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Thorax 2007;62:2-3; doi:10.1136/thx.2006.067876
Copyright © 2007 BMJ Publishing Group Ltd & British Thoracic Society.

EDITORIAL

High-grade lesion

High-grade lesion: what does it tell us?

E S Edell

Correspondence to:
Correspondence to:
Dr E S Edell
Mayo Clinic, First Avenue SW, Rochester, MN 55902, USA; eedell@mayo.edu


Surveillance programmes for patients with high-grade lesions, which may progress to invasive cancer, will require tissue archives for histology and cooperation and collaboration of participating centres

The first 150 words of the full text of this article appear below.

Lung cancer remains the leading cause of death due to cancer in both men and women in several countries. Most patients with lung cancer present with non-specific symptoms such as cough, dyspnoea or haemoptysis and have late-stage disease at the time of diagnosis. Treatment strategies are thus often palliative rather than curative. Early detection trials using routine chest roentgenograms and sputum cytology have shown that cancers can be detected at earlier stages but the overall mortality from lung cancer was not improved. With new technology developments, such as low-dose computed tomography and fluorescence bronchoscopy, comes new hope that early detection may in fact change this pattern.

Squamous cell carcinoma, although no longer the most common type of lung cancer, remains a major problem, accounting for 17–29% of lung cancers.1 Studies on sputum cytology showed that 11% of individuals with moderate dysplasia and 19–46% with severe dysplasia progressed to . . . [Full text of this article]


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