Solitary Pulmonary Nodule and the Surgeon

Kaylesh Jay Dullabh, Kameel Maharaj


A solitary pulmonary nodule (SPN) is a single well circumscribed radiographic opacity that will be encountered by every thoracic surgeon and management is dependent on the malignant potential of the nodule. These nodules are usually first encountered on a chest radiograph. Anatomic characteristics on computer tomography (CT) can help better differentiate the malignant potential of the nodule. These include nodule size, nodule volume change over time, nodule edge morphology, presence of calcification in the nodule and nodule attenuation. Other adjuncts to evaluate the malignant potential of the nodule includes a functional assessment of the nodule using Positron Emission Tomography (PET). The role of the thoracic surgeon include both diagnostic and surgical intervention to assist with management of the malignant nodule.

Authors' affiliations

Kaylesh Jay Dullabh, Inkosi Albert Luthuli Hospital

Kameel Maharaj, Inkosi Albert Luthuli Hospital

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African Journal of Thoracic and Critical Care Medicine 2020;26(1):12-17. DOI:10.7196/AJTCCM.2020.v26i1.053

Article History

Date submitted: 2020-03-19
Date published: 2020-03-19

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