NCCN Guidelines for Patients® | Lung Cancer Screening - page 23

23
NCCN Guidelines for Patients
®
: Lung Cancer Screening
Version 1.2014
Par t 1
Par t 2
Par t 3
Par t 4
Par t 5
Par t 6
Part 4: The screening process
Par t 7
Care after second test
Baseline LDCT results
All non-solid
nodules ≤5 mm
Dominant nodule(s)
with solid or part-
solid portion
Start yearly LDCT screening
No increase
Increase
Get another LDCT in 3–6 months, or
Consider surgery
Second LDCT Recommended care
At least one non-solid
nodule >5 mm
Start yearly LDCT screening
Start yearly LDCT screening
No increase
Decrease
Increase
Same or
increase
Surgery
See recommended care for
solid or part-solid nodules
If none of the multiple nodules increased in size or density, yearly screening is
suggested. Screening should occur every year for at least 2 years. After 2 years, your
doctors may want you to continue yearly screening. Screening isn’t recommended for
people with poor health, who if diagnosed with cancer would not be able to receive
curative treatment.
For 5 mm or smaller nodules that did increase, two options are given. Another LDCT in
3 to 6 months can show if the nodules continued to increase or not. The second option
is surgery to test for cancer. Likewise, surgery is recommended for non-solid nodules,
if one was larger than 5 mm at baseline and increased in size or density by the second
LDCT. Dominant nodules with solid or part-solid portions that stayed the same or
increased should be treated according to the care recommended on page 17.
Definitions:
Baseline
: A starting point
to which future tests are
compared
Biopsy
: Removal of a
tissue or fluid sample for
testing
Curative treatment
:
Medicine that cures
disease or symptoms
!
Read page 14 for a
description of LDCT.
Acronyms:
LDCT
= low-dose
computed tomography
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