Pulmonary nodule classification: Difference between revisions

	Pulmonary Nodule Microchapters
Home
Patient Information
Overview
Classification
Causes
Differentiating Pulmonary Nodule from Other Diseases
Epidemiology and Demographics
Screening
Natural history, Complications and Prognosis
Diagnosis
Evaluation of Solitary Pulmonary Nodule
Diagnostic Study of Choice
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
X-ray
Echocardiography and Ultrasound
CT scan
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Case Studies
Case #1
Pulmonary nodule classification On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Pulmonary nodule classification All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Pulmonary nodule classification
CDC on Pulmonary nodule classification
Pulmonary nodule classification in the news
Blogs on Pulmonary nodule classification
Directions to Hospitals Treating Solitary pulmonary nodule
Risk calculators and risk factors for Pulmonary nodule classification

← Older edit Newer edit →

VisualWikitext

Revision as of 17:29, 1 July 2019

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]

Overview

Pulmonary nodule may be classified according to size (> 8 mm vs. ≤8 mm), attenuation (pure solid vs. part-solid), and distribution (solitary vs. multiple). It can also be classified into benign and malignant based on the radiological findings.

Classification

Based on size, attenuation, and distribution

Pulmonary nodule may be classified according to size, attenuation, and distribution into the following:^[1]

Size

Nodules measuring >8 mm and < 30 mm in diameter
Nodules measuring ≤8 mm in diameter

Attenuation

Pure solid nodules
Part-solid nodules

Distribution

Solitary pulmonary nodule
Multiple pulmonary nodules

Based on Radiological Findings

The table below summarizes the radiological features suggestive of benign or malignant pulmonary nodules.^[2]


Radiologic feature	Benign	Malignant
Radiologic Features Suggestive of Benign or Malignant Pulmonary Nodules Adapted from American Academy of Family Physicians ^[3]
Size	< 5 mm	> 10 mm
Border	Smooth	Irregular or spiculated
Density	Dense, solid	Nonsolid, “ground glass”
Calcification	Typically a benign feature, especially in “concentric,” “central,” “popcorn-like,” or “homogeneous” patterns	Typically noncalcified, or “eccentric” calcification
Doubling time	Less than one month; more than one year	One month to one year

References

↑ Ost D, Fein AM, Feinsilver SH (2003). "Clinical practice. The solitary pulmonary nodule". N. Engl. J. Med. 348 (25): 2535–42. doi:10.1056/NEJMcp012290. PMID 12815140. Unknown parameter |month= ignored (help)
↑ Albert RH, Russell JJ (2009). "Evaluation of the solitary pulmonary nodule". Am Fam Physician. 80 (8): 827–31. PMID 19835344.
↑ Solitary Pulmonary Nodule: Morphological Evaluation. http://pubs.rsna.org/doi/pdf/10.1148/radiographics.20.1.g00ja0343 Accessed on March 15, 2016

Template:WH Template:WS

[NEJM-cp-1] Ost D, Fein AM, Feinsilver SH (2003). "Clinical practice. The solitary pulmonary nodule". N. Engl. J. Med. 348 (25): 2535–42. doi:10.1056/NEJMcp012290. PMID 12815140. Unknown parameter |month= ignored (help)

[pmid19835344-2] Albert RH, Russell JJ (2009). "Evaluation of the solitary pulmonary nodule". Am Fam Physician. 80 (8): 827–31. PMID 19835344.

