Author of

• 31322

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  P2.11 - Screening and Early Detection (ID 178)

  • Event: WCLC 2019
  • Type: Poster Viewing in the Exhibit Hall
  • Track: Screening and Early Detection
  • Presentations: 1
  • Moderators:
  • Coordinates: 9/09/2019, 10:15 - 18:15, Exhibit Hall

  • 32095

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    P2.11-45 - Economical Screening for Lung Cancer in a Developing Country - 5 Years Experience  (ID 1920)

    10:15 - 18:15  |  Presenting Author(s): Shanmugam Not given Sankarkumaru
    • Abstract

    Background
    

    In India where the tobacco use in the form of smoking like cigarettes,Beedi and cigars is highly prevalent and to screen for lung cancer earlier is essential and should be economical considering the less healthcare funds.Hence this study.

    Method
    

    Patients attending the General Medicine department for the past five years from 2014 to 2018 with the history of smoking of any type,of duration of more than ten years and cough for more than ten days duration were enlisted for this screening for lung cancer. Passive smokers like wives of the husbands who smoke were also considered for screening.The duration of smoking ranges from 12 years to 25 years and the mean duration was 18 years. The duration of cough ranges from 11 days to 20 days and the mean duration was 15 days.The tests are easily available and affordable.Totally 100 patients were screened.Ninety males and ten females were included in the study. The age ranges from 35 years to 60 years and the mean age was 52 years.The investigations conducted were X- ray chest PA view as a first line of screening. If shadows were found suspicious of possible malignancy in the imaging,the blood investigations ESR,Hb and LDH total were estimated for every patient listed for study. The increase in ESR more than 50 mm per hour,Hb ,less than 10 Gms and the total LDH more than 500 units per litre (normal being upto 350 units per litre) were the screening criteria.When all the three criteria of blood fulfilled or two,then CT Scan chest was ordered.Out of 100 patients screened,24 males and 2 females underwent CT Scan.CT Scan showing possible malignant lesions were subjected to CT guided biopsy of the lesion and reported about the malignancy and types.

    Result
    

    Out of 100 patients,24 males and 2 females undergone CT Scan Chest. Biopsy has been taken in all the above patients by CT guidance.15 males and 1 female were reported as malignancy. The statistical significance cannot be applied because of the non availability of control patients.The details of the types and grading will be presented.All were referred for further management to Oncology centres.

    Conclusion
    

    When suspecting lung cancer in a smoker or passive smoker,following the already described investigations which are economical before going for CT Scan and guided biopsy,will be economical for developing countries like India because of the less availability of funds.This study highlights the economical method of screening for Lung Cancer especially in developing countries.