Volume 143, Issue 5, Pages e93S-e120S (May 2013)

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Presentation transcript:

Volume 143, Issue 5, Pages e93S-e120S (May 2013) Evaluation of Individuals With Pulmonary Nodules: When Is It Lung Cancer? Michael K. Gould, MD, FCCP, Jessica Donington, MD, William R. Lynch, MD, Peter J. Mazzone, MD, MPH, FCCP, David E. Midthun, MD, FCCP, David P. Naidich, MD, FCCP, Renda Soylemez Wiener, MD, MPH CHEST Volume 143, Issue 5, Pages e93S-e120S (May 2013) DOI: 10.1378/chest.12-2351 Copyright © 2013 The American College of Chest Physicians Terms and Conditions

Figure 1 [Sections 4.0, 4.3] Management algorithm for individuals with solid nodules measuring 8 to 30 mm in diameter. Branches indicate steps in the algorithm following nonsurgical biopsy. *Among individuals at high risk for surgical complications, we recommend either CT scan surveillance (when the clinical probability of malignancy is low to moderate) or nonsurgical biopsy (when the clinical probability of malignancy is moderate to high). RFA = radiofrequency ablation; SBRT = stereotactic body radiotherapy. CHEST 2013 143, e93S-e120SDOI: (10.1378/chest.12-2351) Copyright © 2013 The American College of Chest Physicians Terms and Conditions

Figure 2 [Section 4.0] Factors that influence choice between evaluation and management alternatives for indeterminate, solid nodules ≥ 8 to 30 mm in diameter. CHEST 2013 143, e93S-e120SDOI: (10.1378/chest.12-2351) Copyright © 2013 The American College of Chest Physicians Terms and Conditions

Figure 3 [Section 4.1] Assessment of the probability of malignancy. CHEST 2013 143, e93S-e120SDOI: (10.1378/chest.12-2351) Copyright © 2013 The American College of Chest Physicians Terms and Conditions

Figure 4 [Section 4.3] Balance sheet of pros and cons of alternatives for evaluation and management of pulmonary nodule. CHEST 2013 143, e93S-e120SDOI: (10.1378/chest.12-2351) Copyright © 2013 The American College of Chest Physicians Terms and Conditions

Figure 5 [Section 4.6.2] EBUS-TBB compared with TBB guided by fluoroscopy for patients with peripheral lung nodules. CHEST 2013 143, e93S-e120SDOI: (10.1378/chest.12-2351) Copyright © 2013 The American College of Chest Physicians Terms and Conditions

Figure 6 [Section 5.2] Management algorithm for individuals with solid nodules measuring < 8 mm in diameter. F/U =follow-up. CHEST 2013 143, e93S-e120SDOI: (10.1378/chest.12-2351) Copyright © 2013 The American College of Chest Physicians Terms and Conditions