Where the diagnosis of cancer of the lung is made by bronchoscopy the preferred treatment is surgery for squamous lesions and radiotherapy for anaplastic and oat-cell lesions. In inoperable tumours 8% of patients survive for more than 3 years after a radical course of radiotherapy; some clinical trials aimed at improving this survival rate are described. This lecture deals with the established disease, earlier diagnosis, before spread, would make radical treatment with a possibility of cure possible in more patients but this disease can be prevented to a large degree and this is the obvious method of attack.
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