What May Cause Lung Cancer in Nonsmokers?

Posted on January 22, 2026 by Patrick Hercules

Lung cancer is the leading cause of cancer-related deaths in the United States. Tobacco smoking is the leading cause of lung cancer. However, people who smoke tobacco aren’t the only ones at risk of developing lung cancer.

The Centers for Disease Control and Prevention (CDC) estimates that 10% to 20% of lung cancer cases each year happen in people who never smoke.

Nonsmokers can develop lung cancer if they are exposed to secondhand smoke, air pollution, radioactive gases such as radon, asbestos, diesel exhaust, or other harmful chemicals.

According to the CDC, about 50% to 60% of lung cancers found in nonsmokers are adenocarcinomas, which is a type of non-small cell lung cancer that begins in the cells that line the tiny air sacs in the lungs and make substances such as mucus. Additionally, about 10% to 20% are squamous cell carcinomas, cancer that forms in the thin, flat cells lining the inside of the lungs, and 6% to 8% are small cell lung cancers, and the rest are other types of lung cancer.

Lung cancers in nonsmokers are often different than those that are in smokers, as they usually develop in younger people, and often have certain gene changes that differ from those in tumors found in smokers.

A person’s genes can influence their risk of developing certain diseases, including some types of cancer, as some genes help control when cells grow, divide into new cells, and die. These genes are oncogenes and tumor suppressor genes.

Oncogenes help cells grow, divide, or stay alive. Tumor suppressor genes help control cell division or cause cells to die at the right time.

Cancer can develop when any DNA changes that activate oncogenes or deactivate tumor suppressor genes occur. These changes in many different genes are usually needed to cause cancer to develop. The two primary types of gene changes are inherited gene changes and acquired gene changes.

Inherited gene changes are gene changes passed down from a person’s parents. These inherited changes to a person’s DNA may increase their risk of developing certain cancers.

Acquired gene changes cannot be inherited but are acquired during a person’s lifetime and may occur in any individual cell. Certain acquired gene changes can affect the cell’s ability to control how it grows and will ultimately mutate a non-cancer cell into a cancer cell.

It is more common for nonsmoking women, especially Asian nonsmoking women, to develop lung cancer, as they are more than twice as likely to develop it as male nonsmokers. This is due to women having an acquired gene change, such as epidermal growth factor receptor (EGFR).

Symptoms of lung cancer are the same for smokers and nonsmokers. Lung cancer symptoms include:

Feeling tired or weak all the time

Loss of appetite

A cough that doesn’t go away or gets worse

Coughing up blood or rust-colored phlegm

Chest pains

Shortness of breath

Unexplained weight loss

Hoarseness

Bronchitis or pneumonia that doesn’t go away or keeps coming back

Wheezing

If a smoker is exhibiting symptoms of lung cancer, they should see a healthcare provider.

Although there isn’t any screening guidance for nonsmokers, taking steps such as being aware of lung cancer symptoms and reducing exposure to air pollutants and radon can help reduce your risk of developing lung cancer. Some additional steps include:

Avoid secondhand smoke

Monitor the air quality in your community

Test your home for radon

Protect yourself at work by avoiding any chemicals or cleaning products that contain carcinogens

If you would like to learn more about cancer treatments for lung cancer, or to learn more about our cancer care program, you can schedule an appointment with an oncologist at our MediSys Health Network Cancer Center by calling (718) 206-6742.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Lung Cancer Awareness Month

Posted on November 21, 2025 by Patrick Hercules

November is Lung Cancer Awareness Month, an annual observance dedicated to increasing awareness about lung cancer, its risk factors, early detection, and treatment options.

Lung cancer is the number one cause of cancer death, claiming more lives each year than breast, prostate, ovarian, and kidney cancers combined.

Lung cancer is a kind of cancer that starts with the growth of cells in the lungs. It doesn’t usually cause symptoms early on; however, the symptoms of lung cancer occur when the disease is advanced. Signs and symptoms of lung cancer that happen in and around the lungs include:

A new cough that doesn’t go away

Chest pain

Coughing up blood

Hoarseness

Shortness of breath

Wheezing

In addition to the signs and symptoms of lung cancer in the lungs, some symptoms occur when the cancer spreads to other parts of the body, including:

Bone pain

Headaches

Losing weight without trying

Loss of appetite

Swelling in the face or neck

Lung cancer occurs when cells in the lungs develop changes in their DNA. A cell’s DNA holds instructions that tell a cell what to do. In healthy cells, the DNA gives instructions to grow and multiply at a set rate. The instructions also tell the cells to die at a set time.

In cancer cells, DNA changes give different instructions. The changes tell the cancer cells to make many more cells quickly. Cancer cells can keep living when healthy cells die, causing too many cells.

