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ets exposure, lung cancer - Legacy Tobacco Documents Library

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t<br />

Exposure to ionizing radiation in the course of radiation<br />

tre.atment could be responsible for some caxs . Also,<br />

Auerbach and cvworkers28 have suegested that <strong>lung</strong> <strong>cancer</strong><br />

could arise in nonsmokers secondary to hei.led tubercuiosis<br />

sraas, althou¢h this is unlikely to atcount for many<br />

cases.z' Another possibility is that <strong>lung</strong> <strong>cancer</strong> in nonsmokers,<br />

es ;xcially adenocarcinoma, is estroQen-related<br />

since it is more common in women than in men . It has<br />

been shovm that adenocarcinoma of the <strong>lung</strong> frequentty<br />

conttins estrogen r>:ceptors .n Still another possibility is<br />

that a.rcinoQr.ns of nutritional origin could be carried to<br />

the <strong>lung</strong> by the blood . These possibilities deserve epidemiologic<br />

exploration .<br />

REFERENCES<br />

1 . Dall R, Mortality from <strong>lung</strong> <strong>cancer</strong> among non-smokers . dr J<br />

Cancn 1953,7 :303-12 .<br />

2 . Wynder EL 7obacco u a cause of lunt ancer, with spaial referena<br />

to the infrequency or <strong>lung</strong> <strong>cancer</strong> among non-smoYers . Pennsyavania<br />

Med J 195A ; 57 :1073-1083 .<br />

3 . Wynder EL &rj Jw. Cancer of the <strong>lung</strong> among nonsmokers<br />

Speaiiv referrnee to histoloyc panerns Cancrr 1%7 : 20 :I161-72<br />

4 . Vinant RG . Ptckren 1V.', l .ine WW et a/ The changint histopathololy<br />

oflunY ancer. A review or 1682 cases. Cancer 1977 ; 39 :1617-<br />

1655 .<br />

S . Ru!!x P, Hinch A. Maruau D, btanon J, Chreuan J . Etude ettolapque<br />

et hata4aypue de L4fi etncen du poumon . Ann Med luem<br />

1981 : 132 :12-13 .<br />

6 . Wyndtr EL StelJman SD Comparative eaidernioJogy of tobamc<br />

. Cancn Res 1977 ; 37,4608-4622,<br />

7 . F1nu JL Statisiinl methods for rates and proportions . New York :<br />

lohn Wiiley and Son, 1981 .<br />

1 . Mantel N . Chi-square tests with one dqnx of freedom : E :tension<br />

of the Mantei Hsensul procsGure . J Am Stat Assoc 1%3, 59 :690-700 .<br />

9 Mieninen OS . Ewmability and ewmation in ptt-refcrent saudtcs .<br />

.fm J Epsdemiol 1976 ; 103 :226-235 .<br />

10 . Amuican Canxr Socuty . Facts and F"Kures Chtato : ACS, 199 1 .<br />

11 . Garfinkel L Time trends in lunt anecr monality among nonsmokers<br />

arsd a nou on passwe smokint . J Nml Cancer Insr 1991 ;<br />

66 :1061-1066 .<br />

http://legacy.library.ucsf.edu/tid/wyk81f00/pdf<br />

LUNG CANCER 1N NONSMOKERS • Kabat and Wynder 1221<br />

.reLted <strong>cancer</strong>s<br />

Vllter Symposium : Lymphomzs<br />

12 . Nhlltamf RR . Stelent NL Goldsmith 1R Auoc-utions of ancer<br />

da arsd typc with oecupatton and induxtry fnam the Third National<br />

Cancer Surey instrvtew, J Nar! Cancer Insr 1977 : 59 .1 I

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