Wilde J
Arch Geschwulstforsch. 1978;48(1):74-88.
Incidence of lung cancer is high in the male population of the German Democratic Republic: 0,005--4,63 per thousand annualy in the age groups 25 years and above. Therefore, efforts to improve early detection are mandatory. Possibilities and effectivity of screening for lung cancer are discussed. Only mass X-ray examination and exfoliative cytology have up to now gained practical importance. Most roentgenological studies performed so far show methodological weaknesses. Based upon recent studies of screening of high risk groups in the USA and in the GDR, it is suggested that this method applied in short intervals may be effective. Cytological screening of risk groups demands high costs and cannot be implemented on a broad base. Ways of optimization of cost-benefit ratio in roentgenological screening are discussed.
在德意志民主共和国的男性人群中,肺癌发病率很高:在25岁及以上年龄组中,每年每千人的发病率为0.005至4.63。因此,必须努力改进早期检测。本文讨论了肺癌筛查的可能性和有效性。到目前为止,只有大规模X线检查和脱落细胞学检查具有实际意义。迄今为止进行的大多数放射学研究都显示出方法上的弱点。根据美国和德意志民主共和国最近对高危人群进行筛查的研究,建议短时间间隔应用这种方法可能有效。对高危人群进行细胞学筛查成本高昂,无法广泛实施。本文讨论了优化放射学筛查成本效益比的方法。