肺結節7

【問題】どこに何がある?(脂肪肉腫術後例)

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    ▶答えはこちら

    右S6 6mm 肺転移疑い

    ▶【Advanced問題】今後のフォローはどのようにするのが適切か?

    充実型(solid nodule)で、全体経が10mm未満なので、喫煙者であれば3/6/12/18/24か月でフォロー、非喫煙者であれば6/12/24フォローとなる。2mm以上増大していれば確定診断の対象となる。

    ただし臨床経過(既往歴)から、早めの確定診断を実施する選択肢も。このあたりは施設の判断による。

    ※日本CT検診学会 低線量CTによる肺がん検診の肺結節の判定基準と経過観察の考え方 第6版より引用改変