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• W1981421410 abstract "We reviewed 179 patients who had undergone thoracotomy and resection of a suspected malignant coin lesion of the lung over the past 20 years to see if a policy of early thoracotomy was therapeutically valid. The average diameter of all lesions was 1.6 cm; the average diameter of 27 malignant lesions (15 percent) was 1.8 cm. Follow-up of the 27 patients with malignant neoplasms was 100 percent. The present survival rate of the 19 patients with primary lung cancer is 89 percent (17/19). Of 12 cases of primary lung cancer followed for five years, ten (83 percent) survived. The five-year survival of the eight patients with metastatic lesions was 25 percent (2/8). There were no postoperative deaths and few serious postoperative complications (four patients or 2 percent). Very small primary lung cancers detected and treated early do not have the same poor prognosis as larger primary cancers. We reviewed 179 patients who had undergone thoracotomy and resection of a suspected malignant coin lesion of the lung over the past 20 years to see if a policy of early thoracotomy was therapeutically valid. The average diameter of all lesions was 1.6 cm; the average diameter of 27 malignant lesions (15 percent) was 1.8 cm. Follow-up of the 27 patients with malignant neoplasms was 100 percent. The present survival rate of the 19 patients with primary lung cancer is 89 percent (17/19). Of 12 cases of primary lung cancer followed for five years, ten (83 percent) survived. The five-year survival of the eight patients with metastatic lesions was 25 percent (2/8). There were no postoperative deaths and few serious postoperative complications (four patients or 2 percent). Very small primary lung cancers detected and treated early do not have the same poor prognosis as larger primary cancers. The Solitary Nodule: The Other Side of the CoinCHESTVol. 70Issue 3PreviewThe development in the past few decades of an integrated plan of management for the patient who has a solitary pulmonary nodule has been one of the major advances in the practice of pulmonology. The underlying concept is that a significant number of solitary pulmonary nodules are malignant tumors, the prompt resection of which is rewarded by a gratifying high five-year survival rate. Corollary to this concept is the dictum that all solitary nodules of unknown etiology should be resected without undue delay, unless the surgical risk is prohibitively high or the benignity of the lesion is proven by the pattern of calcification in the lesion or by stability (lack of growth) over a suitable period of time, demonstrated by previous chest roentgenograms. Full-Text PDF" @default.
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• W1981421410 date "1976-09-01" @default.
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• W1981421410 title "The Coin Lesion Story: Update 1976" @default.
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• W1981421410 doi "https://doi.org/10.1378/chest.70.3.332" @default.
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