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Cited by 655

The DOI matches its Crossref record; 6 of the 6 references it cites were found in a registry or an index.

Lung Cancer in Never Smokers: A Review

Subramanian, Janakiraman, Govindan, Ramaswamy·2007·Journal of Clinical Oncology

Abstract

Lung cancer is the leading cause of cancer-related death in the United States. Although tobacco smoking accounts for the majority of lung cancer, approximately 10% of patients with lung cancer in the United States are lifelong never smokers. Lung cancer in the never smokers (LCINS) affects women disproportionately more often than men. Only limited data are available on the etiopathogenesis, molecular abnormalities, and prognosis of LCINS. Several etiologic factors have been proposed for the development of LCINS, including exposure to radon, cooking fumes, asbestos, heavy metals, and environmental tobacco smoke, human papillomavirus infection, and inherited genetic susceptibility. However, the relative significance of these individual factors among different ethnic populations in the development of LCINS has not been well-characterized. Adenocarcinoma is the predominant histologic subtype reported with LCINS. Striking differences in response rates and outcomes are seen when patients with advanced non–small-cell lung cancer (NSCLC) who are lifelong never smokers are treated with epidermal growth factor receptor tyrosine kinase (EGFR-TK) inhibitors such as gefitinib or erlotinib compared with the outcomes with these agents in patients with tobacco-associated lung cancer. Interestingly, the activating mutations in the EGFR-TK inhibitors have been reported significantly more frequently in LCINS than in patients with tobacco-related NSCLC. This review will summarize available data on the epidemiology, risk factors, molecular genetics, management options, and outcomes of LCINS.

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Metadata

Authors
Subramanian, J., & Govindan, R.
Venue
Journal of Clinical Oncology
Published
2007-02-10
Volume
25
Issue
5
Pages
561-570
ISSN
  • 0732-183X (ISSN-L)
  • 1527-7755
OpenAlex
W2064166219
Cited by
655
References
6
FWCI
29.42
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Lung Cancer in Never Smokers: A Review. https://app.cochat.ai/papers/10.1200/jco.2006.06.8015
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Subramanian, J., & Govindan, R. (2007). Lung Cancer in Never Smokers: A Review. Journal of Clinical Oncology. https://doi.org/10.1200/jco.2006.06.8015

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