Solid pulmonary nodule follow up (Fleishner criteria)
Nodule size
< 4 mm
Low risk patient- no follow up
High risk patient- CT 12 months, if unchanged, no further follow up.
4-6 mm
Low risk patient- CT in 12 months, if unchanged, no further follow up.
High risk patient- CT in 6 months and then at 18 months, if unchanged, no further follow up.
6-8 mm
Low risk patient- CT in 6 months and then at 18 months, if unchanged, no further follow up.
High risk patient- CT in 3 months, 9 months and 24 months, if unchanged, no further follow up.
> 8 mm
Low risk patients- Biopsy (suspicious) vs PET scan (indeterminate) vs CT in 3 months, 9 months and 24 months, if unchanged, no further follow up.
High risk patients- same as for low risk.
< 4 mm
Low risk patient- no follow up
High risk patient- CT 12 months, if unchanged, no further follow up.
4-6 mm
Low risk patient- CT in 12 months, if unchanged, no further follow up.
High risk patient- CT in 6 months and then at 18 months, if unchanged, no further follow up.
6-8 mm
Low risk patient- CT in 6 months and then at 18 months, if unchanged, no further follow up.
High risk patient- CT in 3 months, 9 months and 24 months, if unchanged, no further follow up.
> 8 mm
Low risk patients- Biopsy (suspicious) vs PET scan (indeterminate) vs CT in 3 months, 9 months and 24 months, if unchanged, no further follow up.
High risk patients- same as for low risk.