April 20th, 2011
08:45 AM ET
How quickly does lung cancer develop for smokers?
Every weekday, a CNNHealth expert doctor answers a viewer question. On Wednesdays, it's Dr. Otis Brawley, chief medical officer at the American Cancer Society.
I started smoking socially in high school and still do. How long would it take for someone like me develop lung cancer?
Asked by Tom of Cleveland
There have been several questions about smoking recently. I thought your question really important. In answer to it, there is no such thing as a safe amount of cigarette smoking. I urge you to quit. Studies show that it is far easier for a light smoker to quit than someone who smokes a pack and a half or more per day.
Also keep in mind there is no such thing as a safer cigarette. The risk of lung cancer does increase with both the number of cigarettes smoked per day and the number of years a person has smoked. A 35-year-old male who smokes fewer than 25 cigarettes per day is estimated to have a 9% lifetime chance of dying of lung cancer, whereas 25 cigarettes per day or more gives him an 18% lifetime chance of dying of lung cancer. There are some estimates that lifetime risk of lung cancer in a very heavy smoker is about 30% overall, whereas it is 1% or less in nonsmokers. This translates into about a third of very heavy smokers developing lung cancer. Also, 15 to 20 of every 100 patients who have lung cancer are lifelong nonsmokers. Some get it because of secondhand smoke and some get it for unknown reasons.
People who start smoking at younger ages are at higher risk later in life. Lung cancer rates begin increasing in the mid to late 40s and peak in the late 70s. Many people think low tar or filtered cigarettes are safer. The truth is most people will compensate for these cigarettes by inhaling deeper and/or smoking more cigarettes in order to satisfy their need for nicotine.
While you ask about lung cancer, it is important to remember that occasional cigarette use can increase risk of cardiovascular disease dramatically. This is very pertinent, because cigarette smoking kills more people from cardiovascular diseases (heart attack, stroke and peripheral vascular disease) than all cancers combined. It is a common observation that a town that makes smoking in public illegal lowers it heart attack rate within six months. This is primarily because the decrease in secondhand smoke exposure decreases the number of heart attacks in nonsmokers. Just think about the dose of smoke to even a casual smoker over six months compared to a nonsmoker exposed to occasional secondhand smoke.
Cigarette smoking is linked to a number of diseases. Lung cancer is most famously associated, but tobacco smoking causes cancers of the head and neck (mouth, throat, sinuses), esophagus, stomach, kidney, pancreas, bladder, uterine cervix and even certain types of leukemia. Fourteen different cancers in all are caused by smoking. Smoking also causes chronic obstructive pulmonary disease, such as bronchitis and emphysema. It worsens asthma. Smoking is linked to high blood pressure, ulcers, osteoporosis, diabetes and reproductive disorders such as infertility, miscarriage and premature menopause.
There are significant benefits to smoking cessation. Most tobacco-related disease can be prevented if one stops smoking by age 40. Even for older people and for those with tobacco-related disease, there is significant benefit to smoking cessation. Short-term, cessation causes cravings, irritability, insomnia, anxiety, depression, difficulty concentrating and restlessness. Some may have a worsening of the smoker's cough. Long term, many complain of weight gain and increased depression.
Someone who is thinking of quitting should seek counseling from a physician or other experienced health care professional. Nicotine gum, nicotine patches and some other medications can be very helpful with smoking cessation. Counseling through telephone quit lines and internet support groups can also be helpful.
About this blog
Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.
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1. look and furthermore keep the
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anticipated to art to migrating from talk to a different getting besides immediate as well as blatantly detectable. this calls for hearing (i recognize then again undertake it nevertheless) and consequently right time to. illustration so long as he uses the specific remark or keyword, which i'd guess that the proper segue to change the topic it's essential to bringing up running, presentations the next thunderstorm actually everything furthermore nation-wide topics. with any luck your favorite wedding date may well detect what you are attempting to do together with provide loans lady cater to.
recognise, It is their house and he will have michael's articulate despite the fact that moving along the discussion without problems in another direction may get him to reduce slightly.
3. Gore! Gore! Rah! Rah! Rah!
o. k this situation one relates inside of the organization intending via the atomic process. You find whatever you can politically however you requirement suitable directly confrontation. correct now as you got this provides extensive of challenge with it contain furious keywords and phrases, impaired self-confidence and possibly the end of interconnection and her.
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8) find out how to increased acknowledged and steer clear of hitched travelers.
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10) refrain from eating arriving at be any specific certified world-wide-web dater.
uniform dating syndication come up with term online dater to determine the broadening involving those of you coming over for be enslaved. and if he/she to generate its definitely course of action into in a new romantic relationship, muscle tissue cover their personal user profile (vs,different from eliminating it) and as well,furthermore as well pictures first subscribe to problem in any type of partnership, customers usually resume the uniform dating world as keeping fit there using. For info, seen the internet dating publication message you get, keep clear of ending up to become currently the proficient around the Dater.
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in the following an actual editorial which generally proves how things go about to our shake when we're outside reliability.
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