Cargando…

Managing Persistent Subsolid Nodules in Lung Cancer: Education, Decision Making, and Impact of Interval Growth Patterns

With the popularization of lung cancer screening, many persistent subsolid nodules (SSNs) have been identified clinically, especially in Asian non-smokers. However, many studies have found that SSNs exhibit heterogeneous growth trends during long-term follow ups. This article adopted a narrative app...

Descripción completa

Detalles Bibliográficos
Autores principales: Liu, Yung-Chi, Liang, Chia-Hao, Wu, Yun-Ju, Chen, Chi-Shen, Tang, En-Kuei, Wu, Fu-Zong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10453827/
https://www.ncbi.nlm.nih.gov/pubmed/37627933
http://dx.doi.org/10.3390/diagnostics13162674
_version_ 1785096038138249216
author Liu, Yung-Chi
Liang, Chia-Hao
Wu, Yun-Ju
Chen, Chi-Shen
Tang, En-Kuei
Wu, Fu-Zong
author_facet Liu, Yung-Chi
Liang, Chia-Hao
Wu, Yun-Ju
Chen, Chi-Shen
Tang, En-Kuei
Wu, Fu-Zong
author_sort Liu, Yung-Chi
collection PubMed
description With the popularization of lung cancer screening, many persistent subsolid nodules (SSNs) have been identified clinically, especially in Asian non-smokers. However, many studies have found that SSNs exhibit heterogeneous growth trends during long-term follow ups. This article adopted a narrative approach to extensively review the available literature on the topic to explore the definitions, rationale, and clinical application of different interval growths of subsolid pulmonary nodule management and follow-up strategies. The development of SSN growth thresholds with different growth patterns could support clinical decision making with follow-up guidelines to reduce over- and delayed diagnoses. In conclusion, using different SSN growth thresholds could optimize the follow-up management and clinical decision making of SSNs in lung cancer screening programs. This could further reduce the lung cancer mortality rate and potential harm from overdiagnosis and over management.
format Online
Article
Text
id pubmed-10453827
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-104538272023-08-26 Managing Persistent Subsolid Nodules in Lung Cancer: Education, Decision Making, and Impact of Interval Growth Patterns Liu, Yung-Chi Liang, Chia-Hao Wu, Yun-Ju Chen, Chi-Shen Tang, En-Kuei Wu, Fu-Zong Diagnostics (Basel) Review With the popularization of lung cancer screening, many persistent subsolid nodules (SSNs) have been identified clinically, especially in Asian non-smokers. However, many studies have found that SSNs exhibit heterogeneous growth trends during long-term follow ups. This article adopted a narrative approach to extensively review the available literature on the topic to explore the definitions, rationale, and clinical application of different interval growths of subsolid pulmonary nodule management and follow-up strategies. The development of SSN growth thresholds with different growth patterns could support clinical decision making with follow-up guidelines to reduce over- and delayed diagnoses. In conclusion, using different SSN growth thresholds could optimize the follow-up management and clinical decision making of SSNs in lung cancer screening programs. This could further reduce the lung cancer mortality rate and potential harm from overdiagnosis and over management. MDPI 2023-08-14 /pmc/articles/PMC10453827/ /pubmed/37627933 http://dx.doi.org/10.3390/diagnostics13162674 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Liu, Yung-Chi
Liang, Chia-Hao
Wu, Yun-Ju
Chen, Chi-Shen
Tang, En-Kuei
Wu, Fu-Zong
Managing Persistent Subsolid Nodules in Lung Cancer: Education, Decision Making, and Impact of Interval Growth Patterns
title Managing Persistent Subsolid Nodules in Lung Cancer: Education, Decision Making, and Impact of Interval Growth Patterns
title_full Managing Persistent Subsolid Nodules in Lung Cancer: Education, Decision Making, and Impact of Interval Growth Patterns
title_fullStr Managing Persistent Subsolid Nodules in Lung Cancer: Education, Decision Making, and Impact of Interval Growth Patterns
title_full_unstemmed Managing Persistent Subsolid Nodules in Lung Cancer: Education, Decision Making, and Impact of Interval Growth Patterns
title_short Managing Persistent Subsolid Nodules in Lung Cancer: Education, Decision Making, and Impact of Interval Growth Patterns
title_sort managing persistent subsolid nodules in lung cancer: education, decision making, and impact of interval growth patterns
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10453827/
https://www.ncbi.nlm.nih.gov/pubmed/37627933
http://dx.doi.org/10.3390/diagnostics13162674
work_keys_str_mv AT liuyungchi managingpersistentsubsolidnodulesinlungcancereducationdecisionmakingandimpactofintervalgrowthpatterns
AT liangchiahao managingpersistentsubsolidnodulesinlungcancereducationdecisionmakingandimpactofintervalgrowthpatterns
AT wuyunju managingpersistentsubsolidnodulesinlungcancereducationdecisionmakingandimpactofintervalgrowthpatterns
AT chenchishen managingpersistentsubsolidnodulesinlungcancereducationdecisionmakingandimpactofintervalgrowthpatterns
AT tangenkuei managingpersistentsubsolidnodulesinlungcancereducationdecisionmakingandimpactofintervalgrowthpatterns
AT wufuzong managingpersistentsubsolidnodulesinlungcancereducationdecisionmakingandimpactofintervalgrowthpatterns