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Right arrow Lung - cancer
Asian Cardiovasc Thorac Ann 2006;14:316-320
© 2006 Asia Publishing EXchange Ltd


ORIGINAL CONTRIBUTIONS

Operative Indications for Lung Cancer with Satellite Lesions

Keiji Kushibe, MD, Takeshi Kawaguchi, MD, Yuko Nishimoto, MD1, Makoto Takahama, MD, Takashi Tojo, MD, Shigeki Taniguchi, MD

Department of Thoracic and Cardiovascular Surgery
1 Department of Radiology, Nara Medical University School of Medicine, Kashihara, Japan

For reprint information contact: Keiji Kushibe, MD Tel: 81 74 422 3051 Fax: 81 74 424 8040 Email: n-thorac{at}m3.kcn.ne.jp, Department of Thoracic and Cardiovascular Surgery, Nara Medical University School of Medicine, Kashihara, Nara 634-8522, Japan.

In deciding the surgical treatment for lung cancer, it is important to differentiate between a small satellite lesion that is probably benign, a pulmonary metastatic lesion, or a double cancer. The operative indications for lung cancer with small satellite lesions detected on preoperative helical computed tomography were retrospectively examined. We collected 43 small nodules ≤1 cm in diameter from 32 patients. A definitive diagnosis was made by follow-up computed tomography in 3 of 19 ipsilateral lesions and in 9 of 24 contralateral lesions. The final diagnosis of the satellite lesions was malignant in 13 and benign in 30. The 13 malignant lesions consisted of 2 pulmonary metastases and 11 double cancers. Two patients with stage IIb and IIIb disease on clinical staging of the main tumor had pulmonary metastases. Patients with clinical stage I disease had a higher probability that the small lesions were benign or double cancers than those with advanced disease beyond clinical stage I.







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Copyright © 2006 by the Asia Publishing EXchange Ltd.