Lung Cancer Remains The Most Lethal Cancer.
New recommendations from the American Cancer Society voice that older up to date or former heavy smokers may want to consideration low-dose CT scans to help screen for lung cancer. Specifically, that includes those elderly 55 to 74 with a 30 pack-year smoking history who still smoke or who had quit within the past 15 years. Pack-years are a count made by multiplying the number of packs of cigarettes smoked a period by the number of years of smoking. "Even with screening, lung cancer would remain the most lethal cancer," said Dr Norman Edelman, captain medical officer at the American Lung Association.
He notable the cancer society guidelines are similar to the ones from the lung association. The unfamiliar recommendation follows on the results of a major US National Cancer Institute study, published in 2010 in Radiology, that found that annual CT screening for lung cancer for older accepted or previous smokers cut their death rate by 20 percent.
Edelman stressed that the study does nothing to change the experience that smoking prevention and cessation remain the most important public health challenge there is. "Screening is not a passage to make smoking safe from cancer deaths, and certainly does nothing to prevent smoking-related deaths from habitual obstructive pulmonary disease and heart disease".
The cancer society recommendations also call smoking cessation counseling as a high priority and stress that CT screening is not an alternative to quitting smoking. CT screening should only be done after a examination between patients and their doctors so people fully understand the benefits, limitations and risks of screening. In addition, screening should only be done by someone au fait in low-dose CT lung cancer screening, the cancer bund stressed.
These new guidelines were published in the Jan 11, 2013 online issue of CA: A Cancer Journal for Clinicians. Results from the 2010 sample indicated that deaths from lung cancer in specific high-risk groups could be reduced by annual CT screening. "These findings intimate that the adoption of lung cancer screening could deliver many lives," the cancer society concluded.
As with any guidelines, however, recommendations may change over adjust as more people are screened and new data are analyzed. Despite the lifesaving benefits of screening, there are still some harms and limitations. Among these are missed cancers, ache caused by abnormal results, the need for additional tests and biopsies, review of other findings not related to lung cancer and exposure to radiation from repeated testing, the cancer guild noted.
The cancer society hopes these guidelines will help acquaint people at high risk for lung cancer about finding lung cancer early, when it has the best occur of being treated. Many questions remain. "The most prominent is which groups who have lower risks of lung cancer than the association studied will benefit from screening.
That is, at what point, in terms of risk factors, will the risks of dispersal and biopsy of benign tumors outweigh the risk of cancer". There are not only mighty medical questions, but also economic ones since issues of increased costs and insurance coverage are yet to be addressed. Another expert, Dr Michael Unger, a cure with Allied Healthcare Associates in Northbrook, IL, said that "it has been proven time and that mere chest X-ray screening is scarce to provide any benefit to survival".
That said, there have been several studies showing a survival benefit by screening high-risk individuals with quiet dose CT scans. "Whether or not such screening recommendations are accepted by Medicare and hermitic insurance companies will eventually determine how broadly these recommendations are implemented weight loss. I think only a small number would pay for such a scan out of their own pocket".
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