Doc750
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A 52 yr old male smoker has a CXR that reveals a 1.3 cm solitary pulmonary lesion. No calcification pattern can be discerned on CXR and previous CXR are unavailable. What is the next step in the work up of this patient?
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| cool doctor
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excisional biopsy
he is over and asmoker
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| Doc750
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Experience is a hard teacher because she gives the test first, and the lesson afterwards.
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| cool doctor
Forum Junior
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in the new recommendations its excesional biopsy
I think you referring for a CXR every 3 months for 2 years
but I will still go for biopsy
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| neuroblastoma
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1.3 cm , non calcified benign nodule---HAMARTOMA.
just follow up later to see if any changes
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| Doc750
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no to serial cxr
no to biopsy
no to continued follow up
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Experience is a hard teacher because she gives the test first, and the lesson afterwards.
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| cool doctor
Forum Junior
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I think hamartoma is calcified with a popcorn apperance
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| drdg
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CT scan.
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| Doc750
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drdg wrote:
CT scan.
correct.
Pt has a probable lung malignancy.
next step is a CT
biopsy is for confirming the diagnosis
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Experience is a hard teacher because she gives the test first, and the lesson afterwards.
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| cool doctor
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Oh right I'm sorry
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