Nódulo pulmonar solitario: enfoque, diagnóstico y tratamiento
- Autores:
-
Montes-Farah, Juan Manuel
Ojeda-Rodríguez, Kelman Hanael
Segovia-Fuentes, Javier Ignacio
Henao-Castrillón, Julio César
- Tipo de recurso:
- Article of journal
- Fecha de publicación:
- 2013
- Institución:
- Universidad de Cartagena
- Repositorio:
- Repositorio Universidad de Cartagena
- Idioma:
- spa
- OAI Identifier:
- oai:repositorio.unicartagena.edu.co:11227/12946
- Acceso en línea:
- https://hdl.handle.net/11227/12946
https://doi.org/10.32997/rcb-2013-2760
- Palabra clave:
- Nódulo pulmonar solitario
Neoplasias pulmonares
Diagnóstico
Tratamiento
- Rights
- openAccess
- License
- Revista Ciencias Biomédicas - 2020
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dc.title.spa.fl_str_mv |
Nódulo pulmonar solitario: enfoque, diagnóstico y tratamiento |
dc.title.translated.eng.fl_str_mv |
Nódulo pulmonar solitario: enfoque, diagnóstico y tratamiento |
title |
Nódulo pulmonar solitario: enfoque, diagnóstico y tratamiento |
spellingShingle |
Nódulo pulmonar solitario: enfoque, diagnóstico y tratamiento Nódulo pulmonar solitario Neoplasias pulmonares Diagnóstico Tratamiento |
title_short |
Nódulo pulmonar solitario: enfoque, diagnóstico y tratamiento |
title_full |
Nódulo pulmonar solitario: enfoque, diagnóstico y tratamiento |
title_fullStr |
Nódulo pulmonar solitario: enfoque, diagnóstico y tratamiento |
title_full_unstemmed |
Nódulo pulmonar solitario: enfoque, diagnóstico y tratamiento |
title_sort |
Nódulo pulmonar solitario: enfoque, diagnóstico y tratamiento |
dc.creator.fl_str_mv |
Montes-Farah, Juan Manuel Ojeda-Rodríguez, Kelman Hanael Segovia-Fuentes, Javier Ignacio Henao-Castrillón, Julio César |
dc.contributor.author.spa.fl_str_mv |
Montes-Farah, Juan Manuel Ojeda-Rodríguez, Kelman Hanael Segovia-Fuentes, Javier Ignacio Henao-Castrillón, Julio César |
dc.subject.spa.fl_str_mv |
Nódulo pulmonar solitario Neoplasias pulmonares Diagnóstico Tratamiento |
topic |
Nódulo pulmonar solitario Neoplasias pulmonares Diagnóstico Tratamiento |
publishDate |
2013 |
dc.date.accessioned.none.fl_str_mv |
2013-01-15 00:00:00 |
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2013-01-15 00:00:00 |
dc.date.issued.none.fl_str_mv |
2013-01-15 |
dc.type.spa.fl_str_mv |
Artículo de revista |
dc.type.coar.fl_str_mv |
http://purl.org/coar/resource_type/c_2df8fbb1 |
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Journal article |
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2215-7840 |
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10.32997/rcb-2013-2760 |
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2389-7252 |
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https://doi.org/10.32997/rcb-2013-2760 |
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Revista Ciencias Biomédicas |
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Ost D, Fein AM, Feinsilver SH. The solitary pulmonary nodule. N Engl J Med. 2003; 348(25): 2535-2542. Gould MK, Fletcher J, Iannettoni MD, Lynch WR, Midthun DE, Naidich PD, et al. Evaluation of patients with pulmonary nodules: When is it lung cancer?:ACCP evidence-based clinical practice guidelines (2nd edition). Chest. 2007; 132(3 Suppl): 108S-130S. Albert RH, Russell JJ. Evaluation of the solitary pulmonary nodule. Am Fam Physician. 2009; 80(8): 827-831. Thiessen NR, Bremner R. The solitary pulmonary nodule: approach for general surgeon. Surg Clin N Am. 2010;90(5):1003-1018. Tan BB, Flaherty KR, Kazerooni EA, Iannettoni MD. The solitary pulmonary nodule. Chest. 