This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (47)  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

An Organized Approach Based on Growth Rate and Statistics

M. Herbert Nathan, MD

JAMA. 1974;227(10):1141-1144.

Abstract
Too many patients with benign pulmonary nodules are subjected to lung resection.

Based on tumor growth rate and statistics, a method of treatment for patients with pulmonary nodules is proposed that relies on serial chest x-ray films when a definite diagnosis cannot be made by sputum analysis in patients 30 to 45 years old and evaluation by sputum analysis and needle or brush biopsy in patients over 45 years old. Patients less than 30 years of age require serial films only.

This approach should spare most patients with benign nodules from surgery while maintaining present survival rates in malignant solitary pulmonary nodules.

Author Affiliations
From the Scottsdale Memorial Hospital, Scottsdale, Ariz.

Footnotes
Reprint requests to 3604 Wells Fargo, Scottsdale, AZ 85251 (Dr. Nathan).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Computerized Analysis of the Likelihood of Malignancy in Solitary Pulmonary Nodules with Use of Artificial Neural Networks
Nakamura et al.
Radiology 2000;214:823-830.
ABSTRACT | FULL TEXT  

Lung Tumor Growth Correlates With Glucose Metabolism Measured by Fluoride-18 Fluorodeoxyglucose Positron Emission Tomography
Duhaylongsod et al.
Ann. Thorac. Surg. 1995;60:1348-1352.
ABSTRACT | FULL TEXT  

Tuberculosis: Clinical Aspects and Diagnosis
Banner
Arch Intern Med 1979;139:1387-1390.
ABSTRACT