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Pulmonary metastases in children: are we operating unnecessarily?

ABSTRACT

Objective:

to determine, in pediatric patients with malignant neoplasms, the characteristics of pulmonary nodules identified on computed tomography, as well as the possibility of differentiating benign lesions from metastases.

Methods:

we conducted a retrospective study of patients submitted to pulmonary resections of nodules diagnosed as metastases in a period of seven years. We compared computed tomography and surgery findings, as well as results of anatomopathological examinations.

Results:

we studied nine patients submitted to 11 surgical interventions. Among the studied variables, only nodule size greater than 12.5mm proved to be statistically significant to predict malignancy.

Conclusion:

among the tomographic characteristics of pulmonary nodules in children with malignant neoplasms, only the size of the lesion was a predictor of malignancy.

Keywords:
Lung Neoplasms; Neoplasm Metastasis/diagnostic imaging; Tomography, X-Ray Computed; Osteosarcoma. Thoracotomy; Child

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