Pulmonary Nodule Management Guidelines - Medical Algorithm

Are you evaluating a patient with a solitary lung nodule found incidentally on a CT scan?

Yes

Age of the patient

years

Length of the nodule

Width of the nodule

Is the nodule nonsolid ground glass or partly solid?

Yes

Does the patient have ?

• a history of smoking?

Yes

• a family history of lung cancer in a first-degree relative?

Yes

• a history of exposure to uranium or radon?

Yes

• a history of exposure to asbestos?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Size of the lesion

Number of risk factors for cancer

The patient can be classified as

Does the nodule show features that can be seen in an indolent adenocarcinoma?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Imaging Studies
- Probability of Cancer in Pulmonary Nodule on First Screening CT
- Probability of Cancer in Pulmonary Nodule - Parsimonious for Spiculated Mass
Laboratory Tests
- Probability of Cancer in Pulmonary Nodule Model for Spiculated Mass
Other Testing
Criteria For Diagnosis
- Probability of Malignancy in a Solitary Pulmonary Nodule Using the Equation of Swensen et al
Severity, Prognosis, Stage
- Probability of Malignancy in a Solitary Pulmonary Nodule Using the Equation of Swensen et al

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Specialty

Objective

ICD-10

Guidelines from the Fleischner Society for Managing a Small Pulmonary Nodule Detected on a CT Scan

Purpose: To evaluate a patient with a solitary lung nodule using the guidelines of the Fleischner Society.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Specialty

Objective

ICD-10