Tab. I.
Clinical assessment criteria | Probability of lung tumor malignancy | ||
---|---|---|---|
Low (< 5%) | Moderate (5-65%) | High (> 65%) | |
Clinical examination | Young age, lower number of pack-years, smaller tumor size, smooth tumor outlines, location outside the upper lobe | A combination of high- and low-risk features | Elderly age, higher number of pack-years, history of neoplastic disease, larger tumor size, irregular, spiculated outlines, location in the upper lobe |
PET/CT | Low metabolic activity in PET/CT | Slight, moderate metabolic activity in PET/CT | High metabolic activity in PET/CT |
Biopsy or bronchoscopy | Benign tumor diagnosis | Non-diagnostic examinations | Suspicion of malignancy |
CT follow-up | Lesion regression or disappearance, tumor size reduction. Consistent tumor image (solid: for 2 years, non-solid: for 3-5 years of follow-up) | Tumor progression |
PET – positron emission tomography, CT – computed tomography