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. 2014 Nov 30;11(4):397–403. doi: 10.5114/kitp.2014.47339

Tab. I.

Assessing the probability of lung tumor malignancy [11]

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