Key Treatment

Smoking causes lung cancer. Never smoking is the most important preventive measure available, but smoking cessation also reduces the risk of all the major histologic types of lung cancer (Khuder, 2001) (SOR: A).

Routine screening of smokers with chest radiograph or sputum cytology does not improve survival. Use of frequent spiral CT suggests increased detection of early-stage cancer and improved mortality in non-small cell cancers (Manser et al., 2003; Gohagan et al., 2005) (SOR: A)

Beta-carotene and vitamin E do not prevent lung cancer and in therapeutic doses might be associated with a slight increase in cancer (Albanes et al., 1995) (SOR: B)

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