Cancer Institute A national cancer institute
designated cancer center

Joseph Shrager

Publication Details

  • Approach to the Patient with Multiple Lung Nodules THORACIC SURGERY CLINICS Shrager, J. B. 2013; 23 (2): 257-?


    It can be difficult to determine whether a patient with more than a single, "solid" lung nodule suspicious for malignancy is suffering from synchronous primary tumors or intrapulmonary metastasis. For this reason, if resection can be performed an aggressive approach is often warranted after demonstrating no mediastinal nodal disease. Increasing evidence suggests that the survival of a patient with a single, invasive lepidic-predominant adenocarcinoma depends on the stage of the invasive tumor, not on the presumed multiple in situ tumors. A suggested clinical approach to each of these types of multifocal tumors, solid and lepidic, is proposed in this article.

    View details for DOI 10.1016/j.thorsurg.2013.01.004

    View details for Web of Science ID 000319026100018

    View details for PubMedID 23566977

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