Abstract

肺部磨玻璃结节(ground glass nodule, GGN)是一种影像学表现,可能是肺部恶性肿瘤或良性病变。目前对于肺部磨玻璃结节的诊疗仍存在争议。2017年Fleischner协会和美国国立综合癌症网络(National Comprehensive Cancer Network, NCCN)都更新了GGN诊疗的指南,与之前的版本相比,手术或活检的指征更严,随访的间隔时间更长。临床工作中,GGN的大小、实性成分大小、动态随访变化和CT值都是判断手术介入时机的因素。GGN的诊疗中还存在一些误区:抗生素的使用、正电子发射型计算机断层显像(positron emission tomographycomputed tomography, PET-CT)检查、贴近胸膜的纯GGN和进入GGN的血管都是值得注意的问题。总之,GGN是一种发展缓慢的病灶,可以安全地进行随访。

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