Abstract

With the release of the survival results from the NELSON lung cancer screening trial there is now additional evidence that low-dose computed tomography (LDCT) screening leads to a reduction of lung cancer mortality in high-risk individuals. These results clearly show that LDCT screening has to be implemented in daily routine. However some questions like the most efficient screening intervals, duration of screening or the most appropriate participant selection are still not finally answered. This article provides a view on lung cancer screening from an oncologist’s perspective.

Highlights

  • Lung cancer remains the leading cause of cancer related death worldwide, mainly due to the presence of advanced disease in the majority of patients at the time of diagnosis [1]

  • Robust data from prospective, randomised trials evaluating the clinically most important endpoint of overall survival were lacking until in 2011 the National Lung Cancer Screening Trial (NLST) reported that annual low-dose computed tomography (CT) (LDCT) screening over a period of three years leads to a 20% reduction of lung-cancer-specific mortality compared to individuals undergoing annual screening by chest x-ray [7]

  • With the release of the survival results from the NELSON lung cancer screening trial there is additional evidence that LDCT screening leads to a reduction of lung cancer mortality in high-risk individuals

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Summary

How does lung cancer treatment benefit from the NELSON trial

Summary With the release of the survival results from the NELSON lung cancer screening trial there is additional evidence that low-dose computed tomography (LDCT) screening leads to a reduction of lung cancer mortality in high-risk individuals. These results clearly show that LDCT screening has to be implemented in daily routine. Keywords Lung cancer · Low-dose computed tomography · Screening · Survival · NLST. The NELSON lung cancer screening trial is the so far second largest randomised trial showing that low-dose computed tomography (CT) screening reduces lung-cancer specific mortality in highrisk individuals. Keeping the dramatic stage shift observed in NELSON and NLST in mind, studies evaluating adjuvant and neoadjuvant therapeutic concepts have to be prioritized

Introduction
Results
NELSON lung cancer screening trial
Conclusion
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