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28

NCCN Guidelines for Patients

®

:

Lung Cancer Screening, Version 1.2017

4

What happens after the first test? Follow-up or yearly screening LDCT

Guide 8

lists when you should get your follow-up

test for a solid lung nodule seen on chest CT or

PET/CT. If there is a low concern for cancer, you

should get an LDCT in 3 or 6 months. If there is a

high concern for cancer, you should have a biopsy

or surgery. This is done instead of waiting to see if

anything changes over time. A biopsy or surgery of

the nodule can confirm if cancer is present.

Guide 8. Solid lung nodule on follow-up chest CT or PET/CT

Results

Size of lung nodule Concern for cancer

When should you get the next

follow-up test?

No change on

follow-up LDCT

≥15 mm

Low

Get an LDCT in 6 months

High

Biopsy or surgery*

New nodule

≥8 mm

Low

Get an LDCT in 3 months

High

Biopsy or surgery*

Growing nodule

≥8 mm

Low

Get an LDCT in 3 months

High

Biopsy or surgery*

*

If cancer, start cancer treatment.

If no cancer, you will have an LDCT every year until curative treatment is not an option.