What are the risk factors for lung cancer other than tobacco (tobacco) smoking?

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Last updated: May 20, 2025View editorial policy

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From the Guidelines

Lung cancer risk factors other than cigarette smoking include exposure to radon, occupational exposures to carcinogens like asbestos and arsenic, family history, personal history of lung diseases like COPD and pulmonary fibrosis, and previous radiation therapy to the chest area, as highlighted in the most recent study 1.

Key Risk Factors

  • Exposure to secondhand smoke and radon gas
  • Occupational exposures to carcinogens like asbestos, arsenic, chromium, and nickel
  • Genetic factors, including family history of lung cancer
  • Personal history of lung diseases like COPD, pulmonary fibrosis, and tuberculosis
  • Previous radiation therapy to the chest area
  • Age, with most lung cancers diagnosed in people over 65

Importance of Early Screening

Early screening and prevention efforts are crucial in individuals with multiple risk exposures, as lung cancer is often diagnosed at an advanced stage, resulting in poor prognosis 1.

Recent Guidelines

The most recent guidelines from the National Comprehensive Cancer Network (NCCN) recommend considering lung cancer screening for patients at high risk, including those with a history of smoking, occupational exposure to carcinogens, and family history of lung cancer 1.

Multidisciplinary Approach

A multidisciplinary approach to nodule management, including specialties like thoracic radiology, pulmonary medicine, and thoracic surgery, is recommended for institutions performing lung cancer screening 1.

Risk Assessment

Risk assessment should consider factors like age, smoking history, and other potential risk factors, including occupational exposure, radon exposure, cancer history, family history, and lung disease history 1.

From the Research

Lung Cancer Risk Factors

Other than cigarette smoking, several factors contribute to the risk of developing lung cancer. These include:

  • Environmental factors such as radon exposure, domestic fuel smoke, and outdoor air pollution 2, 3, 4
  • Infections like Mycobacterium tuberculosis and Human Papilloma Virus 3
  • Inflammatory diseases such as asthma and sarcoidosis 3
  • Exposure to asbestos, polycyclic aromatic hydrocarbons (PAHs), and toxic metals 4
  • Indoor air pollution from cooking fumes, second-hand smoke, and radioactive products from house decoration materials 4
  • Genetic factors, which have been identified in recent studies 2

Cumulative Risk Factors

Cumulative nonsmoking risk factors can increase the probability of developing lung cancer 5. These factors include:

  • Family history of lung cancer
  • Age
  • Exposure to radon and other environmental carcinogens
  • History of certain infections and inflammatory diseases

Specific Risk Factors for Women

In women, specific risk factors for lung cancer include:

  • Passive smoke exposure from spouse(s) and at work 6
  • Childhood pneumonia and exposure to coal burning 6
  • Decreased intake of beta-carotene foods 6

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Lung cancer risk in never-smokers: An overview of environmental and genetic factors.

Chinese journal of cancer research = Chung-kuo yen cheng yen chiu, 2021

Research

Air pollution: A culprit of lung cancer.

Journal of hazardous materials, 2022

Research

Cumulative nonsmoking risk factors increase the probability of developing lung cancer.

The Journal of thoracic and cardiovascular surgery, 2019

Research

Smoking and other risk factors for lung cancer in women.

Journal of the National Cancer Institute, 1985

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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