Abordagem de nódulo pulmonar subsólido: relato de caso

Abstract

Solitary pulmonary nodules (SPN) are defined as lesions less than or equal to three centimeters, surrounded by lung parenchyma, excluding adjacent changes such as atelectasis and pleural effusion. It is a frequently incidental finding and has numerous etiological causes, although the main concern is cancer. It is classified into solid and subsolid PSNs, the latter being divided into partially solid and, more rarely, ground-glass nodules. This study aims to report a case of approach to a solitary pulmonary nodule, focusing on the classification subsolid ground-glass, describing the importance of monitoring with imaging examinations at intervals established by the International Society of Thoracic Radiology, highlighting morphological and clinical aspects of the lesion in order to propose a curative surgical intervention. This is a descriptive, narrative and reflective study, of the case report type, with retrospective information obtained through medical records, during the month of May 2021. The sample is represented by a female patient, 57 years old , accompanied by the private thoracic surgery clinic, the Thoracic Surgery and Bronchoscopy Group - GRUTÓRAX, in João Pessoa (PB), presenting a pulmonary nodule ground in ground glass. The study allowed the approximation of three major areas of medicine: Thoracic Surgery, Radiology and Oncology, highlighting the importance of medical knowledge capable of correlating the different specialties and their respective clinical and imaging manifestations in the same pathology, preventing a devastating outcome for the patient.