Abstract

With almost 50,000 new cases and 30,000 deaths per year in France, lung cancer is the 3rd most common cancer and the 1st cause of cancer-related death. While incidence and mortality rates in men have stabilized, they are demonstrating an alarming growth in women, linked to the increase in female tobacco consumption. The 5-year survival rate for lung cancers has increased considerably, from 9% in 1990 to 20% for people diagnosed between 2010 and 2015. While smoking is indeed the main risk factor for lung cancer, responsible for 81% of cases, the risk factors and exposures are numerous, such as a diet low in fruit <300g/day (10% of cases), occupational exposures (16% of cases), and environmental exposures, such as radon (almost 10% of cases) and outdoor air pollution (3.6% of cases). The proportion of environmental exposures being probably underestimated. Combined, close to 90% of lung cancer cases are attributable to modifiable factors, offering numerous levers for prevention policies.1877-1203/© 2023 SPLF. Published by Elsevier Masson SAS. All rights reserved.

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