Role of active screening in the diagnosis and treatment of early lung cancer and suggestions for health management
10.3760/cma.j.cn115624-20221209-00894
- VernacularTitle:主动筛查在早期肺癌诊治中的作用及健康管理建议
- Author:
Zeng XIONG
1
;
Bingqing LONG
;
Shaohui LIU
;
Shulin LIU
;
Yuanda CHENG
;
Bihan OUYANG
;
Baoxiang WANG
;
Xuewei ZHANG
;
Weihua LIAO
Author Information
1. 中南大学湘雅医院放射科，长沙 410008
- Keywords:
Lung neoplasm;
Pulmonary nodule;
Screening;
Epidemiology;
Pathological type;
Radiology;
Health management
- From:
Chinese Journal of Health Management
2023;17(3):188-193
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the role of active screening in the diagnosis and treatment of early lung cancer, and give health management recommendations.Methods:A retrospective study was conducted to collect lung cancer patients who had complete population sociology, clinical information, pathology and imaging characteristics in the Thoracic Surgery in Xiangya Hospital of Central South University from 2016 to 2019. According to different diagnostic modes, they were divided into an active screening group (1082 cases) and a passive case finding group (974 cases), to analyze their differences in demographic sociological, clinical information, pathology and imaging characteristics, and to discuss the key points of population management in the active screening group.Results:From 2016 to 2019, the proportion of lung cancer patients in the active screening group increased from 36.1% to 54.2%, and the proportion of patients found to have lung cancer by CT examination in the active screening group increased from 82.2% to 96.8%. Compared with the passive case finding group, the active screening group had a higher proportion of women, non-smokers, patients with precursor glandular lesions and adenocarcinoma, patients in stage 0 and stage I, patients with lesion diameter (d)≤1 cm and 1
