EDITORIAL
Lung cancer
Screening for lung cancer: yet another problem
Correspondence to:
Correspondence to:
S GSpiro
Department of Respiratory Medicine, University College Hospital, Grafton Way, London WC1E 6AU, UK; stephen.spiro@uclh.nhs.uk
Implementation of a mass screening programme for lung cancer
| The first 150 words of the full text of this article appear below. |
Lung cancers present late, allowing most sufferers little chance of curative treatment. Presenting symptoms are usually non-specific and give the primary-care physicians little to look out for to separate the presentation of lung cancer, which is the most serious of diseases, from the common cold, a respiratory tract infection, fibromyalgia or any other self-limiting condition of little long-term consequence that he or she sees in daily abundance.1 It has been known for years however, that the most favourable presentation for lung cancer is the chance discovery on a routine chest radiograph, and this was one of the drivers for the chest radiograph to be used as a screening tool for lung cancer in the 1950s and 1960s. However, although chest radigraph screening studies, where usually individuals are randomised to an x ray annual screen or simple follow-up, did disclose more cancers in the active study arm, their mortality
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