The researchers also estimated survival for clinical Stage IA lung cancers and for resected pathologic stage IA lung cancers measuring 10mm or less in average diameter of length and width on the same CT image. A stage I lung cancer is a very small tumor that has not spread to any lymph nodes.
Lung cancer survival for clinical Stage IA participants was 86%, regardless of consistency. For participants with pathologic Stage IA cancers of 10 mm or less, the 20-year survival rate was 92%.

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The results show that after 20 years, patients diagnosed with lung cancer at an early stage via CT screening have significantly better outcomes. By surgically removing the cancer when it is small enough, patients can be effectively cured in the long term.
The findings demonstrate the importance of routine and early screening.
"Ultimately, anyone interested in being screened needs to know that if they are unfortunate enough to develop lung cancer, that it can be cured if found early," Dr. Henschke said.
The U.S. Preventive Services Task Force recommends annual lung cancer screening with low-dose CT in adults aged 50 to 80 years who have a 20 pack-year smoking history and currently smoke or have quit within the past 15 years.
Co-authors are David F. Yankelevitz, M.D., Daniel M. Libby, James Smith, M.D., Mark Pasmantier, M.D., and Rowena Yip, M.P.H.
RSNA is an association of radiologists, radiation oncologists, medical physicists and related scientists promoting excellence in patient care and health care delivery through education, research and technologic innovation. The Society is based in Oak Brook, Illinois.
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