[The effect of mass chest x-ray on early detection of bronchial cancer].
On 30.6.1983, mass radiographic screening was abandoned despite objections to the effect that it offered the only chance of detecting carcinoma of the lung at an early stage. In a retrospective analysis of our patient material comprising 1.010 patients with bronchial carcinomas seen within the period between 1.1.1980 to 31.12.1986, we investigated the question as to whether these objections might not be justified. Four hundred and thirty-seven patients seen prior to 30.6.1983 were compared with 537 patients examined after this date, on the basis of the following parameters: age - sex - symptomatology - cancer stage - histology - treatment. After stopping mass radiographic screening, an increase in age and symptomatic tumour findings was observed, and thus a shift towards more advanced stages of carcinoma. A relative decrease in the number of squamous cell carcinomas, and a relative increase in the number of adenocarcinomas were observed. All the parameters in the patients identified at mass radiographic screening were comparable with those seen in patients identified incidentally. In comparison with symptomatic patients, those identified by mass radiography screening more frequently presented with earlier tumour stages, and the lesions were more frequently resectable. All in all, over a period of three and one-half years, mass radiographic screening revealed 23.8% of all cancers of the lung, and 36.8% of all resectable lesions. After the abandonment of mass radiographic screening, an increase in more advanced and symptomatic tumours was observed.
Schildge
J
J
Cegla
M
M
Ortlieb
H
H
Schulte-Mönting
J
J
D002283:Carcinoma, Bronchogenic / Q000517:prevention & control*; D002289:Carcinoma, Non-Small-Cell Lung / Q000517:prevention & control; D018288:Carcinoma, Small Cell / Q000517:prevention & control; D005260:Female; D005860:Germany, West; D006801:Humans; D008175:Lung Neoplasms / Q000517:prevention & control*; D008297:Male; D008400:Mass Chest X-Ray; D008875:Middle Aged; D011230:Precancerous Conditions / Q000517:prevention & control*
Der Einfluss der Röntgenreihenuntersuchung auf die Früherkennung des Bronchialkarzinoms.