. Grupo de Doenças Respiratórias Ocupacionais, Ambientais e de Cessação de Tabagismo, Divisão de Pneumologia, Instituto do Coracao - InCor - Hospital das Clinicas, Faculdade de Medicina, Universidade de Sao Paulo - FMUSP - Sao Paulo (SP) Brasil.
. Fundação Jorge Duprat Figueiredo de Segurança e Medicina do Trabalho - FUNDACENTRO - São Paulo (SP) Brasil.
J Bras Pneumol. 2024 Aug 19;50(3):e20240156. doi: 10.36416/1806-3756/e20240156. eCollection 2024.
Asbestos was largely used in Brazil. It is a mineral that induces pleural and pulmonary fibrosis, and it is a potent carcinogen. Our objective was to develop recommendations for the performance of adequate imaging tests for screening asbestos-related diseases. We searched peer-reviewed publications, national and international technical documents, and specialists' opinions on the theme. Based on that, the major recommendations are: Individuals exposed to asbestos at the workplace for ≥ 1 year or those with a history of environmental exposure for at least 5 years, all of those with a latency period > 20 years from the date of initial exposure, should initially undego HRCT of the chest for investigation. Individuals with pleural disease and/or asbestosis should be considered for regular lung cancer monitoring. Risk calculators should be adopted for lung cancer screening, with a risk estimate of 1.5%.
石棉在巴西被广泛使用。它是一种会引起胸膜和肺纤维化的矿物质，也是一种强力致癌物。我们的目标是制定适当的成像测试建议，以筛查与石棉相关的疾病。我们搜索了同行评议的出版物、国家和国际技术文件以及关于该主题的专家意见。基于此，主要建议如下：在工作场所接触石棉≥1 年或有环境暴露史至少 5 年的个体，所有潜伏期从初次接触开始超过 20 年的个体，最初应进行胸部高分辨率 CT 检查以进行调查。有胸膜疾病和/或石棉沉着病的个体应考虑进行定期肺癌监测。应采用肺癌筛查风险计算器，风险估计值为 1.5%。
