Table 1. Fleischner society recommendations for subsolid nodules (2017) from Migliore (1).
Solitary pure ground-glass nodules |
Nodule size ≤5 mm |
No CT follow up required |
Nodule size >5 mm |
Follow up CT at 3 months, then annual CT for at least 3 years |
Solitary part-solid nodules |
Initial follow-up CT at 3 months |
If persistent and solid component <5 mm |
Annual CT for at least 3 years |
If persistent and solid component ≥5 mm |
Biopsy or surgical resection |
Multiple subsolid nodules |
Pure ground glass nodules ≤5 mm |
CT at 2 and 4 years |
Pure ground glass nodules >5 mm, without a dominant lesion(s) |
Initial follow-up CT at 3 months then annual CT for at least 3 years |
Dominant nodule(s) with part-solid or solid component |
Initial follow-up CT at 3 months |
If persistent, biopsy or surgical resection (especially if has >5 mm solid component) |
CT, computed tomography.