Sandbox:foreverlungs: Difference between revisions

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{{familytree/start |summary= Imaging Approach for Lung Mass}}
{{familytree| | | | | | | A01 | | | | | | A01=<div style="width: 17em; padding:1em;text-align:center">'''Lung Mass Detected''' </div>}}
{{familytree| | | | | | | |!| | | | | | | }}
{{familytree| | | | | | | A02 | | | | | | A02=<div style="width: 17em; padding:1em;text-align:center">'''Step 1: Assess likelihood of cancer''' <br> ❑ Request enhanced CT scan</div>}}
{{familytree| | | | | | | |!| | | | | | | | }}
{{familytree| | | | | | | Z01 | | | | | | | Z01= '''Step 2: What are the imaging features?'''}}
{{familytree| | | | |,|-|-|^|-|-|.| | | | }}
{{familytree| | | |B01| | | | | B02| | | |B01='''Hyperdense pulmonary mass'''<br>  ❑ Internal calcification |B02='''Cavitating pulmonary mass'''<br> ❑ Gas-filled area<br> ❑ Thick wall (must be greater than 2-5 mm)}}
{{familytree/end}}


==Imaging Evaluation Algorithm Non-Small Cell Lung Cancer==


{{familytree/start |summary= Imaging Evaluation Algorithm Non-Small Cell Lung Cancer}}
{{familytree/start |summary= Imaging Evaluation Algorithm Non-Small Cell Lung Cancer}}
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{{familytree | | | B01 | | | | B02 | | | B01=No|B02=Yes}}
{{familytree | | | B01 | | | | B02 | | | B01=No|B02=Yes}}
{{familytree | | | |!| | | | | |!| | | | | }}
{{familytree | | | |!| | | | | |!| | | | | }}
{{familytree | | | C01 | | | | C02 | | | | C01=<div style="width: 15em; padding:1em;">'''Enhanced Computed Tomography (ECT)''' <br>❑ Thorax <br>❑ Upper Abdomen<br> ❑ Low Neck<br></div>|C02=<div style="width: 15em; padding:1em;">'''Manage and observe'''</div>}}
{{familytree | | | C01 | | | | C02 | | | | C01=<div style="width: 17em; padding:1em;text-align:left">'''Enhanced Computed Tomography (ECT), includes:''' <br>❑ Thorax <br>❑ Upper Abdomen<br> ❑ Low Neck<br></div>|C02=<div style="width: 15em; padding:1em;">'''Manage and observe'''</div>}}
{{familytree | | | |`|-|-|v|-|-|'| | | | | }}
{{familytree | | | |!| | | | | | | | | | | |}}
{{familytree | | | | | | D01 | | | | | | | D01=<div style="width: 15em; padding:1em;">'''Diagnosis and Staging assessment'''</div>}}
{{familytree | | | C03 | | | | | | | | | | | |C03=<div style="width: 10em; padding:0.2em;">'''Imaging evaluation'''</div>}}
{{familytree | |,|-|-|-|-|+|-|-|v|-|-|-|.| }}
{{familytree|boxstyle= border-top: 0px;| | | C04 | | | | | | | | | | | C04=<div style="width: 17em; padding:1em;text-align:left">'''Location'''<br> ❑ Central<br> ❑ Peripheral <br> ❑ Pleural lesion <br>'''Size''' <br>'''Lesion characteristics'''<br>  ❑ Margins (irregular/regular)<br>  ❑ Shape (spiculated/rounded)<br>'''Presence of cavitation'''<br>❑ Yes<br>❑ No<br>''' Type of adenopathy'''<br> ❑ Hiliar <br> ❑ Mediastinal <br></div>}}
{{familytree | E01 | | | E02 | E03 | | E04 |E01= Peripheral| E02= Peripheral with enlarged nodes| E03= Central| E04= Pleural lesion}}  
{{familytree | | | |!| | | | | | | | | | | |}}
{{familytree | |`|-|-|-|-|v|-|-|v|-|-|-|'| }}
{{familytree | | | |`|-| D01 | | | | | | | | D01=<div style="width: 15em; padding:1em;">'''[[Non small cell lung cancer staging|'''Diagnosis and Staging Assessment''']]'''</div>}}
{{familytree | | | | | | |!| | | | | | | | }}
{{familytree | | | | | | |!| | | | | | | | }}
{{familytree | | | | | | X01 | | | | | | | X01=<div style="width: 15em; padding:1em;">'''What type of margin is involved? '''<br> ❑ Well defined <br> ❑ Ill-defined <br> ❑ Sclerotic</div>}}
{{familytree | | | | | | X01 | | | | | | | X01=<div style="width: 17em; padding:1em;text-align:left">'''[[Non small cell lung cancer other diagnostic studies|'''Other Imaging or Diagnostic Modalities''']]'''<br> ❑  Endobronchial/endoscopic ultrasound <br> ❑ Bronchoscopy<br> ❑ Mediastinoscopy <br> ❑ PET/CT </div>}}
{{familytree | | | | | | |!| | | | | | | | }}
{{familytree | | | | | | |!| | | | | | | | }}
{{familytree | | | | | | F01 | | | | | | | F01=<div style="width: 15em; padding:1em;">'''Is there a periosteal reaction?''' <br> ❑ Yes <br> ❑ No</div>}}
{{familytree | | | | | | F01 | | | | | | | F01=<div style="width: 15em; padding:1em;">'''[[Non small cell lung cancer biopsy|Biopsy]]''' </div>}}
{{familytree/end}}
 
