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10.5603/ARM.27851
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Advances in Respiratory Medicine is published by MDPI from Volume 90 Issue 4 (2022). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Via Medica.
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Article

Analysis of Solitary Pulmonary Nodules Found in Chest Radiograms

by
Marta Dąbrowska
1,*,
Anna Kolasa
2,
Małgorzata Żukowska
2,
Jan Lesiński
1,
Joanna Domagała-Kulawik
1,
Marta Maskey-Warzęchowska
1,
Rafał Krenke
1,
Olgierd Rowiński
2 and
Ryszarda Chazan
1
1
Department of Internal Diseases, Pneumology and Allergology, Warsaw Medical University, 1a Banacha St., 02-097 Warsaw, Poland
2
IInd Department of Radiology, Warsaw Medical University, 1a Banacha St., 02-097 Warsaw, Poland
*
Author to whom correspondence should be addressed.
Adv. Respir. Med. 2009, 77(1), 37-41; https://doi.org/10.5603/ARM.27851
Submission received: 2 June 2008 / Revised: 19 December 2008 / Accepted: 19 December 2008 / Published: 19 December 2008

Abstract

Introduction: The detection of solitary pulmonary nodules (SPNs) has increased due to widespread use of computed tomography; nevertheless, chest radiographs still remain the basic routine examination. The aim of the study was to estimate the detection of SPNs in routine chest X-rays in hospitalized patients and to assess the incidence of malignancy in newly diagnosed SPNs. Material and methods: We analyzed 5726 routine chest radiographs of patients admitted to the Department of Internal Diseases, Pneumology and Allergology in 2004 and 2005. Most of the patients were admitted to hospital due to emergency reasons. The malignant nature of the nodules was confirmed by pathological examination. The nature of benign nodules was confirmed either by pathological examination or based on radiological criteria: no growth within 2 years of radiological follow up, regression in control radiograms or CT scans, benign pattern of calcification. Results: Among the 5726 radiograms we found 116 newly diagnosed SPNs (2.2%). Twenty-four nodules (21%) were malignant: NSCLC in 21 cases and metastases in 3 cases. Fifty-one nodules (44%) were benign. In 19 patients (16%) SPNs proved to be artefacts or erroneously interpreted extrathoracic lesions. In 22 cases (19%) there was no final diagnosis (lack of data, diagnostic procedure renunciation). Conclusion: The incidence of newly detected SPNs in chest X-rays was 2.2%. Most SPNs were benign. About 21% of SPNs were diagnosed as malignant.
Keywords: solitary pulmonary nodule; chest X-ray; computed tomography of the chest; lung cancer solitary pulmonary nodule; chest X-ray; computed tomography of the chest; lung cancer

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MDPI and ACS Style

Dąbrowska, M.; Kolasa, A.; Żukowska, M.; Lesiński, J.; Domagała-Kulawik, J.; Maskey-Warzęchowska, M.; Krenke, R.; Rowiński, O.; Chazan, R. Analysis of Solitary Pulmonary Nodules Found in Chest Radiograms. Adv. Respir. Med. 2009, 77, 37-41. https://doi.org/10.5603/ARM.27851

AMA Style

Dąbrowska M, Kolasa A, Żukowska M, Lesiński J, Domagała-Kulawik J, Maskey-Warzęchowska M, Krenke R, Rowiński O, Chazan R. Analysis of Solitary Pulmonary Nodules Found in Chest Radiograms. Advances in Respiratory Medicine. 2009; 77(1):37-41. https://doi.org/10.5603/ARM.27851

Chicago/Turabian Style

Dąbrowska, Marta, Anna Kolasa, Małgorzata Żukowska, Jan Lesiński, Joanna Domagała-Kulawik, Marta Maskey-Warzęchowska, Rafał Krenke, Olgierd Rowiński, and Ryszarda Chazan. 2009. "Analysis of Solitary Pulmonary Nodules Found in Chest Radiograms" Advances in Respiratory Medicine 77, no. 1: 37-41. https://doi.org/10.5603/ARM.27851

APA Style

Dąbrowska, M., Kolasa, A., Żukowska, M., Lesiński, J., Domagała-Kulawik, J., Maskey-Warzęchowska, M., Krenke, R., Rowiński, O., & Chazan, R. (2009). Analysis of Solitary Pulmonary Nodules Found in Chest Radiograms. Advances in Respiratory Medicine, 77(1), 37-41. https://doi.org/10.5603/ARM.27851

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