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PMID 29807884

These changes can generate neoplastic cell populations with the potential to form tumors, for instance, in a tumor-promoting chronically inflamed tissue environment [16, 31]

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Thats a universal issue, and when you go out on the beach, its kind of disheartening as you put your feet or hands in the sand as you run across if you run across cigarette butts. Its an environmental concern, he added

Among the study findings: Ever use cigarettes significantly decreased from 70.1 percent in 1991 to 17.8 percent in 2021, an almost fourfold decline