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

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Presentation on theme: "Volume 143, Issue 5, Pages e93S-e120S (May 2013)"— Presentation transcript:

1 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: /chest Copyright © 2013 The American College of Chest Physicians Terms and Conditions

2 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  , e93S-e120SDOI: ( /chest ) Copyright © 2013 The American College of Chest Physicians Terms and Conditions

3 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  , e93S-e120SDOI: ( /chest ) Copyright © 2013 The American College of Chest Physicians Terms and Conditions

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

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

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

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


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