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Emphysema can be diagnosed with a chest x-ray or CT scan

(Truth Initiative) I translate that and similar passages on other pages as vaping could cause cancer but there is no evidence that it does. The Wikipedia page on nicotine makes that explicit, for the drug if not the delivery system: Contrary to popular belief, nicotine itself does not cause cancer in humans, although it is unclear whether it functions as a tumor promoter as of 2012

H1 Method Sample A convenience sample was recruited using an online research company, Critical Mix

Brand names would appear on the front in print dwarfed by health warnings and often gruesome, full-color images of the consequences of smoking, such as mouth cancer and gangrenous toes

However, most people use the term vape pen to describe e-cigarettes shaped like tubes