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.