Table 2.
Investigations rates, and stage, histology and treatments from the baseline LDCT scan
Number in total cohort (% of total lung cancers, n=36 (*except treatments) |
Number among those without a diagnosis of lung cancer (% of total participants without lung cancer, n=732) |
|
Diagnostic or staging investigations | ||
Positron emission tomography (PET) | 49 (136) | 16 (2.2) |
Percutaneous non-lung biopsy | 5 (13.9) | 0 (0) |
Other percutaneous biopsy | 6 (16.7) | 1 (0.1) |
Cervical lymph node FNA | 2 (5.6) | 0 (0) |
Fibreoptic bronchoscopy | 12 (33.3) | 9 (1.2) |
Endobronchial ultrasound | 10 (27.8) | 1 (0.1) |
Endoscopic ultrasound | 1 (2.8) | 0 (0) |
VATS or open lung biopsy | 21 (58.3) | 2 (0.3) |
Total: PET or invasive procedures | 29 (4.0) | |
Histology | ||
Invasive adenocarcinoma | 16 (44.4) | |
Minimally invasive adenocarcinoma | 3 (8.3) | |
Adenocarcinoma in situ | 1 (2.8) | |
Squamous cell carcinoma | 6 (16.7) | |
Mixed NSCLC (ie, adenosquamous) | 2 (5.6) | |
Small cell lung cancer | 2 (5.6) | |
Multiple or mixed histology (small cell + NSCLC) | 3 (8.3) | |
Radiological diagnosis | 2 (5.6) | |
Carcinoid | 1 (2.8) | |
Stage (TNM 7th edition) | ||
Stage I & II | 26 (72.2) | |
Ia | 22 (61.1) | |
Ib | 1 (2.8) | |
IIa | 3 (8.3) | |
IIb | 0 (0) | |
IIIa | 6 (16.7) | |
IIIb | 1 (2.8) | |
IV | 3 (8.3) | |
Treatments (NSCLC) (*% are of total NSCLC) | ||
Curative intent | 27 (79.4) | |
Sub-lobar resection | 11 (32.4) | |
Lobectomy | 15 (44.1) | |
SABR | 1 (2.9) | |
Concurrent chemoradiation | 2 (5.9) | |
Palliative chemotherapy±radiation | 4 (11.8) | |
Surveillance | 1 (2.9) | |
Treatments (SCLC) (*% are of total SCLC) | ||
Radical chemoradiation | 2 (100) |
CT, CT scan; DNA, did not attend; FNA, fine needle aspiration; GCSE, General Certificate of Secondary Education; LDCT, low-dose CT; LHC, lung health check; MDT, multidisciplinary team; NSCLC, non-small cell lung cancer; SABR, stereotactic ablative radiotherapy; SCLC, small cell lung cancer; TNM, tumour, node, metastases; UKLS, United Kingdom Lung Cancer Screening Trial; USPSTF, United States Preventive Services Task Force; VATS, video assisted thorascopic surgery.