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Open AccessCase Report

Lung Cancer Screening in Patients with COPD—A Case Report

1
Department of Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA
2
Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA
3
Division of Pulmonary and Critical Care Medicine, Baltimore VA Medical Health Center, Baltimore, MD 21201, USA
*
Author to whom correspondence should be addressed.
Medicina 2019, 55(7), 364; https://doi.org/10.3390/medicina55070364
Received: 11 June 2019 / Revised: 28 June 2019 / Accepted: 8 July 2019 / Published: 11 July 2019
(This article belongs to the Special Issue Case-Based Reviews in COPD)
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PDF [251 KB, uploaded 11 July 2019]
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Abstract

We present two cases demonstrating the nuances that must be considered when determining if a patient could benefit from low dose computed tomography (LDCT) lung cancer screening. Our case report discusses the available literature, where it exists, on lung cancer screening with special attention to the impact of chronic obstructive pulmonary disease (COPD), and poor functional status. Patients with COPD and concurrent smoking history are at higher risk of lung cancer and may therefore benefit from lung cancer screening. However, this population is at increased risk for complications related to biopsies and lobar resections. Appropriate interventions other than surgical resection exist for COPD patients with poor pulmonary reserve. Risks and benefits of lung cancer screening are unique to each patient and require shared decision-making. View Full-Text
Keywords: lung cancer screening; COPD; lung nodule; low dose computed tomography lung cancer screening; COPD; lung nodule; low dose computed tomography
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Amirahmadi, R., M.D.; Kumar, A.J., M.D.; Cowan, M., M.D.; Deepak, J., M.B.B.S., FACP. Lung Cancer Screening in Patients with COPD—A Case Report. Medicina 2019, 55, 364.

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