EDITORIALS
The fruits of our efforts: time for a different view of lung cancer and CT screening
Correspondence to:
Dr F C Detterbeck, Yale University, New Haven, MA 06520-8062, USA; frank.detterbeck@yale.edu
| The first 150 words of the full text of this article appear below. |
Lung cancer continues to be by far the leading cause of cancer deaths, primarily because it is usually not found until it is in a relatively advanced stage. As a result, a great deal of effort has focused on using CT imaging to screen a broad population. The two most influential papers on CT screening for lung cancer published recently have drawn conclusions that are diametrically opposed.1 2 Henschke et al1 found compelling evidence that CT screening would save many patients from death, while Bach et al2 concluded that CT screening may lead to harm through overtreatment of inconsequential lung cancers. It is worth taking a closer look at how two thoughtful groups can arrive at such disparate views.
The paper by Henschke et al1 reported a 5-year survival rate of 86% for patients with lung cancer detected by CT screening. This is dramatically better than the 5-year survival rate of
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Lung cancer (oncology)
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