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Should i go for Lung CA SCREEN?
Hey docs, little bit about my history.
M27
Smoked from
2020-2022= 3 years
2024 august- october 2025
Total pack years accumulation- 1.25 smoke pack years.
No symptoms, only little blood from my throat which ent cleared that it was because of inducing coughs un-necessarily. (Have OCD too).
No genetic predisposition.Only my maternal grandmother had esophagal cancer in her late 70's.
PFT and chest xray normal.
So, considering all this data, do i need to go for LDCT?
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Based on your history, you do not need an LDCT (Low Dose CT scan) at this stage.
LDCT screening is recommended only for high-risk individuals, typically:
• Age 50–80 years,
• ≥20 pack-year smoking history, and
• Who are current smokers or quit within the past 15 years.
You are 27 years old, with a total exposure of only ~1.25 pack-years, and both PFT and chest X-ray are normal. The minor blood episode from the throat was explained by your ENT as mechanical/behavioral (induced coughing), not from the lungs.
There is no evidence or indication for lung cancer screening or LDCT in your case.
Next Steps
1. Avoid restarting smoking; your lung function can completely normalize over time.
2. Continue maintaining a healthy lifestyle, regular exercise, and adequate hydration.
3. If you ever develop persistent cough, unexplained weight loss, or breathlessness, revisit your doctor.
Health Tips
Your risk is extremely low — LDCT in low-risk young individuals only adds unnecessary radiation exposure and anxiety. The best long-term preventive step is staying smoke-free and having periodic clinical checkups.
Answered
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