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- W2022166876 abstract "To the Editor: I was completely amazed in reading the recent article by Sutaria et al, on “Focal Pulmonary Histoplasmosis” (Chest 61:361, 1972) that 15 cases with typical concentric laminated or stippled calcification, of a total series of 58 cases, were actually resected! It is well known that these lesions are always benign. The statement in discussion that “removal—is probably not essential” is an overwhelming understatement. The facts are that the removal is completely unnecessary and should not be done at all! The same goes for lesions that are solidly calcified or have the major portion of the lesion occupied by calcification. One of the worst things that has ever happened to medicine (and also surgery) happened when a surgeon found a fleck of calcium in a carcinoma. This has led to the mistaken belief that all obviously benign solitary nodules need to be removed. In my personal opinion, if the lesion has any definite calcification in it at all, the likelihood of its being malignant is so small that it should generally be left alone. If the lesion is more than 50 percent calcified, is solidly calcified or has concentric or stippled calcification, I am completely certain that the lesion is benign. The normal chest roentgenogram is a beautiful thing to me. But, the removal of unsightly spots to tidy up the x-ray seems to be expensive from the standpoint of hospital costs. It hurts too!" @default.
- W2022166876 created "2016-06-24" @default.
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- W2022166876 date "1973-03-01" @default.
- W2022166876 modified "2023-09-27" @default.
- W2022166876 title "Ever Since a Surgeon Found a Fleck of Calcium …" @default.
- W2022166876 doi "https://doi.org/10.1378/chest.63.3.464-a" @default.
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