Approach for Patient with Solitary Pulmonary Nodule

Purpose: To evaluate a patient with a solitary pulmonary nodule.

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Evaluation

Are you evaluating a patient with a solitary pulmonary nodule?

Yes

Age of the patient

years

Diameter of the lesion

Select an appropriate answer for each finding

Patient's smoking status

Nodule margins

Calcification pattern

Change in high resolution CT over 2 years

Feasibility of surgery

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of factors considered low risk

Number of factors considered moderate risk

Number of factors considered high risk

Management recommendation

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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

Therapy

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

Specialty

Pulmonology
Hematology Oncology

Objective

other testing

ICD-10

D38.1 - Neoplasm of uncertain or unknown behaviour, trachea, bronchus and lung

Info

Purpose: To evaluate a patient with a solitary pulmonary nodule.

Specialty: Pulmonology, Hematology Oncology

Objective: other testing

ICD-10: D38.1,

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