Enhancing the earlier detection of lung cancer:

This report explores approaches to optimising the management of incidental pulmonary nodules (IPNs) through three core stages: detection, tracking and follow-up. It proposes recommendations for policymakers to ensure IPN management pathways maximise the opportunity to detect lung cancer earlier and are reflective of individual health systems, contexts and resources.

While targeted screening programmes using low-dose computed tomography are the most effective method for earlier detection, they alone are not enough to tackle the global magnitude of lung cancer – and such programmes may not yet be feasible in all health systems. Effective IPN management offers a unique opportunity to detect lung cancer earlier when survival rates are highest, and in populations who are ineligible for screening.

This work has been created through an extensive review of existing literature and consultations with a wide variety of global experts and Network members. Recommendations for policymakers include designing guidelines for management, implementing standardised radiology reports, and providing multidisciplinary care.

Through this report, we aim to provide key actions for national decision-makers to take to optimally manage IPNs, thus detecting lung cancer earlier and improving survival.