Question

A 70 year old man with a 45 pack year smoking history quit 10 years ago. He has no respiratory symptoms and no history of lung cancer. He asks whether he should be screened for lung cancer. Which of the following best reflects current recommendations for lung cancer screening in this patient?

Accepted Answer

Order a one time low dose chest CT now and repeat every 5 years

Answer

Do not screen because he quit more than 5 years ago and is asymptomatic

Answer

Order annual low dose chest CT because he is between 50 and 80 with a 20 or more pack year history and quit within 15 years

Answer

Order annual chest radiography and sputum cytology instead of CT

Answer

Defer screening until he develops chronic cough or weight loss

Practice question

A 70 year old man with a 45 pack year smoking history quit 10 years ago. He has no respiratory symptoms and no history of lung cancer. He asks whether he should be screened for lung cancer. Which of the following best reflects current recommendations for lung cancer screening in this patient?