2003;123 (1 Suppl): 89S - 96S. Jemal A, Siegel R, Xu J, Ward E. Cancer Statistics 2010. Cancer J Clin. 2010; 60(5):277- 300. Piñeros M, Murillo RH. Incidencia de cáncer en Colombia: importancia de las fuentes de información en la obtención de cifras estimativas. Rev. Colomb. Cancerol. 2004; 8(1):5-14. Camacho F. Nódulo solitario del pulmón. Rev Neumol Col.2001; 12(3): 138-142. Duménigo O, De Armas B, Gil A, Gordis MV. Nódulo pulmonar solitario: ¿Qué hacer? Rev Cubana Cir.2007;46(2).Disponible en: http://www.imbiomed.com.mx/1/1/articulos.php?id_revista=57&id_ejemplar=4869. [Accedido: Enero-25-2013]. Jeon YJ, Yi CA, Lee KS.Solitary pulmonary nodules: detection, characterization, and guidance for further diagnostic workup and treatment. AJR Am J Roentgenol. 2007;188(1):57-68. Zwirewich CV, Vedal S, Miller RR, Müller NL. Solitary pulmonary nodule: high-resolution CT and radiologic-pathologic correlation. Radiology. 1991; 179(2):469-476. Gurney JW. Determining the likelihood of malignancy in solitary pulmonary nodulaes with Bayesian analysis. Par I. Theory. Radiology. 1993;186(2):405-413. Swensen SJ, Jett JR, Hartman TE, Midthun DE, Sloan JA, Sykes AM et al. Lung cancer screening with CT, Mayo clinic experience. Radiology. 2003;226 (3):756-761. Hennschke CL, Yannkelvitz DF, Naidith JP, McCauley DI, McGuinness G, Libby DM, et al. CT screening for lung cancer: suspiciousness of nodules according to size on baseline scans. Radiology. 2004: 231(1): 164-168. Erasmus JJ, Connolly JE, McAdams HP, Roggli VL. Solitary Pulmonary Nodules: Part I. Morphologic Evaluation for Differentiation of Benign and Malignant Lesions. Radiographics. 2000; 20(1): 43-58. Hartman TE. Radiographic evaluation of the solitary pulmonary nodule. Radiol Clin North Am. 2005;43(3):459-465. Viggiano RW, Swensen SJ, Rosenow EC 3rd. Evaluation and management of solitary and multiple pulmonary nodules. Clin Chest Med. 1992;13(1):83-95. Lillington GA, Caskey CI. Evaluation and management of solitary multiple pulmonary nodules. Clin Chest Med. 1993;14 (1):111-9. Winer-Muram HT, Jennings SG, Tarver RD,Aisen AM, Tann M, Conces DJ et al. Volumetric growth rate of stage I lung cancer prior to treatment: serial CT scanning. Radiology. 2002; 223 (3):798-805. Erasmus JJ, Connolly JE, McAdams HP, Roggli VL. Solitary Pulmonary Nodules: Part II. Evaluation of the Indeterminate Nodule. Radiographics. 2000;20 (1):59-66. Ko JP, Rusinek H, Jacobs EL, Babb JS, Betke M, McGuinness G, et al. Small pulmonary nodules: volume measurement at chest CT—phantom study. Radiology. 2003; 228(3):864-870. Siegelman SS, Khouri NF, Leo FP, Fishman EK, Braverman RM, Zerhouni EA. Solitary pulmonary nodules: CT assessment. Radiology. 1986;160 (2):307-312. Henschkle Cl, Yankelvitz DF, Mirtcheva R, McGuinness G, McCauley D, Miettinen OS et al. CT screening for lung cancer: frequency and significance of part solid and nonsolid nodules. AJRl. 2002; 178(5): 1053-1057. Suzuki K, Asamura et al. “Early” peripheral lung cancer: prognostic significance of ground glass opacity on thin-section computed tomographic scan. Ann Thorac Surg. 2002;74 (5):1635-1639. Theros EG. 1976 Caldwell lecture: varying manifestations of peripheral pulmonary neoplasms: a radiologic-pathologic correlative study. AJR. 1977;128(6):893-914. Woodring JH, Fried AM. Significance of wall thickness in solitary cavities of the lung: a follow-up study. AJR. 1983;140(3):473-474. Woodring JH, Fried AM, Chuang VP. Solitary cavities of the lung: diagnostic implications of cavity wall thickness. AJR. 1980; 135(6): 1269-1271. Swensen SJ, Brown LR, Colby TV, Weaver AL, Midthun DE. Lung nodule enhancement at CT: prospective findings. Radiology. 