NCCN Guidelines for Patients® | Lung Cancer Screening - page 18

18
NCCN Guidelines for Patients
®
: Lung Cancer Screening
Version 1.2014
Part 4: The screening process
The chart above shows the recommended care based on
comparing the second screening test to the baseline test.
A follow-up LDCT was suggested for solid or part-solid
nodules 6 to 8 mm in width. Your doctors will assess a
solid nodule for an increase in size and part-solid nodules
for an increase in either size or density. If the nodule has
increased, surgery to remove the nodule for testing is
suggested.
If the nodule looks the same, another follow-up LDCT
in 6 months is suggested. If in 6 months the nodule has
increased, surgery is recommended. If the nodule didn’t
increase, your next LDCT should be in 1 year. Screening
with LDCT should occur every year for at least 2 years.
After 2 years, your doctors may want you to continue
yearly screening. However, screening isn’t recommended
for people with poor health, who if diagnosed with cancer
would not be able to receive curative treatment.
Care after second test
Baseline LDCT results
Lung nodule 6–8 mm
Start yearly LDCT screening
No increase
Likely not cancer
Increase
Surgery
No increase
No increase
Increase
Increase
Surgery
Surgery
Surgery
Biopsy, or
May be cancer
LDCT in
6 months
LDCT in
3 months
Second test results Recommended care
Lung nodule >8 mm
1...,8,9,10,11,12,13,14,15,16,17 19,20,21,22,23,24,25,26,27,28,...44
Powered by FlippingBook