Cardiothoracic Surgery: Lung Cancer Screening

General Screening

Screening

  • Modality: Annual Low-Dose CT
  • *Canadian Task Force on the Periodic Health Examination Recommends Screening for 3 Consecutive Years

General Indications

  • Age 55-79
  • ≥ 20-30 Pack-Year History of Smoking
  • Current Tobacco Use or Quit Within the Last 15 Years

Society Recommendations

Society Indications

  Age Smoking History Additional Requirement
American Association of Thoracic Surgery 55-79 ≥ 30 Pack-Years Tobacco Use Within 15 Years
50-79 ≥ 20 Pack-Years Cumulative Risk > 5% Over Next 5 Years
American Cancer Society 55-74 ≥ 30 Pack-Years Tobacco Use Within 15 Years
American College of Chest Physicians 55-77 ≥ 30 Pack-Years Tobacco Use Within 15 Years
American Society of Clinical Oncology 55-74 ≥ 30 Pack-Years Tobacco Use Within 15 Years
Canadian Task Force on the Periodic Health Examination 55-74 ≥ 30 Pack-Years Tobacco Use Within 15 Years
National Comprehensive Cancer Network (NCCN) 55-74 ≥ 30 Pack-Years Tobacco Use Within 15 Years
≥ 50 ≥ 20 Pack-Years One Additional Risk Factor
US Preventative Services Task Force (USPSTF) 50-80 ≥ 20 Pack-Years Tobacco Use Within 15 Years