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To the Editor.—
The typical lung tumor seen in private practice is seen most often as a peripheral coin lesion. In most instances a chest x-ray film within the past five years is available and is normal. Perhaps more often here in California than elsewhere, but certainly everywhere, some of the recently developed peripheral lesions are ultimately proved to be granulomas.In their article relative to the efficacy of radionuclide scanning in patients with lung cancer, Kelly et al (242:2855, 1979) selected their patients from among those receiving radiation for proved carcinoma of the lung. The likelihood of metastases, apparent or occult, in this group would seem to be considerably greater than among those with peripheral lesions. Yet if one were to accept their report with all of its implications, triple scans before surgery in all cases of possible lung tumor would become mandatory to avoid medicolegal complications.Could one
Shapiro MJ. Radionuclide Scanning and Lung Lesions. JAMA. 1980;244(1):28. doi:10.1001/jama.1980.03310010018010