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==Screening Guidelines==
==Screening Guidelines==
*Patients who smoke or quit smoking less than 15 years ago, who are between the ages of 30 and 74-80 years-old and patients with a history of 20 to 30 [[pack years]] should receive screening with low dose [[computed tomography]] (LDCT).
 
*Screening is not recommended for patients who don't have the characteristics mentioned above:
*The USPSTF recommends annual screening for lung cancer with low-dose [[computed tomography]] (LDCT) in adults aged 55 to 80 years who have a 30 pack-year smoking history and currently smoke or have quit within the past 15 years.  
:*Patients younger that 55 years-old or older than 74 years-old.
*Screening should be discontinued once a person has not smoked for 15 years or develops a health problem that substantially limits life expectancy or the ability or willingness to have curative lung surgery.
:*Patients who smoked less than 30 [[pack years]].
:*Patients who quit smoking more than 15 years ago.
*Regular [[chest X-ray]] imaging and sputum cytology are not recommended.


==References==
==References==

Revision as of 18:30, 20 November 2015

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Alonso Alvarado, M.D. [2]

Overview

Patients who smoke or quit smoking less than 15 years ago, who are between the ages of 30 and 74-80 years-old and patients with a history of 20 to 30 pack years of smoking should receive screening with low dose computed tomography (LDCT). This recommendations regarding screening is based upon the 2013 American Cancer Society (ACS) lung cancer screening guidelines and the 2013 American College of Chest Physicians (CHEST) Screening for lung cancer, the 2013 U.S. Preventive Services Task Force (USPSTF) Screening for Lung Cancer recommendation statemet and the 2012 National Comprehensive Cancer Network (NCCN) Lung Cancer Screening.[1][2][3]

Screening Guidelines

  • The USPSTF recommends annual screening for lung cancer with low-dose computed tomography (LDCT) in adults aged 55 to 80 years who have a 30 pack-year smoking history and currently smoke or have quit within the past 15 years.
  • Screening should be discontinued once a person has not smoked for 15 years or develops a health problem that substantially limits life expectancy or the ability or willingness to have curative lung surgery.

References

  1. Wender R, Fontham ET, Barrera E, Colditz GA, Church TR, Ettinger DS; et al. (2013). "American Cancer Society lung cancer screening guidelines". CA Cancer J Clin. 63 (2): 107–17. doi:10.3322/caac.21172. PMC 3632634. PMID 23315954.
  2. "http://www.uspreventiveservicestaskforce.org/uspstf13/lungcan/lungcanfinalrs.htm". Retrieved 31 December 2013. External link in |title= (help)
  3. Detterbeck FC, Mazzone PJ, Naidich DP, Bach PB (2013). "Screening for Lung Cancer: Diagnosis and Management of Lung Cancer, 3rd ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines". Chest. 143 (5 Suppl): e78S–92S. doi:10.1378/chest.12-2350. PMID 23649455. Summary in JournalWatch


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