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Editorials |

Tobacco Smoke, Malignancies, and History

David M. Mannino, MD
Author and Funding Information

From the Department of Preventive Medicine and Environmental Health, University of Kentucky College of Public Health.

Correspondence to: David M. Mannino, MD, Department of Preventive Medicine and Environmental Health, University of Kentucky College of Public Health, 121 Washington Ave, Lexington, KY 40536; e-mail: dmannino@uky.edu


Financial/nonfinancial disclosures: The author has reported to CHEST the following conflict of interest: Dr Mannino has provided expert witness that exposure to tobacco smoke causes lung cancer and other malignancies.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (http://www.chestpubs.org/site/misc/reprints.xhtml).


© 2010 American College of Chest Physicians


Chest. 2010;138(3):468-469. doi:10.1378/chest.10-0509
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Extract

On January 11, 1964, Luther Terry, the ninth Surgeon General of the United States, removed a book from a plain brown wrapper, thus revealing the first Surgeon General’s report on tobacco.1 This report was unveiled on a Saturday morning because it was thought that its message that cigarette smoking is linked to lung cancer might upset the financial markets.

Subsequent reports named active tobacco smoking as a causal risk factor for bladder cancer, esophageal cancer, laryngeal cancer, kidney cancer, endometrial cancer, cervical cancer, and acute leukemia.2 Cancers for which there is a suggestion of a risk of active smoking include colorectal cancer and liver cancer, whereas no causal association is seen for ovarian cancer, prostate cancer, and breast cancer. Secondhand smoke exposure was later causally linked to lung cancer, with a suggestion of a link to breast cancer and nasopharyngeal cancer.3 In addition, both active and passive smoking are associated with a variety of other cardiorespiratory disorders and prenatal adverse health outcomes.3

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