Lung Cancer: A Growing Concern in Singapore
Lung cancer remains the
most significant cause of cancer-related deaths in Singapore, Lung cancer remains
the most significant cause of cancer-related deaths in Singapore,
surpassing other types like colorectal cancer, which is the top cancer in
terms of diagnosis.
Recent data from the Singapore Cancer Registry paints a stark reality: lung cancer
claims approximately 100 lives monthly. This figure is higher than the deaths caused
by colorectal cancer, the second-biggest killer cancer, which accounts for about 74
deaths per month. Despite colorectal cancer having more diagnoses – 204 cases per
month against 149 for lung cancer – the mortality rate of lung cancer is higher.
This signals a need for more effective strategies in screening for lung cancer in
Singapore, especially those at increased risks.
Late Diagnosis: A Challenge in Lung Cancer Treatment
A critical hurdle in lung cancer management is its late diagnosis. In Singapore, about 75% of lung cancer cases are detected at advanced stages (stages 3 or 4), significantly diminishing the chances of successful treatment. The absence of symptoms in early stages further complicates timely detection, making early diagnosis a rare occurrence.
The Case for Expanded Screening: Insights From Singaporean Experts
Professor Lee Pyng from the National University Hospital (NUH) is championing a paradigm shift in lung cancer screening. Currently focused on long-time heavy smokers, Prof. Lee advocates extending screening to a broader population. This recommendation is supported by findings from the National Cancer Centre Singapore (NCCS) indicating that nearly half of Singapore's lung cancer patients are non-smokers.
Low-Dose Computed Tomography (LDCT): A Game-Changer in Early Detection
The introduction of low-dose computed tomography (LDCT) scans marks a significant advancement in lung cancer screening. Unlike traditional X-rays, LDCT is sensitive enough to detect early-stage cancers and uses a fraction of the radiation of standard CT scans.
Family History and Lung Cancer Risk
A key factor in assessing lung cancer risk is family history. Dr. Gillianne Lai of
the National Cancer Centre Singapore (NCCS) underscores this point by citing a
comprehensive Taiwanese study. This study provides evidence of the efficacy of
screening among individuals with a family history of lung cancer.
The findings from Taiwan are particularly striking: out of 49,508 participants
screened for lung cancer, 531 cases were detected, translating to a detection
rate of 1.1%. More significantly, 85.1% of these cases were
diagnosed at very early stages of the disease. These statistics
highlight the crucial role of early detection in improving the prognosis of
lung cancer patients.
Who Should Consider Lung Cancer Screening?
Early detection of lung cancer can significantly improve treatment outcomes. Given the recent findings and expert recommendations in Singapore, the following groups of people should consider undergoing lung cancer screening:
- Long-time Heavy Smokers: Traditionally, heavy smokers have been the primary focus of lung cancer screenings due to their high risk.
- Non-smokers With a Family History of Lung Cancer: As emerging studies suggest, non-smokers with a family history of lung cancer are also at a considerable risk.
- Individuals Exposed to Second-Hand Smoke: Regular exposure to second-hand smoke is another significant risk factor.
- People With Occupational or Environmental Exposure: Those exposed to certain substances like asbestos, radon, and other carcinogens in their work or living environments should also consider screening.
- Age Factor: Older adults, typically those above the age of 55, are more likely to develop lung cancer, thus screening is often recommended for this age group.
- Individuals With Chronic Respiratory Conditions: Those with a history of chronic respiratory diseases may also be at higher risk.
- Lifestyle Factors: Diet, exercise, and overall health can also influence the risk of lung cancer.
This list is not exhaustive, and it's important for individuals to consult a doctor to better understand their specific risk factors and screening needs.
Lung Cancer Screening in Singapore Cost
| Treatment | Price* |
|---|---|
| Consultation | From $27.25 |
| CT Low Dose Lung | $403.30 |
If you are keen to understand more, please talk to our friendly staff or doctor today.
Where Can I Do Lung Cancer Screening in Singapore?
ATA Medical is conveniently located at two different locations:
- Tanjong Pagar Medical Clinic (Closest MRT: Tanjong Pagar EW15)
- Orchard Clinic (Closest MRT: Orchard Boulevard TE13)
Our Orchard clinic has a one-stop computed tomography (CT) scan facility.
Citations and Statistics were derived from:
https://www.straitstimes.com/singapore/lung-cancer-screening-should-be-extended-to-non-smokers-expert