 
 
 
==Diagnostic Evaluation Algorithm for Suspected Non-Small Cell Lung Cancer==
 
{{familytree/start |summary= Imaging Evaluation Algorithm Non-Small Cell Lung Cancer}}
{{familytree | | | | | | A02 | | | | | | A02=<div style="width: 10em; padding:0.2em;">'''Imaging approach'''<br> ❑ Suspected lung cancer</div>}}
{{familytree | | | | | | |!| | | | | | | | }}
{{familytree | | | | | | |!| | | | | | | | }}
{{familytree | | | | | | G01 | | | | | | | G01=<div style="width: 15em; padding:1em;">'''What is the size? '''</div>}}
{{familytree | | | | | | Z01 | | | | | | | Z01=Chest X Ray normal?}}
{{familytree | | | |,|-|-|^|-|-|.| | | | | }}
{{familytree | | | |,|-|-|^|-|-|.| | | | | }}
{{familytree | | | H01 | | | | H02 | | | | H01=<div style="width: 15em; padding:1em;">'''Likely benign? '''</div>|H02=<div style="width: 15em; padding:1em;">'''Likely malignant?'''</div>}}
{{familytree | | | B01 | | | | B02 | | | B01=No|B02=Yes}}
{{familytree | | | |`|-|-|v|-|-|'| | | | | }}
{{familytree | | | |!| | | | | |!| | | | | }}
{{familytree | | | | | | I01 | | | | | | | I01=<div style="width: 15em; padding:1em;">[[Bone or cartilage mass differential diagnosis|'''Differential diagnosis''']]</div>}}
{{familytree | | | C01 | | | | C02 | | | | C01=<div style="width: 15em; padding:1em;">'''Enhanced Computed Tomography (ECT)''' <br>❑ Thorax <br>❑ Upper Abdomen<br> ❑ Low Neck<br></div>|C02=<div style="width: 15em; padding:1em;">'''Manage and observe'''</div>}}
{{familytree | |,|-|^|-|v|-|-|-|v|-|-|-|.| }}
{{familytree | E01 | | E02 | | E03 | | E04 |E01= '''Peripheral''' <br> ❑ '''Adenocarcinoma'''| E02= '''Peripheral with enlarged nodes''' <br> | E03=''' Central''' <br> ❑ Squamous cell lung cancer | E04='''Pleural lesion''' <br> ❑  Adenocarcinoma }}
{{familytree | |`|-|-|-|^|v|-|-|^|-|-|-|'| }}
{{familytree | | | | | | D01 | | | | | | | | | D01=<div style="width: 15em; padding:1em;">'''[[Non small cell lung cancer staging|'''Diagnosis and Staging Assessment''']]'''</div>}}
 
{{familytree | | | | | | |!| | | | | | | | }}
{{familytree | | | | | | X01 | | | | | | | X01=<div style="width: 15em; padding:1em;">'''Other Imaging or Diagnostic Modalities'''<br> ❑  Endobronchial/endoscopic ultrasound <br> ❑ Bronchoscopy<br> ❑ Mediastinoscopy <br> ❑ PET/CT </div>}}
{{familytree | | | | | | |!| | | | | | | | }}
{{familytree | | | | | | F01 | | | | | | | F01=<div style="width: 15em; padding:1em;">'''[[Non small cell lung cancer biopsy|Biopsy]]''' </div>}}
{{familytree/end}}
{{familytree/end}}

Latest revision as of 18:54, 22 March 2016

 
 
 
 
 
 
Lung Mass Detected
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Step 1: Assess likelihood of cancer
❑ Request enhanced CT scan
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Step 2: What are the imaging features?
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Hyperdense pulmonary mass
❑ Internal calcification
 
 
 
 
Cavitating pulmonary mass
❑ Gas-filled area
❑ Thick wall (must be greater than 2-5 mm)
 
 
 



 
 
 
 
 
Imaging approach
❑ Suspected lung cancer
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Chest X Ray normal?
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
No
 
 
 
Yes
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Enhanced Computed Tomography (ECT), includes:
❑ Thorax
❑ Upper Abdomen
❑ Low Neck
 
 
 
Manage and observe
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Imaging evaluation
 
 
 
 
 
 
 
 
 
 
 
 
 
Location
❑ Central
❑ Peripheral
❑ Pleural lesion
Size
Lesion characteristics
❑ Margins (irregular/regular)
❑ Shape (spiculated/rounded)
Presence of cavitation
❑ Yes
❑ No
Type of adenopathy
❑ Hiliar
❑ Mediastinal
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Other Imaging or Diagnostic Modalities
❑ Endobronchial/endoscopic ultrasound
❑ Bronchoscopy
❑ Mediastinoscopy
❑ PET/CT
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 



Diagnostic Evaluation Algorithm for Suspected Non-Small Cell Lung Cancer

 
 
 
 
 
Imaging approach
❑ Suspected lung cancer
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Chest X Ray normal?
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
No
 
 
 
Yes
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Enhanced Computed Tomography (ECT)
❑ Thorax
❑ Upper Abdomen
❑ Low Neck
 
 
 
Manage and observe
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Peripheral
Adenocarcinoma
 
Peripheral with enlarged nodes
 
Central
❑ Squamous cell lung cancer
 
Pleural lesion
❑ Adenocarcinoma
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Other Imaging or Diagnostic Modalities
❑ Endobronchial/endoscopic ultrasound
❑ Bronchoscopy
❑ Mediastinoscopy
❑ PET/CT