Solitary pulmonary nodule is a common clinical problem for pneumologists and thoracic surgeons. The main task is to confirm or to exclude malignancy. The most common causes of solitary pulmonary nodule are primary lung cancer, solitary pulmonary metastasis, benign tumour or tuberculoma. Diagnosis of the lesion is based on detailed clinical history, risk stratification of various diseases, several radiological investigations and often invasive diagnostic methods. Video-assisted thoracoscopic lung resection may be indicated to establish fi nal morphological diagnosis and to remove benign nodules.
In the case of malignancy thoracoscopic excision biopsy aids further patient management planning.