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In Niigata Prefecture, mass screening programs were performed in 47 out of 122\u3000districts in 1985. From 1983 to 1985, 53 cases of lung cancer were detected by mass screening fluorography intended for early detection of pulmonary tuberculosis in Niigata city. The incidence was 48 per 100,000. From the analysis of our data, it was concluded that double reading of X-ray films and comparison with previous ones were very important. 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