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. 2022 Oct 18;48(5):e20220146. doi: 10.36416/1806-3756/e20220146

Table 3. Description of 15 cases of primary lung cancer confirmed after positive screening.

Sex, Age (years) Lung-RADS Histology TNM Staging Treatment
Positive screening (first round)
Female, 59 4X Adenocarcinoma cT3 cN3 M1c IVB Chemotherapy
Female, 72 4A Adenocarcinoma pT1pN0M0 IA Surgery
Female, 64 4A Adenocarcinoma pT1cN0M0 IA3 Surgery
Male, 63 4X Adenocarcinoma cT1b cN0 M0 IA2 Radiotherapy, curative intent (VMAT)
Female, 58a 4A Adenocarcinoma T1aN2M1c IVB Palliative radiotherapy
Female, 78 4B Adenocarcinoma cT1b cN0 M0 IA2 Surgery
Female, 61 4X Small cell carcinoma - Extensive disease ? (oncology evaluation outside the screening center)
Female, 74 4B Poorly differentiated carcinoma (probable squamous cell carcinoma) cT3 CN3 M1b IVA Chemotherapy + targeted therapy (research protocol)
Female, 63 4B Adenocarcinoma pT3pN0M0 IIB Surgery
Male, 77 4B Adenocarcinoma cT2aN0M0 IB Initially refused treatment. Subsequent treatment outside the center.
Female, 55 4B Adenocarcinoma pT2aN0M0 IB Surgery
Positive screening (second round)
Male, 71 4B Adenocarcinoma pT1b pN0 M0 IA2 Surgery
Female, 55b 4X Adenocarcinoma T3N3M1a IVA ? (oncology evaluation outside the screening center)
Male, 60 4A Adenocarcinoma pT2apN0M0 IB Surgery
Female, 56 4B Adenocarcinoma T2 cN2 M1c IV Chemotherapy

Lung-RADS: Lung CT Screening Reporting and Data System score; and VMAT: volumetric modulated arc therapy. aDiagnosis/staging delayed for 13 months. bDelay between control CT and further investigation (suggestion, 6 months; completion, 22 months). Note: One case of breast cancer metastasis was not included in this analysis.