Original Investigation

Significant Incidental Findings in the National Lung Screening Trial and Diagnosis of Extrapulmonary Cancer

JAMA Network Open 10.1001/jamanetworkopen.2026.3398

March 31, 2026 at 11:00 AM EDT

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What was the association between significant incidental findings (SIFs) detected on low-dose computed tomography screening examinations in the National Lung Screening Trial and extrapulmonary cancer diagnoses?In this cohort study of 26 445 participants, those in whom a cancer-associated SIF was detected had a higher risk of cancer diagnosis in the year following the screening examination than participants with no cancer-associated SIF.These findings suggest that certain SIFs should be evaluated as potential indicators of undiagnosed cancers.

Corresponding Author: Ilana F. Gareen, PhD, Center for Statistical Sciences, Brown University, Box G-S121-7, Providence, RI 02912 (ilana_gareen@brown.edu).

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