In 2013, Dr. West wrote that for stage I BAC, he "does a scan every 6 months out to 3 or 4 years post-surgery, then switches to an annual scan."
What does Dr. West recommend for f/u CT scans after year 5 in stage 1 BAC patients with NED? Does Dr. West recommend that the scans be continued annually after year 5? Can low dose CT scans be used in this setting?
I am stage 1 BAC with NED at nearly year 4! I’ve had one recommendation to stop all Lung CT scans after year 5. Perhaps I am missing something but this does not make sense to me since BAC can be such a slow growing tumor and I've recently had an acquaintance that developed a second BAC at year 13 (she was getting yearly CT's)
Reply # - November 2, 2015, 11:08 AM
CONGRATULATIONS ds on being
CONGRATULATIONS ds on being NED for 4 years! I hope that lasts forever!
From the cdc, "Lung Cancer Screening Guidelines and
Recommendations... 2. Long-term lung cancer survivors who have completed 4
years of surveillance without recurrence and who can
tolerate lung cancer treatment following screening to detect
second primary lung cancer until the age of 79." http://www.cdc.gov/cancer/lung/pdf/guidelines.pdf
All best,
Janine
Reply # - November 2, 2015, 11:35 AM
Thanks Janine. What about the
Thanks Janine. What about the use of low dose CT scans for surveillance after 5 years?
Reply # - November 2, 2015, 11:44 AM
Just read the footnote to the
Just read the footnote to the American Academy Association of Thoracic Surgery recommendations for surveillance and I see that they do recommend low dose CT.
Just found a new article by them on the subject -https://www.thoracic.org/statements/resources/lcod/LungCA_screen_st.pdf
Reply # - November 3, 2015, 02:41 PM
Good sleuthing ds. I
Good sleuthing ds. I mistakenly deleted that from my post. Here is a blog post from Dr. West, http://cancergrace.org/lung/2013/07/22/who-should-have-lung-cancer-scre…
Best of luck!
Janine
Reply # - November 3, 2015, 02:50 PM
and another, http:/
and another, http://cancergrace.org/lung/2012/01/28/pinpoint-molec-assay-lancet-201/