Lung cancer is a major cause of death in the United States and the world. Paradoxically, it is one of the most preventable and least curable cancers. The 5-year survival rate for all patients with lung cancer in the United States in 1987 was 13%, an improvement over the 8% five-year survival rate in 1963.1 Mortality rates, however, have not changed significantly during the past two decades (Table 87.1). Important genetic and biologic research concerning early diagnostic biomarkers and new therapeutic approaches are under way. The key concept for the family physician is prevention. This chapter discusses an approach to the management of lung cancer through the three levels of prevention and the critical role the family physician plays in each.
KeywordsLung Cancer Small Cell Lung Cancer Family Physician Small Cell Carcinoma Asbestos Exposure
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