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Profile and nodule characteristics of patients with incidental solid pulmonary nodules

Apheera Hussain, Anum Azhar, Shohidul Islam, Georgia Hardavella, Sujal Desai
European Respiratory Journal 2016 48: PA3809; DOI: 10.1183/13993003.congress-2016.PA3809
Apheera Hussain
1Faculty of Life Scienece and Medicine (MMBS 4), King's College London, London, United Kingdom
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Anum Azhar
1Faculty of Life Scienece and Medicine (MMBS 4), King's College London, London, United Kingdom
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Shohidul Islam
2TEAM, King's College Hospital, NHS Foundation Trust, London, United Kingdom
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Georgia Hardavella
3Department of Respiratory Medicine, King's College Hospital, NHS Foundation Trust, London, United States
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Sujal Desai
4Department of Radiology, King's College Hospital, NHS Foundation Trust, London, United Kingdom
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Abstract

Introduction: With ever-increasing routine use of CT scans,pulmonary nodules are commonly being identified as incidental findings.The prevalence of identifying incidental nodules is expected to increase with the implementation of the new CT screening guidelines which are yet to be published.

Aim: To identify the patient profile&nodule characteristics of adult patients referred to the pulmonary nodules service of our hospital with incidental solid pulmonary nodules.

Materials/Methods: Retrospective review of relevant clinical information using Electronic Patient Records(EPR).

Results: Between 29/04/2015-29/07/2015,135 cases with a total of 325 nodules were discussed.There were 117 solid nodules in 89 patients. Mean age was 55(+/- 16 years).32.6% of females & 17.4% of males were lifelong non-smokers. Ex smokers:44.2% of females & 60.9% of males(mean 32 pack/years). Current smokers:23.2% of females & 21.7% of males(mean 48 pack/years).4.5% and 7.9% of patients had a history of TB & asbestos exposure,respectively. At the time of diagnosis,50.6% of patients had respiratory symptoms & 44.4% of them had COPD. 13/117 solid nodules were intrapulmonary lymph nodes(ILN).The mean diameter of solid nodules(not ILNs)was 11.49mm. 53.5% of pulmonary nodules in the right lung and 66.7% of nodules in the left lung were in the upper lobes.87.5% had regular borders.

Conclusions: Almost half the patients with solid pulmonary nodules had respiratory symptoms at the time of diagnosis, however their detected nodules were too small to cause symptoms & were incidental.Heavier smokers seem to be more resistant in stopping smoking regardless of the presence of pulmonary nodules however this needs to be further studied.

  • Lung cancer / Oncology
  • Thoracic oncology
  • Copyright ©the authors 2016
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Profile and nodule characteristics of patients with incidental solid pulmonary nodules
Apheera Hussain, Anum Azhar, Shohidul Islam, Georgia Hardavella, Sujal Desai
European Respiratory Journal Sep 2016, 48 (suppl 60) PA3809; DOI: 10.1183/13993003.congress-2016.PA3809

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Profile and nodule characteristics of patients with incidental solid pulmonary nodules
Apheera Hussain, Anum Azhar, Shohidul Islam, Georgia Hardavella, Sujal Desai
European Respiratory Journal Sep 2016, 48 (suppl 60) PA3809; DOI: 10.1183/13993003.congress-2016.PA3809
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