A member asked:

Is chest xr best test for how you dealing with lung cancer?

18 doctors weighed in across 5 answers

NO.: A cat scan of the thorax is the best tool to identify small lung nodules. The diagnosis of cancer is made by a pathologist upon microscopic examination. As far as needle biopsy of a lung nodule is concerned, unless the biopsy is read as a cancer, a negative needle biopsy for cancer in a lung nodule does not rule out a lung cancer. Therefore a larger amount of tissue is often needed to establish dx.

Answered 2/9/2013

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No: A ct scan of the chest is the usual test that is done to determine the progression or regression of the cancer based on a measurement of the size of the cancer. These measurements are best done using ct scan images.

Answered 3/19/2012

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No: Cxr is not very sensitive. The best test for screening is low dose ct scan. Best staging tests are ct scan and pet scan.

Answered 7/2/2013

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Dr. Loki Skylizard answered

Specializes in Thoracic Surgery

No: Agree with dr. Cooke and others, chest x-ray is not very sensitive. Best choice for lung cancer screening in appropriate candidates is low dose ct scan. For best clinical staging, a combination of ct scan and pet scan and mediastinal node sampling (i.e. Bronchoscopic or medianstinoscopy). Surveillance during or after therapy is protocol driven with use of ct scans; other modalities if indicated.

Answered 12/10/2013

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Dr. Loki Skylizard answered

Specializes in Thoracic Surgery

CT scan: There are now recommendations for lung cancer screening. However, screening should only be used in appropriate candidates. http://goo.gl/oqvsp.

Answered 12/10/2013

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