Question

A 60-year-old current smoker with a 35 pack-year history asks about lung cancer screening. He quit for 10 years in the past but resumed 2 years ago. What should you recommend?

Accepted Answer

Annual low-dose CT ages 50-80 with ≥20 pack-years; stop if quit ≥15 years or health limits treatment

Answer

Annual chest X-ray

Answer

Annual low-dose CT ages 55-80 with ≥30 pack-years

Answer

Sputum cytology annually

Answer

No screening until age 65

Practice question

A 60-year-old current smoker with a 35 pack-year history asks about lung cancer screening. He quit for 10 years in the past but resumed 2 years ago. What should you recommend?