Clinical Significance of Chest CT Scan for Previous Heavy Smoker

Y. Kato, H. Bando, Y. Kato, K. Ogura, H. Yamashita
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Abstract

The patient is an 83-year-old male, who smoked 20-40 cigarettes daily during 20-75 years and quit after that. In March 2021, he revealed normal chest X-P and was explained to take chest computed tomography (CT) next year. In April 2022, chest X-P was unremarkable, but CT showed a small solid abnormal shadow in the upper left lung region nearby aortic arch and abdominal aortic aneurysm (AAA) in the upper abdomen. Almost lung cancer cases are found in current smokers or ex-smokers. Using CT, lung cancer screening shows a 20-26% decrease in cancer death. Consequently, Low-Dose CT (LDCT) for smokers would be recommended.
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既往重度吸烟者胸部CT扫描的临床意义
患者是一名83岁的男性,在20-75年期间每天吸烟20-40支,之后戒烟。2021年3月,他显示胸部X-P正常,并被解释明年进行胸部计算机断层扫描(CT)。2022年4月,胸部X-P不明显,但CT显示主动脉弓附近的左上肺区有一个小的实体异常阴影,上腹部有腹主动脉瘤(AAA)。几乎所有癌症病例都是在现有吸烟者或戒烟者中发现的。使用CT,癌症筛查显示癌症死亡率下降20-26%。因此,建议吸烟者使用低剂量CT。
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