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Invited Commentary
December 26, 2018

Management of Small Lung Nodules in the Era of Lung Cancer Screening

Author Affiliations
  • 1Department of Surgery, University of Washington, Seattle
JAMA Surg. 2019;154(4):303-304. doi:10.1001/jamasurg.2018.4873

The results of the National Lung Screening Trial transformed the field of thoracic oncology and showed that annual lung cancer screening via low-dose computed tomographic scan is associated with a 20% reduction in the lung cancer mortality rate.1 However, also associated with lung cancer screening is the increased detection of pulmonary nodules, which leaves patients nervous and clinicians unsure of how to manage the lung nodules. Discrimination between malignant and benign nodules is of utmost importance, and as health care professionals, it is our responsibility to be thoughtful stewards of lung nodule management. In this issue of JAMA Surgery, Zhang et al2 describe a novel application of 3-dimensional printing that they used to improve on the current method of guided hookwire localization of lung nodules. The authors successfully demonstrate the use of their template, and their article also provides an opportunity to consider the broader use of localization techniques as well as lung nodule management.

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