Fleischner Society pulmonary nodule recommendations
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The Fleischner society pulmonary nodule recommendations are usually for follow-up and management of pulmonary nodules smaller than 8 mmdetected detected incidentally on non-screening CT.
Nodule size (mm) less than or equal to 4
- low risk patients
-: no follow-up needed - high risk patients
-: follow-up at 12 months and if no change, no further imaging needed
Nodule size > 4;4-6 mm
- low risk patients
-: follow-up at 12 months and if no change, no further imaging needed - high risk patients
-: initial follow-up CT at 6-12 months and then at 18-24 months if no change
Nodule size > 6;6-8 mm
- low risk patients
-: initial follow-up CT at 6-12 months and then at 18-24 months if no change - high risk patients
-: initial follow-up CT at 3-6 months and then at 9-12 and 24 months if no change
Nodule size > 8;8 mm
- either low or high risk patients
- follow-up CTs at around 3, 9, and 24 months
- dynamic contrast enhanced CT, PET, and/or biopsy
Note: newly detected indeterminate nodule in persons 35 years of age or older.
-
low risk patients:
- minimalminimal or absent history of smoking and or other known risk factors -
high risk patients:
- historyhistory of smoking or of other known risk factors
See also
-<p>The <strong>Fleischner society pulmonary nodule recommendations</strong> are usually for follow-up and management of <a href="/articles/pulmonary-nodule-1">pulmonary nodules</a> smaller than 8 mm <span style="line-height:1.6em">detected incidentally on non-screening CT.</span></p><h6>Nodule size (mm) less than or equal to 4</h6><ul>-<li>low risk patients - no follow-up needed</li>-<li>high risk patients - follow-up at 12 months and if no change, no further imaging needed</li>-</ul><h6>Nodule size > 4-6 mm</h6><ul>-<li>low risk patients - follow-up at 12 months and if no change, no further imaging needed</li>-<li>high risk patients - initial follow-up CT at 6-12 months and then at 18-24 months if no change</li>-</ul><h6>Nodule size > 6-8 mm</h6><ul>-<li>low risk patients - initial follow-up CT at 6-12 months and then at 18-24 months if no change</li>-<li>high risk patients - initial follow-up CT at 3-6 months and then at 9-12 and 24 months if no change</li>-</ul><h6>Nodule size > 8 mm</h6><ul><li>either low or high risk patients<ul>- +<p>The <strong>Fleischner society pulmonary nodule recommendations</strong> are usually for follow-up and management of <a href="/articles/pulmonary-nodule-1">pulmonary nodules</a> smaller than 8 mm detected incidentally on non-screening CT.</p><h6>Nodule size (mm) less than or equal to 4</h6><ul>
- +<li>low risk patients: no follow-up needed</li>
- +<li>high risk patients: follow-up at 12 months and if no change, no further imaging needed</li>
- +</ul><h6>Nodule size >4-6 mm</h6><ul>
- +<li>low risk patients: follow-up at 12 months and if no change, no further imaging needed</li>
- +<li>high risk patients: initial follow-up CT at 6-12 months and then at 18-24 months if no change</li>
- +</ul><h6>Nodule size >6-8 mm</h6><ul>
- +<li>low risk patients: initial follow-up CT at 6-12 months and then at 18-24 months if no change</li>
- +<li>high risk patients: initial follow-up CT at 3-6 months and then at 9-12 and 24 months if no change</li>
- +</ul><h6>Nodule size >8 mm</h6><ul><li>either low or high risk patients<ul>
-</li></ul><p>Note: newly detected indeterminate nodule in persons 35 years of age or older.</p><ul>- +</li></ul><p><strong>Note: </strong>newly detected indeterminate nodule in persons 35 years of age or older.</p><ul>
-<strong>low risk patients</strong> - minimal or absent history of smoking and or other known risk factors</li>- +<strong>low risk patients:</strong> minimal or absent history of smoking and or other known risk factors</li>
-<strong>high risk patients</strong> - history of smoking or of other known risk factors</li>- +<strong>high risk patients:</strong> history of smoking or of other known risk factors</li>
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