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computed tomography (LDCT). At this stage of lung ma or nodules. However,
our knowledge, the large-scale incorporation of strategies that reduce delays in
implementation of lung cancer screening in both conducting screenings and obtaining the
Tunisia is not recommended because of the results is imperative. This study should be
current healthcare system difficulties. The conducted to determine factors associated
objectives of our study was to describe the with the uptake of LDCT.
implementation of lung cancer screening
programme using LDCT in Monastir and present
preliminary results (until August 2023). P36
Methods CANCER BRONCHOPULMONAIRE
It was a prospective observational study PRIMITIF DE LA FEMME EN TUNISIE
conducted in Monastir (Tunisia) from 2023 to
2028 among patients at high risk of developing K. HEMISSI, H.DHIFALLAH, N.GADER, N.ABID, M.LOUKIL,
lung cancer. These patients were recruited from H.GHRAIRI
smokers attending the smoking cessation SERVICE DE PNEUMOLOGIE , HOPITAL MOHAMED TAHER
consultations at the Preventive Medicine and MAAMOURI , NABEUL
Epidemiology Department of the Fattouma
Bourguiba University Hospital of Monastir or Introduction:
from patients participating in awareness
campaigns conducted by this department. l’incidence du cancer bronchopulmonaire (KBP)
Patients with a PLCO m 2012 score ≥ 1.5% were primitif de la femme semble augmenter
considered with high risk of developing lung parallèlement à celle du tabagisme.
cancer. But: Décrire les caractéristiques cliniques,
Results : diagnostiques et thérapeutiques des femmes
atteintes de KBP primitif.
From 25 March 2023 to 17 August 2023, 41
patients were included. All the study Méthodes:
population were male. Their median age was Etud rétrospectiv portant sur l
60 years IQR [58-65]. Cardiovascular diseases observations de femmes suivies pour KBP
were found among 36% of participants. The primitif à l’hôpital Maamouri de Nabeul entre
mean age of smoking initiation was 17.2 ± 3.1 janvier 2023 et aout 2024.
years. Most of participants(58.3%) were heavy
smokers (78.3%). The majority had high or very Résultats:
high nicotine dependence. The Pulmonary Il s’agit de 18 femmes avec un âge moyen de
Function Testing of the smokers found a median 59±13 ans (31-84). Les patientes sont multi-tarés
pulmonary age of 82 years IQR [71-90]. Severe dans 61 % des cas. Le tabagisme était noté dans
obstruction was detected among 11.1% of 23 % des cas (40±31 PA), le tabagisme passif
patients. The median of PLCO score was 2.4% dans 69% des cas et l’exposition à la biomasse
IQR [1.7- 4.5]. The median delay of LDCT result dans 23% des cas. Le PS était <2 dans 66 % des
retrieval was 4 months IQR [3-4.5]. LDCT cas. Les circonstances de découvertes étaient
identified one case with a lung mass and four dominées par les signes respiratoires (61%),
cases with pulmonary nodules. suivies par les signes neurologiques (22%). Le
Conclusion délai de consultation moyen était de 39±31
jours. La confirmation histologique était
Our study demonstrated the feasibility of a lung obtenue par fibroscopie bronchique (16,7%),
cancer screening protocol in the Tunisian Biopsie thoracique (44,4%), biopsie pleurale
population with the possibility of discovering
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