1996; 201 (2): 447-455. Yamashita K, Matsunobe S, Tsuda T,Nemoto T, Matsumoto K, Miki H, et al. Solitary pulmonary nodule: preliminary study of evaluation with incremental dynamic CT. Radiology. 1995;194(2):399-405. Patz EF, Lowe VJ, Hoffman JM, Paine SS, Burrowes P, Coleman RE,et al. Focal pulmonary abnormalities: evaluation with F-18 fluorodeoxyglucose PET scanning. Radiology. 1993; 188 (2):487- 490. Gupta NC, Maloof J, Gunel E. Probability of malignancy in solitary pulmonary nodules using fluorine-18-FDG and PET. J Nucl Med. 1996; 37(6): 943- 948. Hübner KF, Buonocore E, Gould HR, Thie J, Smith GT, Stephens S et al. Differentiating benign from malignant lung lesions using “quantitative” parameters of FDG PET images. Clin Nucl Med. 1996;21(12):941-949. Cappabianca S, Porto A, Petrillo M, Greco B, Reginelli A, Ronza F et al. Preliminary study on the correlation between grading and histology of solitary pulmonary nodules and contrast enhancement and [18F] fluorodeoxyglucose standardised uptake value after evaluation by dynamic multiphase CT and PET/CT. J Clin Pathol. 2011; 64(2): 114-119. Eisenberg RL, Bankier AA, Boiselle PM. Compliance with Fleischner society guidelines for management of small lung nodules: a survey of 834 radiologist. Radiology. 2010; 255(1):218-224. Dewan NA, Shehan CJ, Reeb SD, Gobar LS, Scott WJ, Ryschon K. Likelihood of malignancy in a solitary pulmonary nodule: comparison of Bayesian analysis and results of FDG-PET scan. Chest. 1997;112(2):416-422. Lindell RM, Hartman TE, Swensen SJ, Jett JR, Midthun DE, Mandrekar JN. 5-year lung cancer screening experience: growth curves of 18 lung cancers compared to histologic type, CT attenuation, stage, survival, and size. Chest. 2009; 136(6):1586-1595. Black WC, Armstrong P. Communicating the significance of radiologic test results: the likelihood ratio. AJR. 1986;147(6):1313-8. Ost D, Fein A. Management strategies for the solitary pulmonary nodule. Curr Opin Pulm Med. 2004;10(4):272-278. Van Tassel D, Van Tassel L, Gotway M, Korn R. Imaging evaluation of the solitary pulmonary nodule. ClinPulm Med. 2011;18(6):274-299. Cronin P, Dwamena BA, Kelly AM, Carlos RC. Solitary pulmonary nodules: meta-analytic comparison of cross-sectional imaging modalities for diagnosis of malignancy. Radiology. 2008; 246 (3):772-782. Rhee CK, Kang HH, Kang JY, Kim JW, Kim YH, et al. Diagnostic yield of flexible bronchoscopy without fluoroscopic guidance in evaluating peripheral lung lesions. J Bronchol Intervent Pulmonol. 2010;17:317-322. Hergott CA, Tremblay A. Role of bronchoscopy in the evaluation of solitary pulmonary nodules. Clin Chest Med. 2010;31(1):49-63. Eberhardt R, Kahn N, Gompelmann D, Schumann M, Heussel CP, Herth FJ. Lung Point-a new approach to peripheral lesions. J Thorac Oncol. 2010;5(10):1559-1563. Wang Memoli JS, Nietert PJ, Silvestri GA. Meta-Analysis of guided bronchoscopy for evaluation of the pulmonary nodule.Chest. 