Colon and Rectum

A strong relationship has been noted between smoking and colorectal cancer, but the induction period is about 35 years. This lengthy induction would explain why it is just beginning to show up in women and indicates that efforts to prevent smoking among young people should be intensified (Giovannucci et al., 1994). The increased risk is about 20% higher for current smokers, and appears to be stronger for rectal cancer. Although the evidence is suggestive but not conclusive, a causal relationship would mean that about 12% of the colorectal cancer burden would be attributable to smoking (Tsoi et al., 2009; US Surgeon General, 2004).

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