Adenocarcinoma of the lung screening: Difference between revisions
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==Overview== | ==Overview== | ||
According to the U.S. Preventive Services Task Force ([[USPSTF]]), screening for lung cancer by low-dose computed tomography (LDCT) is recommended every year among smokers and former smokers who are between 55 to 80 years old and who have smoked 30 pack-years or more and either continue to smoke or have quit within the past 15 years (grade B recommendation). According to the [[clinical practice guideline]] issued by the [[American College of Chest Physicians]] (CHEST) in 2013, screening for lung cancer by low-dose CT (LDCT) is recommended every year among smokers and former smokers who are age 55 to 74 and who have smoked for 30 pack-years or more and either continue to smoke or have quit within the past 15 years. | According to the [[United states preventive services task force recommendations scheme|U.S. Preventive Services Task Force]] ([[USPSTF]]), screening for [[lung cancer]] by [[Computed tomography|low-dose computed tomography (LDCT)]] is recommended every year among smokers and former smokers who are between 55 to 80 years old and who have smoked 30 pack-years or more and either continue to smoke or have quit within the past 15 years (grade B recommendation). According to the [[clinical practice guideline]] issued by the [[American College of Chest Physicians]] (CHEST) in 2013, screening for [[lung cancer]] by [[CT|low-dose CT (LDCT)]] is recommended every year among smokers and former smokers who are age 55 to 74 and who have smoked for 30 pack-years or more and either continue to smoke or have quit within the past 15 years. | ||
==Screening== | ==Screening== | ||
'''Guidelines''' | '''Guidelines''' | ||
* According to the U.S. Preventive Services Task Force ([[USPSTF]]), screening for lung cancer by low-dose computed tomography (LDCT) is recommended every year among smokers and former smokers who are between 55 to 80 years old and who have smoked 30 pack-years or more and either continue to smoke or have quit within the past 15 years (grade B recommendation).<ref name="abc">Lung Cancer Screening. U.S. Preventive Services Task Force 2015. http://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/lung-cancer-screening Accessed on December 20, 2015</ref> | * According to the [[United states preventive services task force recommendations scheme|U.S. Preventive Services Task Force]] ([[USPSTF]]), screening for [[lung cancer]] by [[Computed tomography|low-dose computed tomography (LDCT)]] is recommended every year among smokers and former smokers who are between 55 to 80 years old and who have smoked 30 pack-years or more and either continue to smoke or have quit within the past 15 years (grade B recommendation).<ref name="abc">Lung Cancer Screening. U.S. Preventive Services Task Force 2015. http://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/lung-cancer-screening Accessed on December 20, 2015</ref> | ||
* According to the [[American College of Chest Physicians]] (CHEST) in 2013, screening for lung cancer by low-dose CT (LDCT) is recommended every year among smokers and former smokers who are age 55 to 74 and who have smoked for 30 pack-years or more and either continue to smoke or have quit within the past 15 years.<ref name="pmid23649455">{{cite journal| author=Detterbeck FC, Mazzone PJ, Naidich DP, Bach PB| title=Screening for Lung Cancer: Diagnosis and Management of Lung Cancer, 3rd ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. | journal=Chest | year= 2013 | volume= 143 | issue= 5 Suppl | pages= e78S-92S | pmid=23649455 | doi=10.1378/chest.12-2350 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23649455 }} [http://general-medicine.jwatch.org/cgi/content/full/2013/522/2 Summary in JournalWatch]</ref> | * According to the [[American College of Chest Physicians]] (CHEST) in 2013, screening for [[lung cancer]] by [[CT|low-dose CT (LDCT)]] is recommended every year among smokers and former smokers who are age 55 to 74 and who have smoked for 30 pack-years or more and either continue to smoke or have quit within the past 15 years.<ref name="pmid23649455">{{cite journal| author=Detterbeck FC, Mazzone PJ, Naidich DP, Bach PB| title=Screening for Lung Cancer: Diagnosis and Management of Lung Cancer, 3rd ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. | journal=Chest | year= 2013 | volume= 143 | issue= 5 Suppl | pages= e78S-92S | pmid=23649455 | doi=10.1378/chest.12-2350 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23649455 }} [http://general-medicine.jwatch.org/cgi/content/full/2013/522/2 Summary in JournalWatch]</ref> | ||
'''Strategies'''<ref>Lung Cancer Screening. National Cancer Institute 2015. http://www.cancer.gov/types/lung/hp/lung-screening-pdq Accessed on December 20, 2015</ref> | '''Strategies'''<ref>Lung Cancer Screening. National Cancer Institute 2015. http://www.cancer.gov/types/lung/hp/lung-screening-pdq Accessed on December 20, 2015</ref> | ||
* Low-dose helical computed tomography: | * [[Computed tomography|Low-dose helical computed tomography]]: | ||
