Sandbox: maria6

Solitary Pulmonary Nodule Detected

Step 1: Assess likelihood of cancer ❑ Mayo Clinic Malignancy Risk Calculator

Step 2: Review prior films Is there a growth?

No previous films *Refer to step 2A

Yes, growing

No, stable

Step 2A Enhanced Computed Tomography

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

Low risk ❑ < 5%

Intermediate risk ❑ 5-65%

High risk ❑ > 65%

Serial CT scans

Non-surgical biopsy *Refer to Step 3: Treatment

Surgical resection *Refer to Step 3: Treatment

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

Enhanced Computed Tomography

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

Biopsy

Step 3 Treatment