We see a lot of pulmonary nodules here in TN.
This is a man in his late 60s with severe COPD (FEV1~40%) who had some nodules on his CxR. He had a CT scan done and has 2 main nodules on the right (pictured) and a very small one (not pictured) on the left. His bronch was non-diagnostic and his PET was negative. Would you pursue this any further or just watch?
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Doug, you are saying that you would get a biopsy of a solitary pulmonary nodule? In operable patients, I thought the 2 options would be watching with serial CT's or resection. What is the utility of a needle biopsy? If it is positive you resect and if it is negative it doesn't really rule out cancer so you resect anyway.
Actually that solitary nodule has some company...
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