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Lung Cancer Risk May
Be Higher in Female Smokers

Female smokers may be more likely to develop lung cancer than men who smoke a similar amount, new study findings suggest. The investigators found that of nearly 2,500 men and women age 40 and older screened for lung cancer, women had more than twice the risk of being diagnosed with the disease.

If further research confirms this higher risk, it will be particularly important to stop girls and young women from taking up the smoking habit, the researchers say.

There's not yet a clear reason why women might face a higher lung cancer risk than men, according to the study's lead author, Dr. Claudia Henschke of New York-Presbyterian Hospital/Weill Cornell Medical Center in New York.

It's possible, she noted in an interview, that women are less able than men to metabolize, or "clear," the toxins from tobacco smoke, but more research is needed to answer that question.

Other possibilities -- such as sex differences in the aggressiveness of lung tumors, or underreporting of smoking levels by women -- do not appear to explain the findings, according to Henschke.

She and colleague Dr. Olli S. Miettnen report their results in the journal Lung Cancer.

In the study, 1,202 women and 1,288 men underwent computed tomography (CT) scans to screen for lung cancer. All had smoked for at least 10 "pack-years" -- meaning, for example, one pack a day for 10 years, or two packs a day for five years.

Follow-up testing confirmed 45 cases of lung cancer among women, and 20 among men.

After the researchers factored in participants' age and smoking history, women were more than twice as likely as men to be diagnosed with lung cancer.

Some past research has suggested female smokers might be more susceptible to developing lung cancer, but other studies have failed to find such evidence. If further research confirms the current findings, it will be especially important for anti-smoking efforts to reach women and girls, according to Henschke.

"The key thing," she said, "is that girls and young women don't start smoking."

SOURCE: Lung Cancer, January 2004.

Reference Source 89

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