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2023 North America Conference on Lung Cancer (NACL ...
PP01.061 Vershalee Shukla NACLC23 Abstract
PP01.061 Vershalee Shukla NACLC23 Abstract
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This study examined the use of low-dose lung CT for lung cancer screening among firefighters. The United States Preventive Services Task Force recommends annual lung cancer screening using low-dose CT for adults aged 50-80 years with a smoking history. However, there are currently no specific guidelines for firefighters. The study conducted a retrospective review of firefighters aged 40 and above who received low-dose lung CT as part of FEMA Assistance for Firefighters Grant funding.<br /><br />During a three-year period, 635 firefighters received funding for low-dose lung cancer screening, and 97.5% of them received the screening. The average age of the firefighters was 49 years, with an average of 21 years of service. The majority (94%) were male. A total of 254 lung nodules were identified, with 5.91% of them being 8mm in size. The classification of the lung lesions varied from LungRads 1 (62.5%) to LungRads 4 (1.8%), indicating different levels of concern. One firefighter was diagnosed with mediastinal seminoma, and five thyroid nodules requiring further investigation were found, resulting in two thyroid cancer diagnoses. One firefighter was also diagnosed with non-Hodgkin's lymphoma.<br /><br />The study concludes that low-dose lung CT is a valuable screening tool for firefighters, who often require earlier screening due to their increased risk of lung cancer. Access to funding for cancer screening, including federal grants, is essential in ensuring firefighters can access these screenings for early detection. The study recommends the development of guidelines specifically tailored to firefighters and further research on occupational exposures to carcinogens and their impact on cancer pathophysiology.
Keywords
low-dose lung CT
lung cancer screening
firefighters
United States Preventive Services Task Force
retrospective review
LungRads classification
thyroid cancer
non-Hodgkin's lymphoma
screening tool
occupational exposures
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