EDITORIAL
Bimodality surveillance of high-risk patients for lung cancer
Bimodality surveillance of high-risk patients for lung cancer
Correspondence to:
Correspondence to:
Dr Gordon H Downie
Brody School of Medicine at East Carolina University, 3E-149 Brody Bld, Greenville, North Carolina 27858, USA
Are new diagnostic strategies providing answers?
| The first 150 words of the full text of this article appear below. |
Thoracic oncology providers confronted with the task of diagnosing and following patients at risk for cancer of the lung face a number of major dilemmas, some of which directly affect the ability to diagnose. First, the majority of patients with lung cancer are diagnosed at a late stage and <15% survive 5 years, so a degree of nihilism is present in patients, providers and policy makers. Second, risk paradigms are changing, from smoking only to occupational, environmental or home carcinogens to the risk associated with premalignant airway changes. Third, advances in early diagnostic options have the potential to discover lung carcinoma while still in a pre-invasive, minimally invasive stage or as small peripheral nodules. These points, taken in conjunction with the initial clinical results of the ELCAP study suggesting that cure is possible,1 raise the need to examine early diagnostic strategies critically.
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