Differenzialdiagnose des Lungenrundherdes und diagnostische Abklärung

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Zusammenfassung

Kleine Lungenrundherde unter 1 cm Durchmesser werden zunehmend im Rahmen von hochauflösenden CT-Thorax-Untersuchungen nachgewiesen. Weniger als 10 % dieser Herde sind bösartig. Die weitere diagnostische und therapeutische Behandlung dieser Patienten folgt einem Algorithmus, der unnötige Untersuchungen und Eingriffe vermeidet. Relevante Faktoren sind das Patientenrisiko (Alter, Rauchen, Malignomanamnese), radiologische Kriterien des Lungenrundherdes sowie das Wachstumsverhalten. Die konsequente Anwendung des Algorithmus vermeidet Unsicherheiten bei Patient und Arzt.

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© © Springer-Verlag GmbH Deutschland 2018

Authors and Affiliations

  1. 1.Thoraxchirurgie, Lungenklinik Köln-MerheimPrivate Universität Witten Herdecke Kliniken der Stadt Köln gGmbHKölnDeutschland

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