Because lung cancer has a high incidence and mortality rate, it would be and ideal disease for which to screen. This is particularly important because the prognosis for lung cancer correlates inversely with disease stage. The five-year survival rate for patients with stage I non-small cell lung cancer is 50 percent with treatment, while the five-year survival rate for all stages of lung cancer combined is only 15 percent (29). There is considerable research interest in identifying a screening test for lung cancer. Several screening modalities have been evaluated in large-scale trials, including chest radiograph, sputum cytology, and helical chest computer assisted tomography scan (CT). To date, none of these screening methods have been shown to have any mortality benefit, even in high risk populations such as elderly smokers (31). Therefore there are no recommended screening tests for carcinoma of the lung and bronchus at the present time.  

Comprehensive Cancer Control Plan

The Cherokee Nation Comprehensive Cancer Control (CNCCC) Project assists in the development of networks and collaboration that produce an infrastructure for a comprehensive approach to cancer within the Cherokee Nation. Since 2003, coalition members and partners have come together to discuss the burden of cancer in Cherokee Nation. Coalition members and partners include local, regional, state and national representatives committed to identifying areas of cancer concern, planning interventions, prioritizing greatest areas of identified need, and then implementing identified strategies and/or providing needed resources. This is the second edition of the Cherokee Nation Comprehensive Cancer Control Plan and will serve, like the first, as an information resource for health care professionals and community members, as well as a tool for the Cherokee Nation Comprehensive Cancer Control Coalition and its respective entities. The coalition is committed to the process of enhancing infrastructure for comprehensive cancer control in the Cherokee Nation with the ultimate goal of reducing morbidity and mortality among the Cherokee community.