Tissue diagnosis of new lung nodules in patients with a known malignancy

Shari L. Meyerson*, Jennifer Wilson, Stephen Smyth

*Corresponding author for this work

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Background: New lung nodules in patients with known malignancy often represent metastatic disease. However, a lack of pathological confirmation can lead to inappropriate treatment. Methods: A retrospective review was performed of patients with malignancy undergoing tissue diagnosis of a lung nodule between January 2006 and January 2008. Results: Ninety-five cancer patients were identified with new lung nodules. Percutaneous biopsy was the first diagnostic procedure in 64 patients, showing metastatic disease in 37 patients and an alternative specific diagnosis in 9 patients. Eighteen biopsies were nondiagnostic. Surgical resection was the first diagnostic procedure in 31 patients. This confirmed cancer in 16 patients and benign disease in 15 patients. Overall, tissue diagnosis changed management in 31% of patients. Conclusions: Pathological confirmation of metastatic disease is vital before treatment, especially in regions with endemic pulmonary fungal diseases, because a number of lung nodules will represent benign processes despite a history of cancer.

Original languageEnglish (US)
Pages (from-to)841-845
Number of pages5
JournalAmerican Journal of Surgery
Volume198
Issue number6
DOIs
StatePublished - Dec 1 2009

Keywords

  • Lung nodules
  • Metastasis
  • Needle biopsy

ASJC Scopus subject areas

  • Surgery

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