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Clinical Problems in Cardiopulmonary Disease |

Clinical Conference on Management Dilemmas*: A Growing Vascular Mass in the Chest

Satyendra Gupta, MD; Tauseef Khan, MD; Larry W. Stephenson, MD; Denton Cooley, MD, FCCP; Jeff Schnader, MD, CM, FCCP
Author and Funding Information

*From the Department of Medicine (Drs. Gupta, Khan, and Schnader), Wright State University School of Medicine, and the Department of Medicine, Dayton VA Medical Center, Dayton, OH; the Department of Surgery (Dr. Stephenson), Wayne State University School of Medicine, Detroit, MI; and the Texas Heart Institute (Dr. Cooley), Texas Medical Center, Houston, TX.

Correspondence to: Jeff Schnader, MD, CM, FCCP, Chief, Division of Pulmonary and Critical Care Medicine, Wright State University School of Medicine, Dayton VA Medical Center (111), 4100 West Third St, Dayton, OH 45428; e-mail: jeff.schnader@med.va.gov



Chest. 2000;118(6):1769-1775. doi:10.1378/chest.118.6.1769
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Clinicians are often faced with management problems for which there are no answers at hand, because there is no literature that definitely gives answers, because there are conflicting data in the literature, or because the circumstances surrounding the clinical cases are unusual enough to prevent the application of existing scientific knowledge. When faced with these problems, clinicians are forced to make decisions based on a logical extension of their scientific knowledge into uncharted clinical waters. They are forced to make judgments based on the conviction of their speculations and on prior experiences.

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