Reasons for hope in the fight against lung cancer

Published: Nov. 13, 2019, 7:57 p.m.

As a lung cancer pulmonologist who sees 5-7 new patients every week, runs a patient-focused clinical research program, and has been helping patients fight lung cancer for more than 25 years, Gerard Silvestri, MD, MS, has a long history with this disease. So when he says, \u201cI have never been in my career so optimistic as I am now,\u201d take note.\n\nIn this interview Dr. Silvestri talks about reasons for optimism in nearly every aspect of lung cancer research, from prevention and screening to new treatments and survivorship.\n\nDr. Silvestri is Professor of Medicine and the George C. and Margaret M. Hillenbrand Endowed Chair at the Medical University of South Carolina. He\u2019s also on the steering committee of the National Lung Cancer Roundtable, a coalition of leading professional, government and non-governmental organizations working to accelerate the nation's efforts to reduce mortality from lung cancer.\n\n2:29 \u2013 On his work in the clinic and the lab: \u201cEvery Tuesday I see between 5 and 7 new patients with lumps and bumps, and my job is to do three things\u2014ask the questions: \u2018What is it?\u2019 (that\u2019s the diagnosis); \u2018Where is it?\u2019 (that\u2019s the stage); and \u2018What can we do about it?\u2019 (those are the treatment options).\u201d\n\n4:21 \u2013 What should people know about lung cancer? After noting that, \u201cmore women will die of lung cancer than all other female cancers combined,\u201d he shared encouraging news about prevention and screening.\n\n6:36 \u2013 On what it means to be a high-risk patient\n\n8:42 \u2013 On where high-risk patients should go for screening, and the importance of returning for follow-up screenings: \u201cThe where is actually really important\u2026you should be in a place that can really care for you.\u201d\n\n12:11 \u2013 On lung cancer in patients who have never smoked\n\n15:09 \u2013 On why he\u2019s never been more optimistic about treatment breakthroughs\n\n20:04 \u2013 On the work of the National Lung Cancer Roundtable\n\n23:30 \u2013 On three aspects of the Roundtable\u2019s work that are particularly exciting\n\n27:51 \u2013 A message he\u2019d like to share with cancer patients and caregivers