Онкология. Журнал им. П.А. Герцена. 2017;6(6):55-61.
Silantyeva N.K., Petrosyan A.P., Agababyan T.A. et al. Dynamic and perfusion computed tomography for single lesions in the lungs. Oncology. Journal named after P.A. Herzen. 2017;6(6):55-61 (in Russian).
5. Wu Z, Wang F, Cao W et al. Lung cancer risk prediction models based on pulmonary nodules: A systematic review. Thoracic Cancer 2022;13(5):664-77.
6. Zaevloshin MN. Syphilis of trachea and bronchi with stenosis of the trachea. Vestnik dermatologii i venerologii 1961;35:75-7.
7. Holin SM. Pulmonary nodules found in Cleveland survey. Journal of Community Medicine and Public Health Reports 1956;71(9):907-8.
8. Burrows FG. Pulmonary nodules in rheumatoid disease: a report of two cases. British Journal of Radiology 1967;40(472):256-61.
9. Cai J, Xu D, Liu S et al. The Added Value of Computer-aided Detection of Small Pulmonary Nodules and Missed Lung Cancers. Journal of Thoracic Imaging. 2018;33(6):390-5.
10. Alpert JB, Ko JP. Management of Incidental Lung Nodules: Current Strategy and Rationale. Radiologic Clinics of North America. 2018;56(3):339-51.
11. Schmid-Bindert G, Vogel-Claussen J, Gütz S et al. Incidental Pulmonary Nodules – What Do We Know in 2022. Respiration 2022;101(11):1024-34.
12. Farjah F, Monsell SE, Smith-Bindman R et al. Fleischner Society Guideline Recommendations for Incidentally Detected Pulmonary Nodules and the Probability of Lung Cancer. Journal of the American College of Radiology 2022;19(11):1226-35.
13. Patel P, Abbas H, Alghanim F et al. Incidental Pulmonary Nodules and Lung Cancer Screening. American Thoracic Society scholar 2023;4(2):243-5.
14. Horst C, Patel S, Nair A. Reporting and management of incidental lung findings on computed tomography: beyond lung nodules. British Journal of Radiology. 2023;96(1142):20220207.
15. Borg M, Kristensen K, Alstrup G et al. Consequences of Losing Incidental Pulmonary Nodules to Follow-Up: Unmonitored Nodules Progressing to Stage IV Lung Cancer. Respiration 2024;103(2):53-9.
16. Bagga B, Fansiwala K, Thomas S et al. Outcomes of Incidental Lung Nodules With Structured Recommendations and Electronic Tracking. Journal of the American College of Radiology 2022;19(3):407-14.
17. MacMahon H, Austin JH, Gamsu G et al. Guidelines for management of small pulmonary nodules detected on CT scans: a statement from the Fleischner Society. Radiology 2005;237(2):395-400.
18. Callister ME, Baldwin DR, Akram AR et al. British Thoracic Society guidelines for the investigation and management of pulmonary nodules. Thorax 2015;70(12):1188.
19. Морозов С.П., Гомболевский В.А., Владзимирский А.В. и др. Результаты первого года скрининга рака легкого с помощью низкодозной компьютерной томографии в Москве. Вопросы онкологии. 2019;(2).
Morozov S.P., Gombolevsky V.A., Vladzimirsky A.V. et al. Results of the first year of lung cancer screening using low-dose computed tomography in Moscow. Oncology issues. 2019;(2) (in Russian).
20. Mehta HJ, Ravenel JG, Shaftman SR et al. The utility of nodule volume in the context of malignancy prediction for small pulmonary nodules. Chest 2014;145(3):464-72.
21. Mendoza DP, Petranovic M, Som A et al. LUNG-RADS category 3 and 4 nodules on lung cancer screening in clinical practice. American Journal of Roentgenology 2022;219(1):55-65.
22. Li K, Yip R, Avila R et al. Size and Growth Assessment of Pulmonary Nodules: Consequences of the Rounding. Journal of Thoracic Oncology 2017;12(4):657-62.
23. Панина А.С., Жолдыбай Ж.Ж., Туркинбаев Е.К. и др. Характеристика узловых образований LUNG-RADS 4A и 4B категорий, обнаруженных при скрининге рака легкого с применением низкодозной компьютерной томографии. Онкология и радиология Казахстана. 2022;64(2):19-23.
Panina A.S., Zholdybai Zh.Zh., Turkinbaev E.K. et al. Characteristics of nodular formations of LUNG-RADS categories 4A and 4B detected during lung cancer screening using low-dose computed tomography. Oncology and radiology of Kazakhstan. 2022;64(2):19-23 (in Russian).
24. Порханов В.А., Шульженко Л.В., Поляков И.С. и др. Диагностика солитарных очаговых образований легких и стратегия диспансерного наблюдения за пациентами. Казанский медицинский журнал. 2016;(5).
Porkhanov V.A., Shulzhenko L.V., Polyakov I.S. et al. Diagnosis of solitary focal formations of the lungs and strategy for follow-up of patients. Kazan Medical Journal. 2016;(5) (in Russian).
25. Chung K, Mets OM, Gerke PK et al. Brock malignancy risk calculator for pulmonary nodules: validation outside a lung cancer screening population. Thorax 2018;73(9):857-63.
26. Hochhegger B, Alves GR, Irion KL et al. PET/CT imaging in lung cancer: indications and findings. Jornal brasileiro de pneumologia. 2015;41(3):264-74.

For citation:Usacheva E.V., Palenykh A.V., Usachev N.A., Botvinko I.Yu. The actions of the doctor in detecting a focal formation in the lung tissue. Clinical review for general practice. 2024; 5 (4): 83–88 (In Russ.). DOI: 10.47407/kr2024.5.4.00423


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