Which of the following is the most appropriate next step: Follow-up CT in 3-6 months, No follow-up needed, Transbronchial biopsy, Surgical resection?
Understand the Problem
The question presents a case of a 55-year-old woman with a solitary lung nodule found incidentally during a CT scan. It asks for the most appropriate management step regarding the follow-up or intervention for this nodule, considering her medical history and risk factors.
Answer
Follow-up CT in 3-6 months.
The most appropriate next step is a follow-up CT in 3-6 months.
Answer for screen readers
The most appropriate next step is a follow-up CT in 3-6 months.
More Information
A follow-up chest CT in 3-6 months is generally recommended for monitoring nodules, particularly if there is concern for changes that might suggest malignancy. This approach allows for the timely detection of any developments.
Tips
A common mistake can be preemptively opting for invasive procedures like biopsy or surgery without adequate non-invasive follow-up, such as CT monitoring.
Sources
- Evaluation of Individuals With Pulmonary Nodules: When Is It Lung - pmc.ncbi.nlm.nih.gov
- Solitary Pulmonary Nodule Treatment & Management - emedicine.medscape.com
- Guidelines for Management of Incidental Pulmonary Nodules - pubs.rsna.org
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