Table 1. Management of clinical and screen-detected SSNs, at initial detection.
Management protocol | Referral for work-up* | 3-month follow-up | 6-month follow-up | 1-year follow-up | No follow-up required |
---|---|---|---|---|---|
Fleischner (10) | Part-solid >10 mm | GGN >5 mm Part-solid ≤10 mm | GGN ≤5 mm | ||
NCCN (22) | Part-solid ≥8 mm | GGN >10 mm Part-solid 6 -<8 mm | GGN 5-10 mm | GGN <5 mm Part-solid <6 mm | |
ACCP (23) | Part-solid >15 mm | Part-solid ≤15 mm | GGN >5 mm | GGN ≤5 mm | |
LungRADS® (7) | Part-solid; SC ≥8 mm | Part-solid ≥6 mm; SC ≥6 -<8 mm | GGO ≥20 mm Part-solid ≥6 mm; SC <6 mm | GGN <20 mm Part-solid <6 mm |
ACCP, American College of Chest Physicians; GGN, ground-glass nodule, nonsolid nodule; NCCN, National Comprehensive Cancer Network; SC, solid component. *, chest CT with or without contrast, PET/CT and/or tissue sampling depending on the probability of malignancy and comorbidities.