Screening for lung cancer: current status and future directions: Thomas A. Neff lecture

JR Jett, DE Midthun - Chest, 2004 - Elsevier
Lung cancer is the number one cancer killer in North America. Currently, screening for lung
cancer is not recommended. Therefore, patients will not receive a diagnosis until they
present with symptomatic disease, which is usually advanced stage disease. Previous trials
of screening with chest roentgenograms and sputum cytology have failed to show a
decrease in lung cancer mortality. Some reports of screening with low-dose spiral CT scans
have detected lung cancers at a smaller size (average size, 1.5 cm) than those usually …