NCCN Guidelines for Patients
Lung Cancer Screening, Version 1.2017
If there is high concern for cancer, the next step
would be to have a biopsy (remove one or more
samples of tissue) or surgery (remove the entire
nodule) to check for cancer. This is done by looking
at the cells under a microscope. If no cancer is
found, your next LDCT should be in 1 year. If cancer
is confirmed, you can start cancer treatment.
If a solid endobronchial nodule is found, your next
LDCT will be in 1 month. This type of nodule can
grow in the large breathing tubes that lead to the
lungs. If the nodule is found and intense coughing
starts, the LDCT will be done soon after. If there is
no resolve, then a bronchoscopy should be done. A
bronchoscopy is when a thin, long tool is guided into
the airways to look at or remove tissue.
Next steps if non-solid lung nodule
lists when you should get your next
screening test based on the results of the first LDCT
test for a non-solid nodule. Many of these nodules
can be followed with an LDCT once a year. You
should have an LDCT in 6 months for a non-solid
lung nodule that is 20 mm or larger.
Non-solid nodules may be cancer, but they may also
be small areas of infection or inflammation that can
resolve. Nodules that are large are more likely to be
cancer than smaller nodules. The more likely there’s
cancer, the sooner the second test will be suggested.
If a non-solid nodule develops a solid part on a future
LDCT, this is a sign it could be cancer. A biopsy or
surgery is usually recommended.
What happens after the first test? First screening LDCT
Guide 6. Non-solid lung nodule on the first LDCT
Size of lung nodule
When should you get the first follow-up test?
Get an LDCT in a year
Get an LDCT in 6 months