中国石油中心医院杨景震(2017-8)肺结节最新指南与临床实践注:内有动画制作,浏览时采用幻灯片放映模式一、肺结节指南二、图片展示三、肺结节本院经典病例分享内容四、附:教训篇Fleischner2017guidelineforpulmonarynodulesbyOnnoMetsandRobinSmithuistheAcademicalMedicalCentre,AmsterdamandtheAlrijneHospital,Leiderdorp,theNetherlands2017年费莱舍尔学会:肺结节指南•Introduction•FleischnerGuideline2017•Introduction介绍•Solidnodules实性结节•Subsolidnodules亚实性结节•Riskfactors危险因素•Notes注意点•PulmonaryNoduleMeasurements肺结节的测量•Perifissuralnodules叶间裂旁结节PublicationdateJuly1,2017PulmonarynodulesarefrequentlyencounteredincidentallyonchestCT.Theroleoftheradiologististoseparatebetweenbenignandpossiblymalignantlesions,andadviseonfollow-upimagingoradditionalinvasiveimagingtechniques.Thisarticlesummarizesthebasicsofindeterminatepulmonarynodules,andpresentsthenewestmanagementrecommendationsoftheFleischnerSociety.2017年7月1日文章:肺结节是偶然胸部CT检查中频繁遇到的。放射学家的角色就是在良性灶或恶性灶二者间做出鉴别诊断,并提出影像学的随访或附加另外的有创性的介入技术。该文章概括了不能定性的肺结节的基本概念,介绍了由费舍尔学会推荐的最新的管理方法。Pulmonarynodulescanbedividedintosolidlesionsandsubsolidlesions,whichcanbefurthersubdividedintopart-solidandpuregroundglassnodules.Heresomedefinitions:•Subsolidnodule(SSN)Apulmonarynodulewithatleastpartialgroundglassappearance•GroundglassOpacificationwithahigherdensitythanthesurroundingtissue,notobscuringunderlyingbronchovascularstructures肺结节分为实性病灶和亚实性病变。再进一步分为部分实性和纯磨玻璃结节。也有做如下的定义:*亚实性结节(SSN):肺结节至少有一部分呈磨玻璃的表现。*磨玻璃:相比周围组织为不透明性的高密度,但不遮挡支气管血管结构。肺结节亚实性(SSN)实性部分实性(PSN)纯磨玻璃(PGGN)中放2015年4月49卷4期(放射学分会心胸组专家共识)FleischnerGuideline2017IntroductionIn2017theupdatedFleischnerSocietyguidelinewaspublished[1].Thesereplacetherecommendationsforsolid(2005)[2]andsubsolidpulmonarynodules(2013)[3].Thesenewguidel...