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ARTICLE |

Bronchogenic Carcinoma Stages III and IV

Philip Rubin, MD
JAMA. 1966;196(10):847. doi:10.1001/jama.1966.03100230091023.
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ABSTRACT

The appalling results of treatment in lung cancer must be translated into the suffering of 43,568 individuals each year who will be dying due to the ravages of locally uncontrolled or extensively disseminated lung cancer. Approximately 80% of these patients will suffer and die within the first year and the average survival will be six to nine months following the date of diagnosis.

Palliation is a major problem and the management of advanced lung cancer patients has caused much debate among practitioners. The attitude ranges from aggressive treatment by some surgeons and radiotherapists to therapeutic nihilism and a policy of judicious neglect. This may depend on whether the clinician's definition of palliation is limited to relieving distressful symptoms and increasing comfort, as opposed to the hope of adding to survival and avoiding impending complications.

To answer this difficult question, one needs experience, judgment, compassion, and an intimate knowledge of the

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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