Symptoma)c

Asymptoma)c
CXR = Coin Lesion
Previous CXR

Older pa;ent
Cigare=e Smoker
Cough & Hemoptysis
Weight Loss

CT Chest

CXR = 2cm Lesion

Needle Biopsy

Chest CT

Bronchial Adenoma

CXR = Apical Lung Mass

Bronchoscopy w/ Needle Biopsy

& Medias;noscopy

Chest CT

Chest CT

Bronchoscopy w/ Needle Biopsy

Bronchoscopy w/ Needle Biopsy

& Medias;noscopy

Dependent on Pathology

Young Pa;ent
Hemoptysis

CXR = Atelectasis

Small Cell Carcinoma (SCC)

Midback Pain radia;ng to

Wrist & Elbow

Horner Syndrome

Non-SCC
Carcinoid

Adenocys;c

Pancoast Tumor
(Adenocarcinoma)

TNM Staging

Chemotherapy

Chemotherapy

Nodes (-)

Nodes (+)

Exploratory Thoracotomy
Lobectomy/Pneumonectomy/Sleeve

PET Scan

Stage I

Stage II

Exploratory Thoracotomy
Lobectomy/Pneumonectomy/Sleeve

Stage III

Stage IV

Chemo & Rad