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(Created page with "{{familytree/start |summary= Imaging Approach for Solitary Pulmonary Nodule}} {{familytree | | | | | | A02 | | | | | | A02=<div style="width: 17em; padding:1em;text-align:left...")
 
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{{familytree/start |summary= Imaging Approach for Solitary Pulmonary Nodule}}
{{familytree | | | | | | A02 | | | | | | A02=<div style="width: 17em; padding:1em;text-align:left">'''Step 1: Assess likelihood of cancer''' <br> ❑ Clinical judgment <br> ❑ [http://www.chestx-ray.com/index.php/calculators/spn-calculator Mayo Clinic Malignancy Risk Calculator] </div>}}
{{familytree | | | | | | |!| | | | | | | | }}
{{familytree | | | | | |Z01|-|Z02| | | | | | Z01= '''Step 2: Review prior films'''<br> Is there a growth?|Z02= No previous films<br><SMALL>*Jump to step 2A</SMALL>}}
{{familytree | | | |,|-|-|^|-|-|.| | | | | }}
{{familytree | | | B01 | | | | B02 | | | B01=Yes|B02=No}}
{{familytree | | | |!| | | | | |!| | | | | }}
{{familytree | | | C01 | | | | C02 | | | | C01=<div style="width: 17em; padding:1em;text-align:center">'''Step 2A'''<br>'''[[Solitary pulmonary nodule CT|'''Enhanced Computed Tomography''']] </div>|C02=<div style="width: 15em; padding:1em;">'''Step 2B'''<br>'''Surveillance '''</div>}}
{{familytree | | | |!| | | | | | | | | | | |}}
{{familytree | | | C03 | | | | | | | | | | | |C03=<div style="width: 10em; padding:0.2em;">'''Imaging evaluation'''</div>}}
{{familytree|boxstyle= border-top: 0px;| | | C04 | | | | | | | | | | | C04=<div style="width: 17em; padding:1em;text-align:left">'''Location'''<br> ❑ Upper lobe <br> ❑ Lower lobe  <br> ❑ Middle lobe <br>'''Size'''<br> ❑ < 8mm <br> ❑ > 8mm <br>'''Lesion characteristics'''<br>  ❑ Margins (irregular/regular)<br>  ❑ Shape (spiculated/rounded)<br>  ❑ Attenuation </div>}}
{{familytree | | | |!| | | | | | | | | | | |}}
{{familytree | | | |`|-| D01 | | | | | | | | D01=<div style="width: 15em; padding:1em;">'''[[Solitary pulmonary nodule other diagnostic studies |'''Other Diagnostic Studies''']]'''<br> ❑ PET/CT scan <br> ❑ Bronchoscopy <br> ❑ Mediastinoscopy</div>}}
{{familytree | | | | | | |!| | | | | | | | }}
{{familytree | | | | | | X01 | | | | | | | X01=<div style="width: 17em; padding:1em;">'''[[Solitary pulmonary nodule biopsy|'''Biopsy''']]''' </div>}}
{{familytree | | | | | | |!| | | | | | | | }}
{{familytree | | | | | | F01 | | | | | | | F01=<div style="width: 15em; padding:1em;">'''Step 3'''<br>'''[[Solitary pulmonary nodule therapeutic management|Treatment]]''' </div>}}
{{familytree/end}}
{{familytree/start |summary= Imaging Approach for Solitary Pulmonary Nodule}}
{{familytree/start |summary= Imaging Approach for Solitary Pulmonary Nodule}}
{{familytree | | | | | | A02 | | | | | | A02=<div style="width: 17em; padding:1em;text-align:left">'''Step 1: Assess likelihood of cancer''' <br> ❑ Clinical judgment <br> ❑ [http://www.chestx-ray.com/index.php/calculators/spn-calculator Mayo Clinic Malignancy Risk Calculator] </div>}}
{{familytree | | | | | | A02 | | | | | | A02=<div style="width: 17em; padding:1em;text-align:left">'''Step 1: Assess likelihood of cancer''' <br> ❑ Clinical judgment <br> ❑ [http://www.chestx-ray.com/index.php/calculators/spn-calculator Mayo Clinic Malignancy Risk Calculator] </div>}}
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{{familytree | | | |!| | | | | | | | | | | |}}
{{familytree | | | |!| | | | | | | | | | | |}}
{{familytree | | | C03 | | | | | | | | | | | |C03=<div style="width: 10em; padding:0.2em;">'''Imaging evaluation'''</div>}}
{{familytree | | | C03 | | | | | | | | | | | |C03=<div style="width: 10em; padding:0.2em;">'''Imaging evaluation'''</div>}}
{{familytree|boxstyle= border-top: 0px;| | | C04 | | | | | | | | | | | C04=<div style="width: 17em; padding:1em;text-align:left">'''Location'''<br> ❑ Upper lobe <br> ❑ Lower lobe  <br> ❑ Middle lobe <br>'''Size'''<br> ❑ <8mm <br> ❑ >8mm <br>'''Lesion characteristics'''<br>  ❑ Margins (irregular/regular)<br>  ❑ Shape (spiculated/rounded)<br>  ❑ Attenuation </div>}}
{{familytree|boxstyle= border-top: 0px;| | | C04 | | | | | | | | | | | C04=<div style="width: 17em; padding:1em;text-align:left">'''Location'''<br> ❑ Upper lobe <br> ❑ Lower lobe  <br> ❑ Middle lobe <br>'''Size'''<br> ❑ < 8mm <br> ❑ > 8mm <br>'''Lesion characteristics'''<br>  ❑ Margins (irregular/regular)<br>  ❑ Shape (spiculated/rounded)<br>  ❑ Attenuation </div>}}
{{familytree | | | |!| | | | | | | | | | | |}}
{{familytree | | | |!| | | | | | | | | | | |}}
{{familytree | | | |`|-| D01 | | | | | | | | D01=<div style="width: 15em; padding:1em;">'''[[Solitary pulmonary nodule other diagnostic studies |'''Other Diagnostic Studies''']]'''<br> ❑ PET/CT scan <br> ❑ Bronchoscopy <br> ❑ Mediastinoscopy</div>}}
{{familytree | | | |`|-| D01 | | | | | | | | D01=<div style="width: 15em; padding:1em;">'''[[Solitary pulmonary nodule other diagnostic studies |'''Other Diagnostic Studies''']]'''<br> ❑ PET/CT scan <br> ❑ Bronchoscopy <br> ❑ Mediastinoscopy</div>}}