[CDC-3] Solitary Pulmonary Nodule: Morphological Evaluation. http://pubs.rsna.org/doi/pdf/10.1148/radiographics.20.1.g00ja0343 Accessed on March 15, 2016

[1]

[2]

[3]

@@ Line 4: / Line 4: @@
 ==Overview==
-Pulmonary nodule may be classified according to size (> 8 mm vs. ≤8 mm), attenuation (pure solid vs. part-solid), and distribution ([[solitary]] vs. multiple).
+Pulmonary nodule may be classified according to size (> 8 mm vs. ≤8 mm), attenuation (pure solid vs. part-solid), and distribution ([[solitary]] vs. multiple). It can also be classified into benign and malignant based on the radiological findings.
 ==Classification==
+===Based on size, attenuation, and distribution===
 Pulmonary nodule may be classified according to size, attenuation, and distribution into the following:<ref name="NEJM-cp">{{cite journal |author=Ost D, Fein AM, Feinsilver SH |title=Clinical practice. The solitary pulmonary nodule |journal=N. Engl. J. Med. |volume=348 |issue=25 |pages=2535–42 |year=2003 |month=June |pmid=12815140 |doi=10.1056/NEJMcp012290 |url=http://content.nejm.org/cgi/pmidlookup?view=short&pmid=12815140&promo=ONFLNS19}}</ref>
-===Size===
+====Size====
 *Nodules measuring >8 mm and < 30 mm in [[diameter]]
 *Nodules measuring ≤8 mm in [[diameter]]
-===Attenuation===
+====Attenuation====
 *Pure solid nodules
 *Part-solid nodules
-===Distribution===
+====Distribution====
 *[[Solitary]] pulmonary nodule
 *Multiple pulmonary nodules
+===Based on Radiological Findings===
+The table below summarizes the radiological features suggestive of benign or malignant pulmonary nodules.<ref name="pmid19835344">{{cite journal |vauthors=Albert RH, Russell JJ |title=Evaluation of the solitary pulmonary nodule |journal=Am Fam Physician |volume=80 |issue=8 |pages=827–31 |year=2009 |pmid=19835344 |doi= |url=}}</ref>
+{|style="border: 5px; font-size: 90%; margin: 5px; width: 1000px" align=center
+!style="padding: 5px 5px; background: #4479BA; font-weight: bold; text-align:center;" colspan="3"|{{fontcolor|#FFF|''' Radiologic Features Suggestive of Benign or Malignant Pulmonary Nodules''' <br><SMALL> Adapted from American Academy of Family Physicians <ref name="CDC"> Solitary Pulmonary Nodule: Morphological Evaluation. http://pubs.rsna.org/doi/pdf/10.1148/radiographics.20.1.g00ja0343 Accessed on March 15, 2016 </ref></SMALL>}}
+|valign=top|
+|+
+|-
+! style="background: #4479BA; width: 300px;" | {{fontcolor|#FFF|'''Radiologic feature'''}}
+! style="background: #4479BA; width: 300px;" | {{fontcolor|#FFF|'''Benign'''}}
+! style="background: #4479BA; width: 300px;" | {{fontcolor|#FFF|'''Malignant'''}}
+|-
+|style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;"| Size
+|style="padding: 5px 5px; background: #F5F5F5;"|< 5 mm
+|style="padding: 5px 5px; background: #F5F5F5;"|> 10 mm
+|-
+|style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;"| Border
+|style="padding: 5px 5px; background: #F5F5F5;"| Smooth
+|style="padding: 5px 5px; background: #F5F5F5;"| Irregular or spiculated
+|-
+|style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;"| Density
+|style="padding: 5px 5px; background: #F5F5F5;"| Dense, solid
+|style="padding: 5px 5px; background: #F5F5F5;"| Nonsolid, “ground glass”
+|-
+|style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;"| Calcification
+|style="padding: 5px 5px; background: #F5F5F5;"| Typically a benign feature, especially in “concentric,” “central,” “popcorn-like,” or “homogeneous” patterns
+|style="padding: 5px 5px; background: #F5F5F5;"| Typically noncalcified, or “eccentric” calcification
+|-
+|style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;"| Doubling time
+|style="padding: 5px 5px; background: #F5F5F5;"| Less than one month; more than one year
+|style="padding: 5px 5px; background: #F5F5F5;"| One month to one year
+|}
 ==References==