NCCN Guidelines for Patients® | Lung Cancer Screening - page 29

29
NCCN Guidelines for Patients
®
: Lung Cancer Screening
Version 1.2014
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Part 5: Testing for lung cancer
The chart above shows the recommended care after cancer testing. If cancer cells are
found in the biopsy or surgical tissue, read the
NCCN Patient Guidelines: Non-Small Cell
Lung Cancer
®
. Treatment options are recommended for every stage of lung cancer.
When no cancer is found in the biopsy or surgical tissue, yearly screening is
suggested. Yearly screening should occur every year for at least 2 years. After
2 years, your doctors may want you to continue screening. Screening isn’t
recommended for people with poor health, who if diagnosed with cancer would not be
able to receive curative treatment.
The exception to yearly screening is for new nodules that are found during the
screening process and first thought to be caused by an infection or inflammation.
However, they are then biopsied based on PET/CT results but the PET/CT results
suggest there’s no cancer. In these cases, a follow-up LDCT in 3 months is
suggested because the biopsy might have missed finding cancer.
Results of cancer testing
Care after testing for lung cancer
Nodules found at
baseline or new
nodules first thought
to be cancer
Yearly LDCT screening
Cancer treatment
Recommended care
No cancer
Cancer
New nodules first
thought to be an
infection/inflammation
but then biopsied
Follow-up LDCT in 3 months
Cancer treatment
No cancer
Cancer
New nodules first thought
to be an infection/
inflammation but then
surgically removed
Yearly LDCT screening
Cancer treatment
No cancer
Cancer
Definitions
Biopsy:
Removal of small
amounts of tissue or fluid to
be tested for disease
Curative treatment:
A medicine that cures
disease or symptoms
General anesthesia:
A controlled loss of
wakefulness from drugs
Inflammation:
Swelling
from injury or infection
Nodule:
A small mass of
tissue
LDCT
= Low-dose
computed tomography
PET/CT
=
p
ositron
e
mission
t
omography/
c
omputed
t
omography
Acronyms
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