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B. Walker
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P3.06 - Poster Session/ Screening and Early Detection (ID 220)
- Event: WCLC 2015
- Type: Poster
- Track: Screening and Early Detection
- Presentations: 1
- Moderators:
- Coordinates: 9/09/2015, 09:30 - 17:00, Exhibit Hall (Hall B+C)
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P3.06-004 - Update in the Surgical Outcomes in a Large Clinical Low-Dose Computed Tomographic Lung Cancer Screening Program (ID 1529)
09:30 - 09:30 | Author(s): B. Walker
- Abstract
Background:
Lung Cancer screening with low-dose computed tomography (LDCT) has been shown to reduce lung cancer mortality in high-risk individuals. Critics raise concern over the potential for unnecessary surgical procedures for benign disease as a result of screening. We have up-dated our surgical outsomes in a large clinical lung cancer screening program to assess the number of surgical procedures done for benign disease.
Methods:
We retrospectively reviewed our surgical outcomes of consecutive individuals who underwent LDCT lung cancer screening from January 2012 through March 2015 using a prospectively collected database. All patients met the National Comprehensive Cancer Network (NCCN) Lung Cancer Screening Guidelines high risk criteria.
Results:
There were 2,043 screened individuals during this interval with clinical follow-up at Lahey Hospital and Medical Center. Thirty-nine of the 2.043 (1.9%) had surgery. Twenty-eight (72%) had lung cancer, 25/28 (89%) had early stage and 3/28 (11%) had advanced stage lung cancers. Four (10%) had non-lung cancer malignancies. Seven of thirty-nine (18%) were found to have benign disease. There were no in hospital or 30 day mortalities in those who had surgery and only one (2.56%) major surgical complication.
Conclusion:
The incidence of surgical intervention for non-lung cancer diagnosis was low (0.56%) and is comparable to the rate reported in the National Lung Cancer Screening Tria; (0.62%). Surgical intervention for benign disease was rare (0.34%) in our experience.
