Sandbox:foreverlungs
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Lung Mass Detected | |||||||||||||||||||||||||||||||
Step 1: Assess likelihood of cancer ❑ Request enhanced CT scan | |||||||||||||||||||||||||||||||
| Step 2: What are the imaging features? | |||||||||||||||||||||||||||||||
| Hyperdense pulmonary mass ❑ Internal calcification | Cavitating pulmonary mass ❑ Gas-filled area ❑ Thick wall (must be greater than 2-5 mm) | ||||||||||||||||||||||||||||||
Imaging approach ❑ Suspected lung cancer | |||||||||||||||||||||||||||||||
| Chest X Ray normal? | |||||||||||||||||||||||||||||||
| No | Yes | ||||||||||||||||||||||||||||||
Enhanced Computed Tomography (ECT), includes: ❑ Thorax ❑ Upper Abdomen ❑ Low Neck | Manage and observe | ||||||||||||||||||||||||||||||
Imaging evaluation | |||||||||||||||||||||||||||||||
Location ❑ Central ❑ Peripheral ❑ Pleural lesion Size Lesion characteristics ❑ Margins (irregular/regular) ❑ Shape (spiculated/rounded) Presence of cavitation ❑ Yes ❑ No Type of adenopathy ❑ Hiliar ❑ Mediastinal | |||||||||||||||||||||||||||||||
Other Imaging or Diagnostic Modalities ❑ Endobronchial/endoscopic ultrasound ❑ Bronchoscopy ❑ Mediastinoscopy ❑ PET/CT | |||||||||||||||||||||||||||||||
Diagnostic Evaluation Algorithm for Suspected Non-Small Cell Lung Cancer
Imaging approach ❑ Suspected lung cancer | |||||||||||||||||||||||||||||||
| Chest X Ray normal? | |||||||||||||||||||||||||||||||
| No | Yes | ||||||||||||||||||||||||||||||
Enhanced Computed Tomography (ECT) ❑ Thorax ❑ Upper Abdomen ❑ Low Neck | Manage and observe | ||||||||||||||||||||||||||||||
| Peripheral ❑ Adenocarcinoma | Peripheral with enlarged nodes | Central ❑ Squamous cell lung cancer | Pleural lesion ❑ Adenocarcinoma | ||||||||||||||||||||||||||||
Other Imaging or Diagnostic Modalities ❑ Endobronchial/endoscopic ultrasound ❑ Bronchoscopy ❑ Mediastinoscopy ❑ PET/CT | |||||||||||||||||||||||||||||||