Prise en charge du nodule pulmonaire isolé

  • A.-M. Ruppert
  • U. Lerolle
  • P. Créquit
  • A. Lavolé
  • V. Gounant
  • B. Milleron
Part of the Oncologie pratique book series (ONCOLPRAT)

Résumé

La découverte fortuite d’un nodule pulmonaire isolé au cours d’un bilan de pathologies respiratoires est une problématique à laquelle le médecin est souvent confronté. La grande sensibilité du scanner thoracique en est la raison essentielle. Les premières études japonaises concernant le dépistage du cancer du poumon ont montré que le scanner thoracique était quatre fois plus sensible que la radiographie dans la détection du nodule pulmonaire (1, 2). Des recommandations ont été récemment proposées par l’American College of Chest Physicians (ACCP) pour le diagnostic et le suivi de nodules pulmonaires (3, 4). L’objectif du pneumologue lors de la découverte d’un nodule pulmonaire solitaire est double : détecter les cancers bronchiques curables de petite taille et éviter des explorations invasives, source de complications, dans les nodules bénins.

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Articles clés

  1. -.
    Gould MK, Fletcher J, Iannettoni MD, Lynch WR, Midthun DE, Naidich DP et al. (2007) Evaluation of patients with pulmonary nodules: when is it lung cancer? ACCP evidence-based clinical practice guidelines (2nd edition). Chest 132: 108S–130SPubMedCrossRefGoogle Scholar
  2. -.
    MacMahon H, Austin JH, Gamsu G, Herold CJ, Jett JR, Naidich DP et al. (2005) Guidelines for management of small pulmonary nodules detected on CT scans: a statement from the Fleischner Society. Radiology 237: 395–400PubMedCrossRefGoogle Scholar
  3. -.
    Wahidi MM, Govert JA, Goudar RK, Gould MK, McCrory DC (2007) Evidence for the treatment of patients with pulmonary nodules: when is it lung cancer? ACCP evidence-based clinical practice guidelines (2nd edition). Chest 132: 94S–107SPubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag France 2011

Authors and Affiliations

  • A.-M. Ruppert
    • 1
  • U. Lerolle
    • 1
  • P. Créquit
    • 1
  • A. Lavolé
    • 1
  • V. Gounant
    • 1
  • B. Milleron
    • 1
  1. 1.Service de pneumologieHôpital TenonParis

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