Open AccessRelevance of an incidental chest finding
Author(s) -
Arturo Cortés-Télles,
D. Munoz Mendoza
Publication year - 2012
Publication title -
lung india
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 25
eISSN - 0974-598X
pISSN - 0970-2113
DOI - 10.4103/0970-2113.92362
Subject(s) - medicine , stage (stratigraphy) , solitary pulmonary nodule , lung cancer , radiology , medical diagnosis , nodule (geology) , chemotherapy , biopsy , lung , prophylactic cranial irradiation , disease , surgery , oncology , computed tomography , paleontology , biology , conventional pci , myocardial infarction
Solitary pulmonary nodule represents 0.2% of incidental findings in routine chest X-ray images. One of the main diagnoses includes lung cancer in which small-cell subtype has a poor survival rate. Recently, a new classification has been proposed including the very limited disease stage (VLD stage) or T1-T2N0M0 with better survival rate, specifically in those patients who are treated with surgery. However, current recommendations postulate that surgery remains controversial as a first-line treatment in this stage. We present the case of a 46-year-old female referred to our hospital with a preoperative diagnosis of a solitary pulmonary nodule. On initial approach, a biopsy revealed a small cell lung cancer. She received multimodal therapy with surgery, chemotherapy, and prophylactic cranial irradiation and is currently alive without recurrence on a 2-year follow-up.