PULMONARY NODULES – DIAGNOSIS CHALLENGE AND INTERDISCIPLINARY APPROACH
PULMONARY NODULES – DIAGNOSIS CHALLENGE AND INTERDISCIPLINARY APPROACH

Summary/Abstract: INTRODUCTION: PATIENTS WITH A HISTORY OF NEOPLASIA REPRESENT A SPECIAL CATEGORY. THEYREQUIRE LONG AND MULTIDISCIPLINARY FOLLOW-UP BECAUSE OF THE RISK OF SECONDARYDETERMINATIONS, ESPECIALLY IN THE LUNG, WHICH IS A FILTER IN THE PATH OF HEMATOGENOUSDISSEMINATION. METASTASES APPEAR AS SOLITARY OR MULTIPLE PULMONARY NODULES. THEEXISTENCE OF A SOLITARY PULMONARY NODULE MAY REPRESENT A SYNCHRONOUS ORMETACHRONOUS PULMONARY LESION, NOT A SECONDARY DETERMINATION.MATERIAL AND METHODS: THE AUTHORS PRESENT A RETROSPECTIVE DESCRIPTIVE STUDYREGARDING PATIENTS WITH A HISTORY OF NEOPLASIA, THAT WERE HOSPITALIZED IN THE THORACICSURGERY CLINIC IN 2014 FOR PULMONARY NODULES. INCLUDED IN THIS STUDY WERE PATIENTS WHOUNDERWENT CURATIVE TREATMENT FOR UROGENITAL OR DIGESTIVE TRACT NEOPLASIA.RESULTS: FORTY-FOUR PATIENTS WITH PREVIOUS UROGENITAL CANCERS OR TUMORS OF THEDIGESTIVE TRACT UNDERWENT SURGICAL TREATMENT. THE HISTOLOGIC RESULTS CONFIRMEDMETASTASES IN 30 CASES (68%), PRIMARY LUNG CANCER IN 11 (25%) AND BENIGN PULMONARY LESIONSIN 3 (7%).DISCUSSIONS: THE APPEARANCE OF A PULMONARY NODULE IN PATIENTS WITH A HISTORY OFNEOPLASIA IS SUSPICIOUS FOR METASTATIC DISEASE, BUT A PRIMARY CANCER CAN'T BE EXCLUDED.DIAGNOSIS AND EFFECTIVE TREATMENT REQUIRES AN INTERDISCIPLINARY COLLABORATIONBETWEEN RADIOLOGIST, ONCOLOGIST, PULMONOLOGIST, THORACIC SURGEON AND PATHOLOGIST.CONCLUSIONS: SOLITARY PULMONARY NODULES, IN A PATIENT WITH A PREVIOUS HISTORY OFNEOPLASIA, SHOULD RECEIVE HISTOPATHOLOGICAL CONFIRMATION FOR THE APPROPRIATETHERAPEUTIC APPROACH.

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