2012; 142(2):385-393 Khan I, Chin R, Adair N, Chatterjee A, Haponik E, et al. Electromagnetic navigation bronchoscopy in the diagnosis of peripheral lung lesions. Clin Pulm Med. 2011;18:42-45. Klein JS, Braff S. Imaging evaluation of the solitary pulmonary nodule. Clin Chest Med. 2008;29(1):15-38. Blum M, De Hoyos A. Surgical approach to the small detected lung nodule. Clin Pulm Med. 2010;17:129-135. Tamura M, Oda M, Fujimori H, Shimizu Y, Matsumoto I, Watanabe G. New indication for preoperative marking of small peripheral pulmonary nodules in thoracoscopic surgery. Interact CardiovascThorac Surg. 2010;11(5):590-593. Pompeo E, Mineo D, Rogliani P, Sabato AF, Mineo TC, Steinglass K, et al. Feasibility and results of awake thoracoscopic resection of solitary pulmonary nodules. Ann Thorac Surg. 2004; 78(5):1761-1768. Chen S, Zhou J, Zhang J, Hong Hu, Luo X, Zhang Y, Chen H. Video-assisted thoracoscopic solitary pulmonary nodule resection after CT-guided hookwire localization: 43 cases report and literature review. Sur Endosc. 2011; 25:1723-29. |
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Montes-Farah, Juan ManuelOjeda-Rodríguez, Kelman HanaelSegovia-Fuentes, Javier IgnacioHenao-Castrillón, Julio César2013-01-15 00:00:002013-01-15 00:00:002013-01-152215-7840https://hdl.handle.net/11227/1294610.32997/rcb-2013-27602389-7252https://doi.org/10.32997/rcb-2013-2760application/pdfspaUniversidad de CartagenaRevista Ciencias Biomédicashttps://revistas.unicartagena.edu.co/index.php/cbiomedicas/article/download/2760/2309Núm. 1 , Año 201323312254Ost D, Fein AM, Feinsilver SH. The solitary pulmonary nodule. N Engl J Med. 2003; 348(25): 2535-2542.Gould MK, Fletcher J, Iannettoni MD, Lynch WR, Midthun DE, Naidich PD, et al. Evaluation of patients with pulmonary nodules: When is it lung cancer?:ACCP evidence-based clinical practice guidelines (2nd edition). Chest. 2007; 132(3 Suppl): 108S-130S.Albert RH, Russell JJ. Evaluation of the solitary pulmonary nodule. Am Fam Physician. 2009; 80(8): 827-831.Thiessen NR, Bremner R. The solitary pulmonary nodule: approach for general surgeon. Surg Clin N Am. 2010;90(5):1003-1018.Tan BB, Flaherty KR, Kazerooni EA, Iannettoni MD. The solitary pulmonary nodule. Chest. 2003;123 (1 Suppl): 89S - 96S.Jemal A, Siegel R, Xu J, Ward E. Cancer Statistics 2010. Cancer J Clin. 2010; 60(5):277- 300.Piñeros M, Murillo RH. Incidencia de cáncer en Colombia: importancia de las fuentes de información en la obtención de cifras estimativas. Rev. Colomb. Cancerol. 2004; 8(1):5-14.Camacho F. Nódulo solitario del pulmón. Rev Neumol Col.2001; 12(3): 138-142.Duménigo O, De Armas B, Gil A, Gordis MV. Nódulo pulmonar solitario: ¿Qué hacer? Rev Cubana Cir.2007;46(2).Disponible en: http://www.imbiomed.com.mx/1/1/articulos.php?id_revista=57&id_ejemplar=4869. [Accedido: Enero-25-2013].Jeon YJ, Yi CA, Lee KS.Solitary pulmonary nodules: detection, characterization, and guidance for further diagnostic workup and treatment. AJR Am J Roentgenol. 2007;188(1):57-68.Zwirewich CV, Vedal S, Miller RR, Müller NL. Solitary pulmonary nodule: high-resolution CT and radiologic-pathologic correlation. Radiology. 1991; 179(2):469-476.Gurney JW. Determining the likelihood of malignancy in solitary pulmonary nodulaes with Bayesian analysis. Par I. Theory. Radiology. 1993;186(2):405-413.Swensen SJ, Jett JR, Hartman TE, Midthun DE, Sloan JA, Sykes AM et al. Lung cancer screening with CT, Mayo clinic experience. Radiology. 2003;226 (3):756-761.Hennschke CL, Yannkelvitz DF, Naidith JP, McCauley DI, McGuinness G, Libby DM, et al. CT screening for lung cancer: suspiciousness of nodules according to size on baseline scans. Radiology. 2004: 231(1): 164-168.Erasmus JJ, Connolly JE, McAdams HP, Roggli VL. Solitary Pulmonary Nodules: Part I. Morphologic Evaluation for Differentiation of Benign and Malignant Lesions. Radiographics. 