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Smoking is a known risk factor of lung cancer, coronary heart disease and stroke, when subjects got this disease, they may stop smoking under the advice of doctors

But over the next 40 years as smoking declined, the incidence of a type of lung cancer called adenocarcinomas did not decrease along with themin fact, they surpassed squamous cell cancers in about 1990 as the most common kind, according to the study

Underreporting or inaccurately reporting smoking habits may lead to an incorrect pack-year calculation, which could affect eligibility for screenings, insurance coverage, or treatment decisions

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