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Bone scanning in lung cancer: Evidence is not sufficient to justify routine bone scanning

BMJ 2004; 329 doi: https://doi.org/10.1136/bmj.329.7459.230-d (Published 22 July 2004) Cite this as: BMJ 2004;329:230
  1. Rachel E Benamore (rachelbenamore@doctors.org.uk), specialist registrar radiology,
  2. James J Entwisle, consultant radiologist,
  3. Mick D Peake, consultant chest physician
  1. Department of Radiology, Glenfield Hospital, University Hospitals of Leicester NHS Trust, Leicester LE3 9QP
  2. Department of Radiology, Glenfield Hospital, University Hospitals of Leicester NHS Trust, Leicester LE3 9QP
  3. Department of Respiratory Medicine, Glenfield Hospital

    EDITOR—Hetzel et al claim that patients with lung cancer may be undergoing “futile” surgery owing to incomplete preoperative staging.1 Their high incidence of bone metastases may be explained by the unusually high proportion of small cell lung cancer (30%). For potentially resectable early stage tumours, metastases are unlikely without clinical signs.2 Were …

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