2000; 20(1): 43-58.Hartman TE. Radiographic evaluation of the solitary pulmonary nodule. Radiol Clin North Am. 2005;43(3):459-465.Viggiano RW, Swensen SJ, Rosenow EC 3rd. Evaluation and management of solitary and multiple pulmonary nodules. Clin Chest Med. 1992;13(1):83-95.Lillington GA, Caskey CI. Evaluation and management of solitary multiple pulmonary nodules. Clin Chest Med. 1993;14 (1):111-9.Winer-Muram HT, Jennings SG, Tarver RD,Aisen AM, Tann M, Conces DJ et al. Volumetric growth rate of stage I lung cancer prior to treatment: serial CT scanning. Radiology. 2002; 223 (3):798-805.Erasmus JJ, Connolly JE, McAdams HP, Roggli VL. Solitary Pulmonary Nodules: Part II. Evaluation of the Indeterminate Nodule. Radiographics. 2000;20 (1):59-66.Ko JP, Rusinek H, Jacobs EL, Babb JS, Betke M, McGuinness G, et al. Small pulmonary nodules: volume measurement at chest CT—phantom study. Radiology. 2003; 228(3):864-870.Siegelman SS, Khouri NF, Leo FP, Fishman EK, Braverman RM, Zerhouni EA. Solitary pulmonary nodules: CT assessment. Radiology. 1986;160 (2):307-312.Henschkle Cl, Yankelvitz DF, Mirtcheva R, McGuinness G, McCauley D, Miettinen OS et al. CT screening for lung cancer: frequency and significance of part solid and nonsolid nodules. AJRl. 2002; 178(5): 1053-1057.Suzuki K, Asamura et al. “Early” peripheral lung cancer: prognostic significance of ground glass opacity on thin-section computed tomographic scan. Ann Thorac Surg. 2002;74 (5):1635-1639.Theros EG. 1976 Caldwell lecture: varying manifestations of peripheral pulmonary neoplasms: a radiologic-pathologic correlative study. AJR. 1977;128(6):893-914.Woodring JH, Fried AM. Significance of wall thickness in solitary cavities of the lung: a follow-up study. AJR. 1983;140(3):473-474.Woodring JH, Fried AM, Chuang VP. Solitary cavities of the lung: diagnostic implications of cavity wall thickness. AJR. 1980; 135(6): 1269-1271.Swensen SJ, Brown LR, Colby TV, Weaver AL, Midthun DE. Lung nodule enhancement at CT: prospective findings. Radiology. 1996; 201 (2): 447-455.Yamashita K, Matsunobe S, Tsuda T,Nemoto T, Matsumoto K, Miki H, et al. Solitary pulmonary nodule: preliminary study of evaluation with incremental dynamic CT. Radiology. 1995;194(2):399-405.Patz EF, Lowe VJ, Hoffman JM, Paine SS, Burrowes P, Coleman RE,et al. Focal pulmonary abnormalities: evaluation with F-18 fluorodeoxyglucose PET scanning. Radiology. 1993; 188 (2):487- 490.Gupta NC, Maloof J, Gunel E. Probability of malignancy in solitary pulmonary nodules using fluorine-18-FDG and PET. J Nucl Med. 1996; 37(6): 943- 948.Hübner KF, Buonocore E, Gould HR, Thie J, Smith GT, Stephens S et al. Differentiating benign from malignant lung lesions using “quantitative” parameters of FDG PET images. Clin Nucl Med. 1996;21(12):941-949.Cappabianca S, Porto A, Petrillo M, Greco B, Reginelli A, Ronza F et al. Preliminary study on the correlation between grading and histology of solitary pulmonary nodules and contrast enhancement and [18F] fluorodeoxyglucose standardised uptake value after evaluation by dynamic multiphase CT and PET/CT. J Clin Pathol. 2011; 64(2): 114-119.Eisenberg RL, Bankier AA, Boiselle PM. Compliance with Fleischner society guidelines for management of small lung nodules: a survey of 834 radiologist. Radiology. 2010; 255(1):218-224.Dewan NA, Shehan CJ, Reeb SD, Gobar LS, Scott WJ, Ryschon K. Likelihood of malignancy in a solitary pulmonary nodule: comparison of Bayesian analysis and results of FDG-PET scan. Chest. 