Evaluation of patients with pulmonary nodules: when is it lung cancer?: ACCP evidence-based clinical practice guidelines (2nd edition).

@article{Gould2007EvaluationOP,
  title={Evaluation of patients with pulmonary nodules: when is it lung cancer?: ACCP evidence-based clinical practice guidelines (2nd edition).},
  author={Michael K. Gould and James Fletcher and Mark D Iannettoni and William R. Lynch and David E. Midthun and David P. Naidich and David E. Ost},
  journal={Chest},
  year={2007},
  volume={132 3 Suppl},
  pages={
          108S-130S
        }
}
BACKGROUND Pulmonary nodules are spherical radiographic opacities that measure up to 30 mm in diameter. Nodules are extremely common in clinical practice and challenging to manage, especially small, "subcentimeter" nodules. Identification of malignant nodules is important because they represent a potentially curable form of lung cancer. METHODS We developed evidence-based clinical practice guidelines based on a systematic literature review and discussion with a large, multidisciplinary group… 

Evaluation of individuals with pulmonary nodules: when is it lung cancer? Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines.

Recommendations for evaluation and management of individuals with solid pulmonary nodules and those with nonsolid nodules are formulated by using the methods described in the "Methodology for Development of Guidelines for Lung Cancer" in the American College of Chest Physicians Lung Cancer Guidelines, 3rd ed.

Evaluation of the Solitary Pulmonary Nodule.

The workup for patients with solid solitary pulmonary nodules measuring 8 mm or greater in diameter, nodule measuring less than 8 mm in diameter), and subsolid nodules should be guided by the probability of malignancy, imaging results, and the risks and benefits of different management strategies.

The follow-up of solitary pulmonary nodules at Mater Dei Hospital

Whether the Fleischner Society Guidelines 3 are adhered to in the follow-up of SPNs locally is evaluated, which may delay the diagnosis of early lung cancer whilst over-evaluation may increase expenditure, radiation and also patient concern.

Evaluation and management of pulmonary nodules: state-of-the-art and future perspectives.

The authors discuss recent advances in the lung nodule management, and an algorithm for the management of indeterminate pulmonary nodules, with a focus on computed tomography (CT), which continues to be the mainstay for evaluation.

Update in the evaluation of the solitary pulmonary nodule.

  • M. TruongJ. Ko J. Erasmus
  • Medicine
    Radiographics : a review publication of the Radiological Society of North America, Inc
  • 2014
Because of the likelihood that persistent subsolid nodules represent adenocarcinoma with indolent growth, serial imaging reassessment for a minimum of 3 years and/or obtaining tissue samples for histologic analysis are recommended.

Evaluation of the solitary pulmonary nodule

Up to date review of the imaging features of both benign and malignant solitary pulmonary nodules to assist in the identification of nodules that require histological confirmation or ongoing surveillance are provided.

Radiographically Detected Solitary Pulmonary Nodule

The main purpose of this report has been to set out interim guidelines based on best-guess estimates, the authors' extensive albeit anecdotal experience, and especially currently available published data, which are intended to supplant guidelines regarding the management of solid nodules.

Pulmonary Nodules: Detection and Risk Evaluation

Several options are available in the management of an undetermined incidental pulmonary nodule, and the most appropriate choice depends on a careful evaluation of patient’s risk factors and of the characteristics of the nodule.
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References

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Positron emission tomography with 18-Fluorodeoxyglucose (FDG-PET) can play an important role in the evaluation and management of solitary pulmonary nodules with very high negative predictive value and improved staging information when performed in association with CT, especially for nodal staging and identification of unsuspected stage IV disease.

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