Tag Archives: cancer

Illinois law now requires breast density notification

As of January 1, 2014, the state of Illinois will require health facilities that provide mammograms to notify women if they have dense breast in accordance with Senate Bill SB2314.  Illinois is one of at least 28 states that either are working on legislation or have already passed it.  Minor details of breast density legislation differ by state.  For example, Illinois is one of the only three states that currently mandate insurance reimbursement for supplemental screening exams for women with dense breasts. Continue reading

Low dose CT for lung cancer screening @ Centegra

Screening for lung cancer with low-dose CT (LDCT) is available at Centegra Health System!

Lung cancer continues to cause more deaths in the United States among men and women than breast, colorectal and prostate cancers combined

It was reported that in McHenry County, lung cancer is the leading cause of death among men and women ages 45–74 years of age.

The 2011 multicenter National Lung Screening Trial (NLST) demonstrated a 20 percent lung cancer specific mortality benefit in the LDCT screening group.

Centegra began a free LDCT lung cancer screening program for the benefit of your patients and our community in November 2013. To schedule CT lung screening, call 815-334-5566.

List of locations that offer LDCT.

Who should be screened?

  • Patients ages 55 to 74 with a 30 pack-year history of smoking. This includes people who still smoke or have quit within the past 15 years
  • Patients who meet criteria should be screened annually
  • Those who have symptoms of a lung condition at the time of screening, such as a new cough or shortness of breath, are not eligible.
  • If your patient is a candidate our navigator will contact you for an order.

To help you advise your patients, answer their questions and guide their follow-up care, I am enclosing selected articles of importance that have led to the current guidelines as well as a copy of the guidelines from the National Comprehensive Cancer Network (NCCN), which we are using in our program.

As the lung cancer screening process has only recently begun in earnest in this country and with recent endorsement for screening using LDCT by the US Preventative Services Task Force (USPSTF), I expect rapid evolution of guidelines in the near future as various other professional societies publish their opinions.

If you have any questions or comments about the LDCT lung cancer screening program at Centegra, please do not hesitate to contact John J. Guido, MD @ 815-759-4262.

Freedom from smoking classes are offered at several times throughout the year at Centegra Health Bridge Fitness Centers in Crystal Lake and Huntley as well as Centegra Hospital-McHenry. For more information or to register, call 877-CENTEGRA (877-236-8347).

Referral form for Low Dose Ct screening for Lung cancer


Updated Guidelines for the Diagnosis and Management of Lung Cancer

Updated Guidelines for the Diagnosis and Management of Lung Cancer

As lung cancer is the leading cause of cancer related deaths worldwide American College of Chest Physicians have released updated guidelines of the diagnosis and treatment of lung cancer.

These guidelines specifically address:

  • Epidemiology of Lung Cancer
  • Molecular Biology of Lung Cancer
  • Chemoprevention of Lung Cancer
  • Treatment of Tobacco use in Lung Cancer
  • Evaluation of Pulmonary nodules
  • Clinical evaluation of patients with Lung Cancer
  • Establishing a diagnosis of Lung Cancer
  • Physiologic evaluation prior to surgery
  • Stage Classification of Lung Cancer
  • Lung Cancer treatment


Diagnosis and Management of Lung Cancer, 3rd ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines
Frank C. Detterbeck, MD, FCCP; Sandra Zelman Lewis, PhD; Rebecca Diekemper, MPH; Doreen Addrizzo-Harris, MD, FCCP; W. Michael Alberts, MD, MBA, FCCP
Chest. 2013;143(5_suppl):7S–37S. doi:10.1378/chest.12–2377