TABLE 2.
Nodule Size | No Lung Cancer Risk Factors | Lung Cancer Risk Factors Present |
≤ 4 mm | Follow-up optional* | Follow-up at 12 mo, no additional follow-up if stable |
>4–6 mm | Follow-up at 12 mo, no additional follow-up if stable | Follow-up at 6–12 mo, if stable follow-up at 18–24 mo |
>6–8 mm | Follow-up at 6–12 mo, if stable follow-up at 18–24 mo | Follow-up at 3–6 mo, 9–12 mo, and 24 mo if stable |
Definition of abbreviation: CT = computed tomography.
The risk of malignancy in this category is substantially less than that in a baseline CT scan of asymptomatic smokers. If follow-up is elected then it is reasonable to do so in 12 months.