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DETECCION TEMPRANA DEL CANCER DE PULMON

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Los resultados de los actuales programas de cribado del cáncer de pulmón por tomografía computarizada helicoidal con baja dosis de radiación demuestran que mediante esta técnica se pueden detectar tumores en estadios tempranos manteniendo en un mínimo el número de procedimientos invasivos realizados sobre lesiones histológicamente benignas.
bastarrikaaleman9.jpg Autor:
Gorka Bastarrika alemañ
Columnista Experto de SIIC

Institución:
Servicio de Radiología, Clínica Universitaria, Universidad de Navarra

Artículos publicados por Gorka Bastarrika alemañ
Recepción del artículo
3 de Enero, 2006 		Primera edición
28 de Abril, 2006 		Segunda edición, ampliada y corregida
7 de Junio, 2021

DETECCION TEMPRANA DEL CANCER DE PULMON

Resumen
El cáncer de pulmón es la neoplasia con mayor índice de mortalidad en todo el mundo. Los programas de detección temprana de cáncer de pulmón que se realizaron en la década del ’70 empleando radiografía simple de tórax y citología de esputo no demostraron una reducción significativa de la mortalidad específica por esta enfermedad. Los avances tecnológicos (tomografía computarizada helicoidal de baja dosis de radiación) han hecho resurgir el interés por los programas de dertección sistemática y los resultados obtenidos hasta la fecha son esperanzadores: en fumadores asintomáticos esta técnica permite detectar una proporción alta de tumores resecables en estadio temprano. Sin embargo, es necesario que se desarrollen programas bien diseñados, basados en la colaboración multidisciplinaria, antes de recomendar el cribado del cáncer de pulmón mediante tomografía computarizada torácica de baja dosis de radiación a la población general.

Palabras clave
cribado, cáncer de pulmón, tomografía computarizada (TC), detección temprana


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EARLY DETECTION OF LUNG CANCER: RADIOLOGIC PERSPECTIVE

Abstract
Lung cancer is the most lethal malignant neoplasm worldwide. Screening programs using sputum cytology and chest radiography that have been carried out along these past decades have failed to demonstrate any reduction of the mortality rate due to lung cancer. Nowadays, advances in new forms of technology (low-dose CT) have resuscitated the expectant interest in screening programs. This technique has been shown to have a higher sensitivity for small pulmonary nodules, which is the most common presentation of early lung cancer. Preliminary results of early lung cancer detection programs based on low-dose CT are promising: a high proportion of early non-symptomatic, resectable cancers has been demonstrated in asymptomatic smokers. Nevertheless, well-designed, collaborative studies are needed before obtaining definitive conclusions and making general recommendations to screen individuals at high risk.

Key words
Cancer screening, Computed tomography-CT, Lung neoplasms, CT, Lung neoplasms, diagnosis

Clasificación en siicsalud
Artículos originales > Expertos de Iberoamérica >
página   www.siicsalud.com/des/expertocompleto.php/

Especialidades
Principal: Oncología
Relacionadas: Bioquímica, Diagnóstico por Laboratorio, Neumonología



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Enviar correspondencia a:
Gorka Bastarrika Alemañ, Servicio de Radiología, Clínica Universitaria, Universidad de Navarra, 31008, Avenida Pío XII 36, Pamplona, España
Patrocinio y reconocimiento:
A los profesionales que trabajan en el programa de detección precoz de cáncer de pulmón de la Universidad de Navarra.
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