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A study published last year indicated people who use e-cigarettes at a higher voltage had increased exposures to formaldehyde, putting them at increased risk of developing cancer

21-24 Thus, the use of a pack-year smoking history cutoff to select individuals for screening may exclude many individuals at high risk for lung cancer by underestimating lung cancer risk among those who smoke less intensely (ie, fewer cigarettes per day), such as individuals from racial and ethnic minority groups

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