Squamous cell carcinoma of the lung risk factors

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shanshan Cen, M.D. [2] Maria Fernanda Villarreal, M.D. [3]

Overview

Common risk factors in the development of squamous cell carcinoma of the lung are smoking, family history of lung cancer, high levels of air pollution, radiation therapy to the chest, radon gas, asbestos, occupational exposure to chemical carcinogens, and previous lung disease.

Common Risk Factors

Common risk factors in the development of squamous cell carcinoma, include:

• Smoking
• Second-hand smoke
• Family history of lung cancer
• High levels of air pollution
• Radiation therapy to the chest
• Radon gas
• Asbestos
• High levels of arsenic in drinking water
• Occupational exposure to chemical carcinogens
• Previous lung disease
• Indoor burning of coal
• Weakened immune system
• Lupus

Smoking

• Cigarette smoking is the leading cause of squamous cell carcinoma of the lung
• Both active and passive smoking are associated with increased risk of lung cancer
• The risk of squamous cell carcinoma of the lung is associated with increased quantity of cigarette smoking as well as increased duration of smoking
• There is a direct correlation between the among of smoked cigarettes per day and the risk of lung cancer
• The e-cigarrettes, have been associated with a significantly increased risk of lung cancer due to the presence of formaldehyde
• In the United States, smoking is estimated to account for 87% of squamous cell carcinoma of the lung cases (90% in men and 85% in women)

Second-hand smoke

• Second-hand smoke is what smokers exhale and what rises from a burning cigarette, pipe or cigar
• Also called environmental tobacco smoke (ETS), or involuntary or passive smoking
• People exposed to second-hand smoke have an increased risk of squamous cell carcinoma of the lung
• Second-hand smoke is a main risk factor for squamous cell carcinoma of the lung among non-smokers

Air Pollution

• Emissions from automobiles, factories and power plants are thought to pose potential risks
• Researchers have shown that individual components of outdoor air pollution cause cancer. These components include diesel engine exhaust, benzene, particulate matter and some polycyclic aromatic hydrocarbons (PAHs)

Family History of Lung Cancer

• Family history of lung cancer may increase the risk of squamous cell carcinoma of the lung
• First-degree relatives of people who have had lung cancer may have a slightly higher risk of developing lung cancer themselves.
• The increased risk among first-degree relatives could be due to a number of factors, such as shared behaviors or living in the same place where there are carcinogens
• Studies of families with a strong history of lung cancer have found that the increased risk might be due to a mutation in a lung cancer gene
• Other studies have shown that the risk of lung cancer in a family increases if a family member developed the disease at an early age

Radiation Therapy to the Chest

• A history of radiation therapy to the chest increases the risk of due to the development of cellular damage and DNA mutations
• The risk of squamous cell lung carcinoma increases for people who have had previous exposure to ionizing radiation
• People who have been treated with radiation therapy to the chest for cancers such as Hodgkin lymphoma or breast cancer are at increased risk for lung cancer

Radon Exposure

• Radon is the leading cause of lung cancer in non-smokers and the second leading cause of squamous cell carcinoma of the lung in smokers
• Radon is a colourless, odourless, tasteless gas that comes from the natural breakdown of uranium in rocks and soil. In the outdoors, radon gas is diluted by fresh air, so it is not usually a concern. But radon can seep into a home or building through dirt floors or cracks in basement foundations. It may reach unsafe levels in enclosed, poorly ventilated homes or buildings because of seepage into the basement. Breathing in radon gas can damage cells that line the lungs
• Radon exposure increases the risk of lung cancer
• The risk of developing squamous cell carcinoma of the lung depends on how much radon a person is exposed to, how long they are exposed

Asbestos Exposure

• Asbestos is group of minerals that occur naturally. Asbestos has been widely used in building materials and many industries
• Exposure to asbestos fibres in the air that people breathe increases the risk of lung cancer
• The risk of asbestos exposure is highest for people who work with asbestos, such as miners or those who work with it in manufacturing
• Studies have shown that the combination of smoking and asbestos exposure is especially hazardous

Exposure to Other Chemical Carcinogens

• Arsenic and inorganic arsenic compounds
• Beryllium and beryllium compounds
• Cadmium and cadmium compounds
• Chemicals used in rubber manufacturing, iron and steel founding and painting
• Chloromethyl ethers and bischloromethylether
• Chromium (VI) compounds
• Cobalt-tungsten carbide
• Diesel engine exhaust
• Mustard gas
• Polycyclic aromatic hydrocarbons (PAHs)
• Radioactive ores such as uranium and plutonium
• Silica dust and crystalline silica
• Some nickel compounds

References

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