Review Article
Volume 10 Issue 2 - 2021
Lung Cancer Screening with a Background of Pulmonary TB in India: A Long Way to Go
Abhishek Shankar1*, Deepak Saini2, Shubham Roy3, Pritanjali Singh4, Durre Aden5, Dhiraj Bhandari6 and Sachidanand Jee Bharati7
1Department of Radiation Oncology, Lady Hardinge Medical College and Associated Hospitals, Delhi, India
2Cancer Control and Prevention Division, Indian Society of Clinical Oncology, Delhi, India
3Ummeed Child Development Center, Mumbai, In
4Department of Radiation Oncology, All India Institute of Medical Sciences, Patna, India
5Department of Pathology, ABVIMS and Dr RML Hospital, Delhi, India
6Department of Anaesthesia, Mahatma Gandhi Institute of Medical Sciences, Sewagram, Wardha, India
7Department of Onco-anaesthesia and Palliative Medicine, Dr BR Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, Delhi, India
*Corresponding Author: Abhishek Shankar, Department of Radiation Oncology, Lady Hardinge Medical College and Associated Hospitals, Delhi, India.
Received: December 23, 2020; Published: January 25, 2021


India is recording a growing burden of lung cancer with associated deaths continue to be high. The nature of lung cancer is aggressive and heterogeneous and most of the cases are detected at advanced stage, thus there is low survival. Similarity of presenting symptoms and radiological similarity in case of lung cancer and tuberculosis, high incidence of tuberculosis, under-diagnosis and misdiagnosis on part of clinician, lack of information of latest technique to detect lung cancer among clinician, high cost and unavailability of high end diagnostic instruments make lung cancer detection difficult. Early detection of lung cancer may be beneficial in reducing the mortality. LDCT has found more effective in detecting lung nodules than simple chest radiograph in various studies. Yet, the one of the biggest hurdle is the cost effectiveness which will pose a high economic burden to any country who will implement the universal lung cancer screening program, apart from false positive finding and over diagnosis. Lung cancer screening should be a priority at national and local level in India. Implementation of screening for high risk individuals with aggressive awareness program can be beneficial and may save more lives.

Keywords: Lung Cancer; Tuberculosis; LDCT; Screening; Smoking


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Citation: Abhishek Shankar., et al. “Lung Cancer Screening with a Background of Pulmonary TB in India: A Long Way to Go”. EC Pulmonology and Respiratory Medicine 10.2 (2021): 03-07.

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