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32

NCCN Guidelines for Patients

®

:

Lung Cancer Screening, Version 1.2017

Next steps if new lung nodule on follow-up

Guide 12

describes the suggested course of

care if your doctors think there’s an infection or

inflammation. During the screening process, a new

nodule or more than one new nodule may appear.

The nodule should be re-checked with LDCT in 1 to 3

months. During this time, your doctors may treat the

infection or inflammation.

If the nodule is smaller or gone, it is not likely to

be cancer. Screening with LDCT will be in 3 to 6

months for a nodule (or more than one nodule)

that is getting better. You should get an LDCT in a

year if the nodules are gone and they improved on

this LDCT. If the new nodule is not an infection or

inflammation, the doctor will follow the other guides

when scheduling the next screening test.

Review

†

†

Many people have nodules in their lung.

Nodules can be caused by cancer, infections,

scar tissue, or other conditions.

†

†

Often, screening tests are repeated over time to

assess if a nodule may be cancer.

†

†

The schedule and type of screening test

depend on whether there are changes in a

nodule’s size, density, or both.

4

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

Guide 12. New nodule on follow-up or yearly LDCT

Results

Next LDCT Look of new lung nodule

on LDCT

When should you get the next

follow-up test?

Possible infection/

inflammation

Get a LDCT

in 1–3 months

Getting better

Get an LDCT in 3–6 months

Better

Get an LDCT in a year

Still growing

See other guides for solid, part-solid,

and non-solid lung nodules

Results

When should you get the next follow-up

test?

No possibility of infection/

inflammation

See other guides for solid, part-solid, and

non-solid lung nodules