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'H
ig Cancel*
Controls
;al Total
518 3 1 0 2 5 8 4 3
ing smoked cigarettes;! 94 (76 per cent) of the!
similar history. No suchj icy of tobacco usage iij pipe, cigar, chew, and among the lung cancel^ compared with the com
fact, 68 of the controjj icco in a form other thah sively; whereas only 15| incer patients did so cles which are not mucEj
tudy Reported by
Total 518
34 19
15 484 329 155
Controls j
lTotal
518 |
124 -I
56 j
68 i i394
24 J
154 ]t
LUNG CANCER VOL. 44 175
Xal>*e 4__ Amount of Cigarette Smoking During 20 Years Prior to Study Reported by Lung Cancer Patients and Controls
Package? of Cigarettes Smoked per Day
Total
Cases
Number
Per cent
518 100
34 7 19 4 71 14 304 59 80 15 10 2
Controls
Number
Per cent
518 100
124 24 50 10 105 20 199 38 22 4 18 3
ISifferent for the nonusers of tobacco in L> <M?*,.two seri*es. M%his suggestion of an effect by cigcettes only is consistent with other in stigations in the field. Some support |<Si the hypothesis that cigarette smokaffects the development of epithelial jcinoma of the lung more than adeScarcinoma may be noted. Six out *46 (13 per cent) of the cases of denocarcinoma did not smoke cigjettes; whereas only 28 out of 472 M per cent) of the patients with other pies of carcinoma, described variously ib squamous, epithelial, undifferen|ted, did not smoke cigarettes. pJne commonly used measure of the mount of exposure to cigarette smok-
tb.
ing, the average number of packs smoked per day, appears in Table 4. Seventy-four per cent of all lung cancer patients reported smoking one or more packs of cigarettes on the average per day over the preceding 20 years, com pared with a frequency of only 42 per cent among the controls. "Excessive cigarette smoking" (two or more packs per day) occurred almost four times as commonly among the case series as among the control group.
Other items which may indicate the amount of cigarette smoking include the age at which the individual began smoking, whether or not he smokes be fore breakfast, and whether or not he "inhales." Table 5 reveals that, by all
-Ago of Beginning Cigarette Smoking, Smoking Habits, and "Cigarette Cough" Reported by Lung Cancer Patients and Controls
JSSlgarette Smoking Characteristics
umber
Cases
Per cent Based on Cigarette Smokers
Only
Per cent Based on Total
Number
Controls
Per cent Based on Cigarette Smokers
Only
jpl cigarette smokers
518 484
100
100 518 93 394
100
Began 15 years of age
166
34
32 116
29
Began 15-24
286 59 55 243 62
legan 25 years of age Kale"
32 449
7 93
6 35 87 327
9 83
j>0ke before breakfast" 373
77 ' 72
229
58
garettc cough" 204 42 39 112 28
Per cent Based on Total
100 76 22 47 7 63 44 22