Consideration of Occupational and Environmental Lung Carcinogen Exposures for Lung Cancer Screening Using Low-Dose Chest CT

摘要

We read with great interest the American College of Chest Physicians’ guidelines for lung cancer screeningsup1/sup and the excellent Point and Counterpoint editorials by Drs Wood and Mazzonesup2-5/sup in CHEST (June 2018) addressing the important issue of how to approach persons at high risk for lung cancer who don’t meet the guidelines’ core criteria for lung cancer screening. In his final rebuttal, Dr Mazzonesup5/sup states that the guidelines “…recommend that the cohort that does not meet our core eligibility criteria, but is at elevated risk for lung cancer based on risk calculators, should not be ‘routinely’ screened.