Lung cancer screening is a way in which doctors check the lungs for early signs of cancer in people who have no symptoms of lung cancer. Doctors suggest it for certain people who are at high risk of lung cancer because they smoke or used to smoke. Although screening is not likely to be helpful for all smokers, doctors do think it might help prevent cancer deaths in some heavy smokers, or those who smoked for many years (even if they have already quit).
Researchers have been studying chest X-rays and low-dose CT scans, two types of imaging tests, to see if they are good screening tools. Imaging tests create pictures of the inside of the body. A low-dose CT scan uses much less radiation than a normal CT scan and shows a more detailed image of the lungs than a standard X-ray. It turns out that X-rays do not work for screening. Low-dose CT scans, on the other hand, might be helpful screening tools for some people at high risk of lung cancer.
The goal of lung cancer screening is to find cancer early, before it has a chance to grow, spread or cause problems. One large study found that smokers who were screened with low-dose CT scans were less likely to die of lung cancer than those who were screened with standard X-ray. Even so, experts are not yet ready to recommend low-dose CT scans for all heavy smokers. That's because it's unclear whether screening outside of a research study—in the "real world"—would work as well. Plus, screening comes with certain risks, including the need for more tests if a person has an abnormal screening test.
The best way to lower your chances of getting or dying from lung cancer is to quit smoking. It does not matter how much or how long you have smoked. Quitting now will reduce your chances not only of lung problems, but also of heart disease and many forms of cancer.
No. Some doctors recommend that heavy smokers get a chest X-ray once a year to check for cancer, but there is no proof that this helps extend life. Experts do not recommend chest X-rays as a way to screen for lung cancer.
For some people with a long smoking history, screening can save lives. If the following three statements are all true for you, ask your doctor about screening.
The decision to be screened should take these things into account:
The main benefit of screening is that it helps doctors find cancer early, when it should be easier to treat. This might lower your chances of dying of lung cancer.
The following are some drawbacks to being screened for lung cancer.
When you have a low-dose CT scan, you lie on a table that slides into a machine. The machine is shaped like a giant donut and you slide through the large hole in the center. As you slide through, the machine takes pictures of the inside of your body. The process takes several minutes and is painless.
After a low-dose CT scan, you should get a phone call or letter with your results. If you do not hear back about your results in about two weeks, call your doctor or nurse's office. Do not assume that your scan was normal if you hear nothing.
If your scan is abnormal, don't panic. More than 95 out of 100 people with an abnormal scan turn out not to have lung cancer. You will need more tests to find out whether you actually have cancer.
If you and your doctor decide that screening is right for you, you will need to have a low-dose CT scan once a year.
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