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CT Screening for Lung Cancer

Frequency and Significance of Part-Solid and Nonsolid Nodules

Claudia I. Henschke1, David F. Yankelevitz1, Rosna Mirtcheva1, Georgeann McGuinness2, Dorothy McCauley1 and Olli S. Miettinen3 the ELCAP Group

1 Department of Radiology, New York Presbyterian Hospital—Weill Cornell Medical Center, 525 E. 68th St., New York, NY 10021.
2 Department of Radiology, New York University Medical Center, 550 First Ave., New York, NY 10016.
3 Department of Medicine, New York Presbyterian Hopital—Weill Cornell Medical Center, New York, NY 10021.



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Fig. 1. High-resolution CT scan shows part-solid nodule with central cystic space in 72-year-old man. Final pathologic diagnosis was adenocarcinoma.

 


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Fig. 2. High-resolution CT scan shows part-solid nodule detected on baseline CT in 71-year-old woman. Solid components are centrally located and surrounded by nonsolid component. Air bronchograms are seen in solid component. Final pathologic diagnosis was adenocarcinoma.

 


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Fig. 3. High-resolution CT scan reveals part-solid nodule with spiculations and pleural tag that proved to be adenocarcinoma in 75-year-old woman.

 


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Fig. 4. High-resolution CT scan depicts nonsolid nodule that proved to be adenocarcinoma with bronchioloalveolar features in 76-year-old woman.

 


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Fig. 5. Magnification of high-resolution CT scan shows nonsolid nodule that has not yet been biopsied in 68-year-old man. No solid components other than blood vessels are seen. Blood vessels (top arrow), bronchus (middle arrow), and cyst or area of emphysema (bottom arrow) can be identified.

 


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Fig. 6. Magnification of high-resolution CT scan reveals solid nodule found to be adenocarcinoma in 62-year-old man.

 

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