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. 2018 Aug;10(Suppl 22):S2611–S2627. doi: 10.21037/jtd.2018.05.86

Table 3. Comparison between Fleischner and British Thoracic Society (BTS) recommendations guidelines for management of subsolid pulmonary nodules.

Subsolid nodules Fleischner BTS
<6 mm (<100 mm3) >6 mm (<100 mm3) <5 mm >5 mm
Single
   Ground glass No routine follow-up 6–12 m CT to confirm persistence, then CT every 2 yrs until 5 yrs No follow up CT in 3 m, then:
Resolved: discharge
   Part solid No routine follow-up 3–6 m CT to confirm persistence. If unchanged and solid component remains <6 mm: annual CT for 5 yrs Stable: assess risk of malignancy (Brock model):
low risk = follow up. high risk = follow up, biopsy or resection
Multiple 3–6 m CT. If stable consider 2–4 yrs CT 3–6 m CT, subsequent management based on the most suspicious nodules Growth/altered morphology: resection

m, months; yrs, years; d, days.