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Optimizing Resources in Lung Cancer Surgery

Performing routine needle biopsy of suspicious lung nodules in surgical candidates appears to have several benefits, according to Canadian investigators. With routine needle biopsy, 16% of patients avoided operation and only 2.7% underwent resection of a pathologically benign nodule. Sensitivity, specificity, and positive and negative predictive values were 100%, 75%, 99.7%, and 100%, respectively. Saved operation time was an average of 165 hours, at a cost that was 44.5% ($395,500) that of upfront wedge resection for tissue diagnosis ($888,300). Abstract: Annals of Thoracic Surgery, November...

Early Surgical Resection Beneficial for Low-Grade Gliomas

Researchers in Norway found that patients with low-grade gliomas appear to have better overall survival rates when they receive treatment at centers favoring early surgical resection when compared with those that favor biopsy and watchful waiting. The estimated 5-year survival rate was 60% for biopsy and watchful waiting, compared with 74% for early resection. Abstract: JAMA, October 25,...
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