Lung cancer: the fight is being screened

Lung cancer: the fight is being screened


Unusual fatigue tougher than usual. Lawrence make exams. The result falls, suffering from bronchial cancer in an advanced stage. The announcement is experienced as“earthquake”. Then the long months of treatment begin for him. “violent and hard to bear “. At age 65, Laurent, of an optimistic nature, has a strong desire for life. Today’s borrowed time, this “miraculously “As he says, he regrets having it.”

“I’ve been smoking for over thirty years. I was stupid not to listen to precautionary reports.” Iliès Bouabdallah, head of the thoracic surgery department at Saint-Joseph Hospital in Marseille, is not surprised.“The people I operate have almost the same story. Examination for suspected other pathologies or even two years at Covid.” “In his office, he takes one last look at 3D images of the lungs of a patient he is about to have surgery on.

“We happened to find a suspicious site on it. The prognosis of this disease is linked to the stage of diagnosis. If the cancer is located only in the lungs, 90% survival is 5 years. On the other hand, if there is already metastasis, survival is catastrophic. Less than 10 Nevertheless, it is extremely rare to detect lung cancer at an early stage because there are no symptoms. “ With 33,000 deaths (1.5 million worldwide) per 46,000 new cases per year in France, lung cancer is one of the most common and deadly. “It’s almost the equivalent of Covid every year,lamenting specialist. Unavoidable tragedies because in 80% of cases smokers or ex-smokers are behind the disease

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1000 smokers tested

Lung cancer detection has become a matter of course for the surgeon. Also when last February, the High Health Authority (HAS) gave the green light to conduct real experiments to screen this cancer in smokers, Dr. Bouabdallah, accompanied by Arnaud Boyer, an oncopneumologist, quickly stood up to run the program at Saint-Joseph Hospital. It should start next fall.

“The challenge of this screening is to increase the number of potentially curable patients by 15 to 60%. We believe this because other countries such as the United States, China or England are already practicing it with promising results.” The € 200,000 study by the Cancer League and the Saint-Joseph Hospital Foundation focuses on smokers aged 50 to 80.

“who smoked more than 15 packs / year. They will be able to use a low-dose scanner, that is, with very little radiation.” All people (hospital patients, carers, staff and external visitors) will be able to log in to this system. Terminals will be installed at Saint-Joseph Hospital to determine if they are eligible. Thereafter, 1,000 patients will be selected to participate in this individualized prescription lung cancer screen for CT for six years. “Upon entering the program, a year later and every two years thereafter. In the same way as a mammogram is performed for breast cancer screening. The main goal is to focus on the correct population to be examined and the periodicity.” This monitoring will be linked to the smoking cessation program offered to patients by tobacco medical specialists, but is not mandatory.

“By quitting smoking before the age of 50, the risk is shared by 50%. After the age of 60, the probability of declaring the disease is reduced by 15%.”

World No Tobacco Day has been held annually worldwide on May 31, 1987. It focuses on the health risks of tobacco and the WHO-led anti-tobacco action.

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