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The challenge of early detection in cancer

Pashayan, N; Pharoah, PDP; (2020) The challenge of early detection in cancer. Science , 368 (6491) pp. 589-590. 10.1126/science.aaz2078. Green open access

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Abstract

The chances of survival for a patient with cancer are substantially improved if the disease is diagnosed and treated at an early clinical stage (1). This underpins the promise of early detection to improve prognosis. Longer survival time may reflect later death, but it may also reflect advancement of time of diagnosis or increased diagnosis of indolent tumors with no shift in time of death (2). Despite several decades of research, only a handful of early detection tests have been shown to reduce cancer-specific mortality. This benefit comes at a cost: the diagnosis and treatment of cancers that otherwise never would have been diagnosed in the lifetime of the patient. Further research is needed to improve cancer early detection methods, but fundamental issues surrounding tumor growth dynamics and the timing of metastasis make early detection challenging.

Type: Article
Title: The challenge of early detection in cancer
Open access status: An open access version is available from UCL Discovery
DOI: 10.1126/science.aaz2078
Publisher version: http://dx.doi.org/10.1126/science.aaz2078
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Applied Health Research
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10101321
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