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Primary care radiography in the early diagnosis of lung cancer

By Trevor K. Rogers

Abstract

Finding an abnormality on a plain chest radiograph is usually the first definite evidence of a lung cancer, so this investigation is currently pivotal in the diagnosis of the disease. Although the National Institute for Clinical Excellence (NICE) has produced guidance on when a chest radiograph should be done for putative lung cancer presentations, cancer will usually be only one of a number of possible diagnoses, so this is somewhat artificial. Neither is there any evidence that obtaining a chest radiograph for these features leads to an improved outcome. Another major concern is the poor public awareness of the symptoms for which a chest radiograph is recommended. This article discusses the role of the chest radiograph in the early diagnosis of lung cancer with particular emphasis on the limited value of a single negative result and on the potential implications of interventions to increase the number of chest radiographs done in primary care

Topics: Original Article
Publisher: e-Med
OAI identifier: oai:pubmedcentral.nih.gov:2842172
Provided by: PubMed Central
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