Article

Current Oncology Reports

, Volume 12, Issue 4, pp 226-234

First online:

Lung Cancer Screening: An Update, Discussion, and Look Ahead

  • Peter J. MazzoneAffiliated withRespiratory Institute, Cleveland Clinic Email author 

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Abstract

Over the past few years there has been a great deal of debate about the status of lung cancer screening. The debate has focused on at least three areas: the unmet need to prove a mortality reduction from the screening tests being studied, the potential for these screening tests to produce harm, and the possible cost-effectiveness of an image-based screening program. In this manuscript, I review the chest imaging cohort and controlled trials that have been added to the evidence base over the past few years. I then discuss the evidence related to the areas that are currently debated, describe the ongoing trials that will help to clarify these issues, and speculate about the future.

Keywords

Lung cancer Screening Bias Over-diagnosis Lung nodules Cost-effectiveness