Revision as of 13:05, 16 March 2016

 
 
 
 
 
Step 1: Assess likelihood of cancer
❑ Clinical judgment
Mayo Clinic Malignancy Risk Calculator
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Step 2: Review prior films
Is there a growth?
 
No previous films
*Jump to step 2A
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Yes
 
 
 
No
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Step 2B
Surveillance
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Imaging evaluation
 
 
 
 
 
 
 
 
 
 
 
 
 
Location
❑ Upper lobe
❑ Lower lobe
❑ Middle lobe
Size
❑ < 8mm
❑ > 8mm
Lesion characteristics
❑ Margins (irregular/regular)
❑ Shape (spiculated/rounded)
❑ Attenuation
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Other Diagnostic Studies
❑ PET/CT scan
❑ Bronchoscopy
❑ Mediastinoscopy
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Step 3
Treatment
 
 
 
 
 
 


 
 
 
 
 
Step 1: Assess likelihood of cancer
❑ Clinical judgment
Mayo Clinic Malignancy Risk Calculator
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Step 2: Review prior films
Is there a growth?
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Yes
 
 
 
No
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Surveillance
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Imaging evaluation
 
 
 
 
 
 
 
 
 
 
 
 
 
Location
❑ Upper lobe
❑ Lower lobe
❑ Middle lobe
Size
❑ < 8mm
❑ > 8mm
Lesion characteristics
❑ Margins (irregular/regular)
❑ Shape (spiculated/rounded)
❑ Attenuation
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Other Diagnostic Studies
❑ PET/CT scan
❑ Bronchoscopy
❑ Mediastinoscopy
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Step 3
Treatment