The pathological assessment of pulmonary nodules in breast cancer patients by video-assisted thoracoscopic surgery

2019 ◽  
Vol 45 (2) ◽  
pp. e30
Author(s):  
E. Mori ◽  
H. Miyamoto ◽  
S. Nakamori ◽  
C. Saita ◽  
M. Onishi ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Patients ◽  
Thoracoscopic Surgery ◽  
Pulmonary Nodules ◽  
Breast Cancer Patients ◽  
Video Assisted ◽  
Video Assisted Thoracoscopic Surgery ◽  
Pathological Assessment

Video-Assisted Thoracoscopic Surgery for Small Indeterminate Pulmonary Nodules

CHEST Journal ◽  
1999 ◽  
Vol 115 (2) ◽  
pp. 563-568 ◽  
Author(s):  
Kenji Suzuki ◽  
Kanji Nagai ◽  
Junji Yoshida ◽  
Hironobu Ohmatsu ◽  
Kenro Takahashi ◽  
...  
Keyword(s):  
Thoracoscopic Surgery ◽  
Pulmonary Nodules ◽  
Video Assisted ◽  
Video Assisted Thoracoscopic Surgery

scholarly journals CT-Guided Hook-Wire Localization of Malignant Pulmonary Nodules for Video Assisted Thoracoscopic Surgery

2020 ◽  
Author(s):  
Huijun Zhang ◽  
Ying Li ◽  
Nadier Yimin ◽  
Zelai He ◽  
Xiaofeng Chen
Keyword(s):  
Thoracoscopic Surgery ◽  
Small Diameter ◽  
Pulmonary Nodules ◽  
Lung Parenchyma ◽  
Preoperative Localization ◽  
Wire Localization ◽  
Ct Guided ◽  
Video Assisted ◽  
Hook Wire ◽  
Video Assisted Thoracoscopic Surgery

Abstract Objectives: Video assisted thoracoscopic surgery (VATS) can currently be used to diagnose and treat pulmonary nodules. However, intraoperative location of pulmonary nodules in VATS is challenging due to their small diameter and deep location in the pulmonary parenchyma. The purpose of this study was to report the clinical safety and effectiveness of CT-guided hook-wire for preoperative localization of malignant pulmonary nodules smaller than 1 cm in diameter.Methods: From February 2017 to January 2018, we collected the data of 80 patients with malignant pulmonary nodules less than 1 cm in diameter who underwent CT-guided hook-wire preoperative localization and VATS surgery. The effectiveness of preoperative localization was evaluated based on surgical duration, success rate of VATS surgery, and localization-related complications.Results: The diameter of pulmonary nodules were 0.85 ± 0.17 mm with a distance to the pleural surface of 19.66 ± 14.10 mm. The length of the hook-wire in the lung parenchyma was 29.17 ± 13.14 mm and hook-wire dislodgement occurred in 2 patients. Complications included 27 cases of minor pneumothorax and 18 cases of mild parenchymal hemorrhage. A significant correlation was observed between the length of the hook-wire in the lung parenchyma and mild parenchymal hemorrhage (P = 0.044). The average time of hook-wire localization was 9.0 ± 2.6 min and the average operation time for VATS was 89.02 ± 23.35 min without conversion thoracotomy.Conclusions: CT-guided hook-wire localization of the lesion during VATS resection is safe for malignant pulmonary nodules with diameter less than 1 cm.

Natural progression and clinical significance of incidentally detected pulmonary nodules in radiotherapy planning CT scans of breast cancer patients: a retrospective cohort

2016 ◽  
Vol 15 (4) ◽  
pp. 359-363
Author(s):  
Sasidharan Balu Krishna ◽  
Sunitha Susan Varghese ◽  
Paul Gopu Gopurathingal ◽  
Venkata Krishna Reddy Pilaka ◽  
Selvamani Backianathan
Keyword(s):  
Breast Cancer ◽  
Cancer Patients ◽  
Clinical Significance ◽  
Pulmonary Nodules ◽  
Locoregional Therapy ◽  
Radiotherapy Planning ◽  
Lung Nodules ◽  
Breast Cancer Patients ◽  
Natural Progression

AbstractAimIndeterminate pulmonary nodules incidentally detected during radiological imaging completed for radiotherapy planning always creates dilemma for the oncologist. The purpose of this study is to evaluate the clinical significance of pulmonary nodules incidentally detected in patients undergoing locoregional radiotherapy for breast cancer and present a retrospective analysis of the natural progression of such nodules.MethodsA retrospective review of computed tomography scans of breast cancer patients who underwent radiotherapy over a period of 3 years to screen out patients with indeterminate lung nodules was undertaken. This was correlated with the patient and tumour characteristics and the status of the disease at last follow-up.ResultsOf the 132 patients reviewed 28 had indeterminate lung nodules. Of the 28 patients, four had progressive lung nodules on follow-up. Subgroup analyses did not show any significant correlation.Discussion and conclusionOne fifth of patients may present with incidentally detected lung nodules. Multiple nodules, ER negative status and locally advanced breast cancer may point to a higher risk of these nodules progressing to metastatic cancer. There is no indication to stop locoregional therapy in the presence of indeterminate nodules, but close follow-up of high-risk group is recommended.

scholarly journals Ultrasound location of pulmonary nodules in video‐assisted thoracoscopic surgery for precise sublobectomy

2020 ◽  
Vol 11 (5) ◽  
pp. 1354-1360
Author(s):  
Yue‐Long Hou ◽  
Yan‐Dong Wang ◽  
Hong‐Qi Guo ◽  
YuKun Zhang ◽  
YongKuan Guo ◽  
...  
Keyword(s):  
Thoracoscopic Surgery ◽  
Pulmonary Nodules ◽  
Video Assisted ◽  
Video Assisted Thoracoscopic Surgery

Characteristics of benign solitary pulmonary nodules confirmed by diagnostic video-assisted thoracoscopic surgery

2014 ◽  
Vol 10 (2) ◽  
pp. 181-188 ◽  
Author(s):  
Sun Mi Choi ◽  
Eun Young Heo ◽  
Jinwoo Lee ◽  
Young Sik Park ◽  
Chang-Hoon Lee ◽  
...  
Keyword(s):  
Thoracoscopic Surgery ◽  
Pulmonary Nodules ◽  
Solitary Pulmonary Nodules ◽  
Video Assisted ◽  
Video Assisted Thoracoscopic Surgery
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