:* Advantages: | :* Advantages: | ||
::* There is evidence that screening 55 to 74 year old smokers of 30 or more pack-years or former smokers, who have quit within the last 15 years, reduces lung cancer [[Mortality rate|mortality]] by 20% and [[Mortality|all-cause mortality]] by 6.7%. | ::* There is evidence that screening 55 to 74 year old smokers of 30 or more pack-years or former smokers, who have quit within the last 15 years, reduces lung cancer [[Mortality rate|mortality]] by 20% and [[Mortality|all-cause mortality]] by 6.7%. | ||
:* Diasdvantages: | :* Diasdvantages: | ||
::* At least 98% of all positive low-dose helical [[computed tomography]] screening exams do not result in a lung cancer diagnosis. | ::* At least 98% of all positive low-dose helical [[computed tomography]] screening exams do not result in a [[lung cancer]] diagnosis. | ||
::* False-positive exams may result in unnecessary invasive diagnostic procedures. | ::* False-positive exams may result in unnecessary invasive diagnostic procedures. | ||
| Line 27: | Line 27: | ||
:* Disadvantages: | :* Disadvantages: | ||
::* [[False positive]] exams | ::* [[False positive]] exams | ||
::* At least 95% of all positive [[Chest X-ray|chest x-ray]] screening exams do not result in a lung cancer diagnosis. | ::* At least 95% of all positive [[Chest X-ray|chest x-ray]] screening exams do not result in a [[lung cancer]] diagnosis. | ||
::* [[False-positive]] exams result in unnecessary invasive diagnostic procedures. | ::* [[False-positive]] exams result in unnecessary invasive diagnostic procedures. | ||
Revision as of 14:17, 6 March 2018
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Adenocarcinoma of the Lung Microchapters |
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Differentiating Adenocarcinoma of the Lung from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Adenocarcinoma of the lung screening On the Web |
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American Roentgen Ray Society Images of Adenocarcinoma of the lung screening |
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Risk calculators and risk factors for Adenocarcinoma of the lung screening |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shanshan Cen, M.D. [2]
Overview
According to the U.S. Preventive Services Task Force (USPSTF), screening for lung cancer by low-dose computed tomography (LDCT) is recommended every year among smokers and former smokers who are between 55 to 80 years old and who have smoked 30 pack-years or more and either continue to smoke or have quit within the past 15 years (grade B recommendation). According to the clinical practice guideline issued by the American College of Chest Physicians (CHEST) in 2013, screening for lung cancer by low-dose CT (LDCT) is recommended every year among smokers and former smokers who are age 55 to 74 and who have smoked for 30 pack-years or more and either continue to smoke or have quit within the past 15 years.
Screening
Guidelines
- According to the U.S. Preventive Services Task Force (USPSTF), screening for lung cancer by low-dose computed tomography (LDCT) is recommended every year among smokers and former smokers who are between 55 to 80 years old and who have smoked 30 pack-years or more and either continue to smoke or have quit within the past 15 years (grade B recommendation).[1]
- According to the American College of Chest Physicians (CHEST) in 2013, screening for lung cancer by low-dose CT (LDCT) is recommended every year among smokers and former smokers who are age 55 to 74 and who have smoked for 30 pack-years or more and either continue to smoke or have quit within the past 15 years.[2]
Strategies[3]
- Advantages:
- There is evidence that screening 55 to 74 year old smokers of 30 or more pack-years or former smokers, who have quit within the last 15 years, reduces lung cancer mortality by 20% and all-cause mortality by 6.7%.
- Diasdvantages:
- At least 98% of all positive low-dose helical computed tomography screening exams do not result in a lung cancer diagnosis.
- False-positive exams may result in unnecessary invasive diagnostic procedures.
- Chest x-ray and/or sputum cytology:
- Advantages:
- Screening with chest x-ray and/or sputum cytology has no role in reducing mortality from lung cancer in the general population.
- Disadvantages:
- False positive exams
- At least 95% of all positive chest x-ray screening exams do not result in a lung cancer diagnosis.
- False-positive exams result in unnecessary invasive diagnostic procedures.
References
- ↑ Lung Cancer Screening. U.S. Preventive Services Task Force 2015. http://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/lung-cancer-screening Accessed on December 20, 2015
- ↑ Detterbeck FC, Mazzone PJ, Naidich DP, Bach PB (2013). "Screening for Lung Cancer: Diagnosis and Management of Lung Cancer, 3rd ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines". Chest. 143 (5 Suppl): e78S–92S. doi:10.1378/chest.12-2350. PMID 23649455. Summary in JournalWatch
- ↑ Lung Cancer Screening. National Cancer Institute 2015. http://www.cancer.gov/types/lung/hp/lung-screening-pdq Accessed on December 20, 2015