Tobacco smoking and cancer: a brief review of recent epidemiological evidence

Tobacco smoking and cancer: a brief review of recent epidemiological evidence
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DOI:
10.1016/j.lungcan.2004.07.998
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发表时间:
2004-08-01
期刊:
影响因子:
5.3
通讯作者:
Straif, K
Straif, K
中科院分区:
医学2区
文献类型:
--
作者:
Sasco, AJ;Secretan, MB;Straif, K

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这份报告总结了关于吸烟的流行病学证据;吸烟与癌症之间的联系,这是由IARC召集的一个国际科学家小组审查的。自1986年IARC关于“吸烟”的专著发表以来发表的研究提供了充分的证据,证明吸烟与鼻腔和副鼻窦癌、鼻咽癌、胃癌、肝癌、肾癌和子宫颈癌以及食道腺癌和髓系白血病之间存在因果关系。这些地点增加了先前确定的与吸烟有关的癌症名单,即肺癌、口腔癌、咽癌、喉癌、食道癌、胰腺癌、膀胱癌和肾盆癌。其他形式的烟草吸烟,如雪茄、烟斗和比迪烟,也会增加患癌症的风险,包括肺癌和部分上呼吸道癌症。一项对50多项关于从不吸烟者中非自愿吸烟的研究进行的荟萃分析表明,暴露在环境烟草烟雾中和肺癌风险之间存在一致的、具有统计学意义的相关性。目前,在许多西方国家,三分之一的癌症死亡是由吸烟造成的。据估计,每隔一段时间就有一名吸烟者死于烟草。(C)2004年爱思唯尔科学有限公司。
This report summarises the epidemiological evidence on the Tobacco smoking; association between tobacco smoking and cancer, which was reviewed by an international group of scientists convened by IARC. Studies published since the 1986 IARC Monograph on "Tobacco smoking" provide sufficient evidence Cancer to establish a causal association between cigarette smoking and cancer of the nasal cavities and paranasal sinuses, nasopharynx, stomach, liver, kidney (renal cell carcinoma) and uterine cervix, and for adenocarcinoma of the oesophagus and myeloid leukaemia. These sites add to the previously established list of cancers causally associated with cigarette smoking, namely cancer of the lung, oral cavity, pharynx, larynx, oesophagus, pancreas, urinary bladder and renal pelvis. Other forms of tobacco smoking, such as cigars, pipes and bidis, also increase risk for cancer, including cancer of the lung and parts of the upper aerodigestive tract. A meta-analysis of over 50 studies on involuntary smoking among never smokers showed a consistent and statistically significant association between exposure to environmental tobacco smoke and lung cancer risk. Smoking is currently responsible for a third of all cancer deaths in many Western countries. It has been estimated that every other smoker will be killed by tobacco. (C) 2004 Elsevier Science Ltd.