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This timeline is critical: 2009: Quit cigarettes, started e-cigarette 2020: Developed aggressive lung cancer 3 months later: Died from the disease Why This Case Is Unusual This type of lung cancer is typically associated with older smokers greater than 60 years of age, and with 40 to 50 pack years of cigarette use

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The overwhelming majority of e-cig users use e-liquids containing nicotine, well known for its addictive properties and neurocognitive effects (24)

Respiratory Diseases Smoking damages the airways and the tiny air sacs in the lungs, leading to chronic obstructive pulmonary disease (COPD), emphysema, and chronic bronchitis