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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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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 |
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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 |
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