1997;112(2):416-422.Lindell RM, Hartman TE, Swensen SJ, Jett JR, Midthun DE, Mandrekar JN. 5-year lung cancer screening experience: growth curves of 18 lung cancers compared to histologic type, CT attenuation, stage, survival, and size. Chest. 2009; 136(6):1586-1595.Black WC, Armstrong P. Communicating the significance of radiologic test results: the likelihood ratio. AJR. 1986;147(6):1313-8.Ost D, Fein A. Management strategies for the solitary pulmonary nodule. Curr Opin Pulm Med. 2004;10(4):272-278.Van Tassel D, Van Tassel L, Gotway M, Korn R. Imaging evaluation of the solitary pulmonary nodule. ClinPulm Med. 2011;18(6):274-299.Cronin P, Dwamena BA, Kelly AM, Carlos RC. Solitary pulmonary nodules: meta-analytic comparison of cross-sectional imaging modalities for diagnosis of malignancy. Radiology. 2008; 246 (3):772-782.Rhee CK, Kang HH, Kang JY, Kim JW, Kim YH, et al. Diagnostic yield of flexible bronchoscopy without fluoroscopic guidance in evaluating peripheral lung lesions. J Bronchol Intervent Pulmonol. 2010;17:317-322.Hergott CA, Tremblay A. Role of bronchoscopy in the evaluation of solitary pulmonary nodules. Clin Chest Med. 2010;31(1):49-63.Eberhardt R, Kahn N, Gompelmann D, Schumann M, Heussel CP, Herth FJ. Lung Point-a new approach to peripheral lesions. J Thorac Oncol. 2010;5(10):1559-1563.Wang Memoli JS, Nietert PJ, Silvestri GA. Meta-Analysis of guided bronchoscopy for evaluation of the pulmonary nodule.Chest. 2012; 142(2):385-393Khan I, Chin R, Adair N, Chatterjee A, Haponik E, et al. Electromagnetic navigation bronchoscopy in the diagnosis of peripheral lung lesions. Clin Pulm Med. 2011;18:42-45.Klein JS, Braff S. Imaging evaluation of the solitary pulmonary nodule. Clin Chest Med. 2008;29(1):15-38.Blum M, De Hoyos A. Surgical approach to the small detected lung nodule. Clin Pulm Med. 2010;17:129-135.Tamura M, Oda M, Fujimori H, Shimizu Y, Matsumoto I, Watanabe G. New indication for preoperative marking of small peripheral pulmonary nodules in thoracoscopic surgery. Interact CardiovascThorac Surg. 2010;11(5):590-593.Pompeo E, Mineo D, Rogliani P, Sabato AF, Mineo TC, Steinglass K, et al. Feasibility and results of awake thoracoscopic resection of solitary pulmonary nodules. Ann Thorac Surg. 2004; 78(5):1761-1768.Chen S, Zhou J, Zhang J, Hong Hu, Luo X, Zhang Y, Chen H. Video-assisted thoracoscopic solitary pulmonary nodule resection after CT-guided hookwire localization: 43 cases report and literature review. Sur Endosc. 2011; 25:1723-29.Revista Ciencias Biomédicas - 2020https://creativecommons.org/licenses/by-nc-sa/4.0/http://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccesshttps://revistas.unicartagena.edu.co/index.php/cbiomedicas/article/view/2760Nódulo pulmonar solitarioNeoplasias pulmonaresDiagnósticoTratamientoNódulo pulmonar solitario: enfoque, diagnóstico y tratamientoNódulo pulmonar solitario: enfoque, diagnóstico y tratamientoArtículo de revistainfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articleJournal articlePublicationOREORE.xmltext/xml2500https://repositorio.unicartagena.edu.co/bitstreams/c637299f-37a5-4792-9dec-3023e72aca6f/download52b6f20e36414352b3f61fd110796e74MD5111227/12946oai:repositorio.unicartagena.edu.co:11227/129462024-09-05 15:30:36.676https://creativecommons.org/licenses/by-nc-sa/4.0/Revista Ciencias Biomédicas - 2020metadata.onlyhttps://repositorio.unicartagena.edu.coBiblioteca Digital Universidad de Cartagenabdigital@metabiblioteca.com |