专家共识(中国)Fleischner 协会 指南
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指南:Fleischner Society 2017(12)

时间:2021-08-25 23:51来源:www.ynjr.net 作者:杨宁介入医学网
) ( 3 , 36 , 41 , 42 ). Again, we would emphasize that these guidelines are not intended to preclude either shorter or longer term follow-up in individual subjects, when deemed clinically appropriate
) (3,36,41,42). Again, we would emphasize that these guidelines are not intended to preclude either shorter or longer term follow-up in individual subjects, when deemed clinically appropriate (43).

Figure 11a:

Figure 11a: (a) Transverse 1-mm CT section through the left upper lobe shows an indeterminate 10-mm ground-glass nodule (arrow). (b) Follow-up CT image after 4 months shows interval resolution without treatment, consistent with a benign cause, such as focal infection.

Figure 11b:

Figure 11b: (a) Transverse 1-mm CT section through the left upper lobe shows an indeterminate 10-mm ground-glass nodule (arrow). (b) Follow-up CT image after 4 months shows interval resolution without treatment, consistent with a benign cause, such as focal infection.

Recommendation 4: solitary part-solid lung nodules.—For solitary part-solid nodules smaller than 6 mm, no routine follow-up is recommended (grade 1C; strong recommendation, low- or very-low-quality evidence). In practice, discrete solid components cannot be reliably defined in such small nodules, and they should be treated similar to the way in which pure ground-glass lesions of equivalent size are treated (see Recommendation 3, which was described previously).

For solitary part-solid nodules 6 mm or larger with a solid component less than 6 mm in diameter, follow-up is recommended at 3–6 months and then annually for a minimum of 5 years. Although part-solid nodules have a high likelihood of malignancy, nodules with a solid component smaller than 6 mm typically represent either adenocarcinoma in situ or minimally invasive adenocarcinoma rather than invasive adenocarcinoma (42,43). Additionally, part-solid nodules may be due to transient infections and may resolve after short-term follow-up (Fig 12

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