Lung cancer remains the deadliest cancer in Oregon and nationally, causing nearly 30 percent of all cancer deaths. In this issue of the CD Summary, we review the epidemiology of lung cancer in Oregon, touch briefly on the status of screening guidelines for this condition and review what clinicians can do to tackle this disease. THE NUMBERS In 2005, 2,594 new cases of lung cancer were reported to the Oregon state cancer registry. During the same time period, 2,097 Oregonians died of lung cancer, for a mortality-to-incidence ratio of 0.81. The median age at diagnosis was 70 years, and the median age at death was 71. The age-adjusted incidence rate in 2005 was 68.1 new cancers per 100,000 Oregonians, putting the state slightly above the national average (67.4). While rates remain higher among men, this excess is driven by lung cancers among Oregon women, whose age-adjusted incidence rate, 60.3 per 100,000, is well above the national average for females (54.2), ranking the state 12th overall. By contrast, lung cancer incidence for Oregon males (79.1) is actually below the national average for men (85.3) and ranks 30th among the 50 states
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