Author of

• 10962

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  P1.20 - Poster Session 1 - Early Detection and Screening (ID 172)

  • Event: WCLC 2013
  • Type: Poster Session
  • Track: Imaging, Staging & Screening
  • Presentations: 1
  • Moderators:
  • Coordinates: 10/28/2013, 09:30 - 16:30, Exhibit Hall, Ground Level

  • 10963

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    P1.20-001 - Early lung cancer detection programme - its impact on activity of the local thoracic surgery department (ID 74)

    09:30 - 09:30  |  Author(s): A. Kozak
    • Abstract

    Background
    The impact of massive early lung cancer detection program on patients` profile and surgical activity of the local thoracic surgery department is analyzed.

    Methods
    Early lung cancer detection program was conducted in a single city of 400000 inhabitants from 2008 till 2011. Enrollment criteria included both sexes aged 55-65 years with history of 20 pack-years of tobacco smoking. All detected lesions were followed up in accordance with IELCAP protocols. All cases requiring surgery were referred to a single local thoracic surgery department serving for the population of appr. 2 million people. Following data were analyzed: number of NSCLC detected and resected, number of stage I resected patients, histology, type of surgery.

    Results
    15020 patients were screened (39.5% of the population of people aged 55-65 in our city). 6240 pulmonary lesions were detected, majority (59%) smaller than 5mm. 445 lesions (7.1%) were bigger than 15mm. 182 patients (2.9% of all detected lesions) were referred to the local thoracic surgery. Overall 925 NSCLC were resected at our department in 2008-2011. 232 (25%) of them were stage I. Number of pneumonectomies was 166 (18%). Dominant histology was squamous cell (52%) 247 metastatic lesions were resected in the same period. The early detection group delivered 77 NSCLC resections (8.3% of all resections). 53/77 (69%) were stage I (significant difference versus the entire group). Number of pneumonectomies was 2/77 (2.5%, significant difference vs entire group). Dominant histology was adenoca (50%). 33 metastatic lesions (13.3% of all metastases resections) were treated surgically. 15 small cell lung cancer were diagnosed and referred for chemotherapy. 33 metastatic lesions were resected, too.

    Conclusion
    The patients with NSCLC detected by the early lung cancer detection programme are treated surgically in earlier stages in comparison to the entire population of patients referred to our department. They require pneumonectomy significantly less frequently than the entire group.