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[筛查指南] 肺癌筛查胸部CT报告模板

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阳光肺科 发表于 2020-9-7 20:36:11 | 显示全部楼层 |阅读模式
现病史  
65岁男性,既往吸烟者。
体检
无特别发现
印象
无肺血栓形成  
左下肺孤立肺结节,7mm。偶然发现
临床指南
是否有专业临床指南?是的。  
指南的证据强度(差,好,很好,非常好):好,根据共识  
根据年龄,吸烟史,肺结节的大小,部位等,肺癌的可能性: 5-10%
建议
CT随访,3-6个月一次,然后9-12个月,如果未改变,24个月。

CTreport.png


【参考文献】
Woloshin S, Schwartz LM, Dann E, Black WC. Using radiology reports to encourage evidence-based practice in the evaluation of small, incidentally detected pulmonary nodules. A preliminary study.Ann Am Thorac Soc. 2014 Feb;11(2):211-4. doi: 10.1513/AnnalsATS.201307-242BC.
Pinsky PF, Gierada DS, Black W, et al. Performance of Lung-RADS in the National Lung Screening Trial: a retrospective assessment. Ann Intern Med 2015;162:485-491.
NCCN Clinical Practice Guidelines in Oncology. Lung Cancer Screening. 2021. Version 1. LCS-1
NCCN Clinical Practice Guidelines in Oncology. Non-Small Cell Lung Cancer. 2021. Version 5. PREV‐1
ACCP. Diagnosis and Management of Lung Cancer,3rd ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. 2013
中国临床肿瘤学会指南工作委员会.中国临床肿瘤学会 (CSCO) 非小细胞肺癌诊疗指南. 2020.
ACCP. Evaluation of Individuals With Pulmonary Nodules: When Is It Lung Cancer?Evaluation of Individuals With Pulmonary Nodules: Diagnosis and Management of Lung Cancer, 3rd ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2013;143(5_suppl):e93S-e120S. doi:10.1378/chest.12-2351
Veronesi G,Bellomi M,Mulshine JL,et a1.Lung cancer screening with low-dose computed tomography:a non-invasive diagnostic protocol for baseline lung nodules[J].Lung Cancer,2008,61(3):340-349.doi:10.1016/j.1ungcan.2008.01.001.

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