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Pulmonary Subsolid Nodules: An Overview & Management Guidelines

폐 반고형결절: 개요와 관리 가이드라인

  • Song, Yong Sub (Department of Radiology, Seoul National University Hospital) ;
  • Park, Chang Min (Department of Radiology, Seoul National University Hospital)
  • 송용섭 (서울대학교병원 영상의학과) ;
  • 박창민 (서울대학교병원 영상의학과)
  • Received : 2017.09.28
  • Accepted : 2017.11.14
  • Published : 2018.05.01

Abstract

Pulmonary subsolid nodules (SSNs) refer to the pulmonary pure ground-glass nodules and part-solid nodules. SSNs are frequently encountered in clinical settings, such as in screenings conducted with chest computed tomography. The main concern regarding pulmonary SSNs, particularly when they are persistent, has been a lung adenocarcinoma and the precursors to this condition. This review aims at describing the current understanding of the imaging features, histology, natural course, and to present the current management protocols based on the guidelines recently established by the Fleischner Society.

반고형결절은 순수간유리결절과 부분고형결절을 포함하는 개념이며 흉부 컴퓨터단층촬영 선별검사와 같은 임상현장에서 자주 마주하게 되는 병변이다. 지속성 반고형결절의 경우 병리학적으로 폐선암과 그 전구병변에 해당하기 때문에 임상적 의의가 있다. 이 논문에서는 반고형결절의 병리소견, 영상소견, 자연 경과에 대해 설명하고 최근에 출간된 Fleischner Society 가이드라인을 중심으로 반고형결절에 대한 관리 방법을 소개하고자 한다.

Keywords

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