Do you ever consider continuing annual LDCT chest for lung cancer screening in patients who quit smoking more than 15 years ago?

The 15 years is now 20 years but keep in mind the “Guidelines” may not apply to the patient in front of you. Did anyone else notice that 2nd hand smoke is not in the eligibility criteria?

I do if the patient is relatively young by the time 15 years have elapsed since the quit date and if there is a first-degree relative with a history of lung cancer.

The first important point to make is to take an accurate social history of smoking, since many patients don’t have a consistent smoking habit. I then discuss with the patient the pros and cons of screening and inquire about other reasons I may need to check a CT scan of the chest. Ultimately, the de...