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BTS guidelines British Thoracic Society guidelines for the ...

British Thoracic Society guidelines for theinvestigation and management of pulmonary nodulesM E J Callister,1D R Baldwin,2A R Akram,3S Barnard,4P Cane,5J Draffan,6K Franks,7F Gleeson,8R Graham,9P Malhotra,10M Prokop,11K Rodger,12M Subesinghe,13D Waller,14I Woolhouse,15 British Thoracic Society PulmonaryNodule Guideline Development Group, on behalf of the British Thoracic SocietyStandards of Care Committee Additional material ispublished online only. To viewplease visit the journal online( ).For numbered affiliations seeend of toProfessor David R Baldwin,Nottingham UniversityHospitals and University ofNottingham, RespiratoryMedicine Unit, David EvansResearch Centre, NottinghamUniversity Hospitals,Nottingham City HospitalCampus, NottinghamNG5 1PB, 14 April 2015 Accepted 16 April 2015To cite:Callister MEJ,Baldwin DR, Akram AR,et ;70:ii1 OF RECOMMENDATIONSThis guideline is based on a comprehensive reviewof the literature on pulmonary nodules and expertopinion.

Consider using changes in mass of SSNs to accurately assess growth. Grade D Consider resection/non-surgical treatment or observation for pure ground-glass nodules (pGGNs) that enlarge ≥2mm in maximum diameter; if observed, repeat CTafter a maximum of 6 months. Take into account patient choice, age, comorbidities and risk of surgery. Grade D

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