Background and purpose: As one of the most fatal malignant tumors in China

the morbidity and mortality of lung cancer remain high. Early diagnosis and normative treatment is the key to improve the prognosis of lung cancer. The aim of this study was to explore the practice of early lung cancer screening with low-dose spiral computed tomography (CT) based on the current situation in community health service

with integration of superior resources of medical institutions at all levels in Shanghai. Methods: From Aug. 2013 to Aug. 2014

we screened high-risk population in selected communities of Minhang District

Shanghai

for early diagnosis of lung cancer with low-dose spiral CT combined with multidisciplinary comprehensive treatment models in

cluding minimally invasive surgery

exploring the medical service network covering prevention

diagnosis

treatment

rehabilitation and follow-up. Results: Screening population is 11 332 (male 7 144

female 4 188); Twenty-nine cases with pathological diagnosis of malignant tumor

including 27 cases of primary lung cancer

1 case of lung metastasis

1 case of breast cancer. The morbidity of primary lung cancer is 238.26×10

-5

. There were 22 cases of Stage 0-Ⅰ lung cancer accounting for 81.48% of all diagnosed primary lung cancer. Conclusion: Based on community health service

screening with low-dose spiral CT could improve the early diagnosis rate of lung cancer with feasibility and validity

which could be applicable in qualified eligible medical center and community in China.