Cancer cells might form a tumor. The tumor can grow to invade and destroy healthy body tissue. In time, cancer cells can break away and spread to other parts of the body, causing metastatic cancer.

Smoking causes most lung cancer. It can cause lung cancer in both smokers and non-smokers who have been exposed to secondhand smoke. However, people who have never smoked or been exposed to secondhand smoke can develop lung cancer.

Researchers believe smoking causes lung cancer by damaging the cells that line the lungs. Cigarette smoke contains cancer-causing substances known as carcinogens. When cigarette smoke is inhaled, carcinogens immediately cause changes in the lung tissue. The body may be able to repair the damage at first, but with each repeated exposure, healthy cells lining the lungs become more damaged. Over time, the damage causes cells to change, eventually developing into cancer.

Lung cancer is divided into two major types based on the appearance of cells under a microscope. The two general types of lung cancer include:

Small-cell lung cancer

Non-small cell lung cancer

A lung cancer diagnosis often starts with an imaging test to look at the lungs for signs of cancer before it develops. Other tests used to diagnose lung cancer include:

Sputum cytology

Biopsy

There are also additional tests that can be performed if a person is diagnosed with lung cancer to see if the cancer has spread. These tests allow a healthcare provider to know what stage the cancer is in. The stages of lung cancer range from 1 to 4. These staging tests often involve imaging tests such as an MRI, CT scan, bone scans, and a PET scan. If the cancer is in stage 1, the cancer is small and only in the lung. As cancer grows larger or spreads outside of the lungs, the numbers get higher. Stage 4 lung cancer means the cancer has spread to other parts of the body.

Treatment for lung cancer usually begins with surgery to remove the cancer. However, if the cancer is very large or has spread to other parts of the body, surgery may not be possible. As an alternative, treatment may start with medicine and radiation instead. A healthcare team will consider many factors when creating a treatment plan. These factors may include:

Overall health

The type and stage of cancer

The patient’s preferences

Another type of treatment for lung cancer is palliative care. Palliative care specialists will work with the patient, their family, and healthcare team to provide extra support while the patient goes through their cancer treatment.

Unfortunately, there isn’t a sure way to prevent lung cancer. However, you can reduce your risk by not smoking or quitting smoking, avoiding secondhand smoke, eating a diet of fruits and vegetables, and exercising most days of the week.

If you would like to learn more about lung cancer treatments, or to learn more about our cancer care program, you can schedule an appointment with an oncologist at our MediSys Health Network Cancer Center by calling (718) 206-6742.

COPD Myths

Posted on March 7, 2025 by Patrick Hercules

Chronic obstructive pulmonary disease, or COPD, is a group of health conditions, such as chronic bronchitis and emphysema, that limit airflow in the lungs.

Many myths and misconceptions exist about COPD. Here are some misconceptions surrounding COPD:

Myth #1: Only people who smoke get COPD

COPD is often associated with smoking, as smoking cigarettes and other tobacco products is the most common cause of the damage done to the lungs and airways. However, nearly 30% of people with COPD have never smoked a cigarette. Nonsmoking causes of COPD include:

Long-term exposure to polluted air, such as smog in an urban area or dust and fumes at a workplace
Genetics plays a role, specifically a condition called Alpha-1 antitrypsin deficiency (Alpha-1)
Asthma that’s active or even inactive. Researchers have found that 29% of people with asthma eventually receive a COPD diagnosis
Childhood respiratory illnesses, such as pneumonia

Myth #2: COPD is rare

According to estimates from the Centers for Disease Control and Prevention (CDC), over six in 100 adults in the U.S. had a COPD diagnosis in 2022.

That means millions of adults across the country have received a diagnosis of COPD. The actual proportion of adults with COPD may be higher due to delays in obtaining a diagnosis.

Myth #3: Exercise is too hard if you have COPD

Shortness of breath, wheezing, a chronic cough, and fatigue can all be a part of COPD. Any one of these symptoms can make exercising challenging.

Moderate exercise may not affect your lungs. In some cases, exercise can minimize the symptoms of COPD while strengthening the heart and helping reduce stress.

Try to build up to 20 to 30 minutes of exercise three to four times a week. Combine safe cardiovascular activities such as walking or biking with stretching and strength-building. It won’t be easy to start exercising. Speak with your healthcare provider about building an exercise plan that works for you. They may be able to connect you with a respiratory therapist for breathing techniques and exercises you can do. It is recommended that you speak to your doctor about your health before starting a new exercise regimen.

Myth #4: Only older people develop COPD

COPD is more common in people 65 or older. However, younger people can also develop this condition.

A 2023 study found that COPD affected more than 1.6% of adults ages 20 to 50 in the U.S. Adults aged 35 to 50 had a higher risk of COPD than those under the age of 35.

A history of smoking or secondhand smoke exposure significantly increases the risk of COPD in young adults.

Myth #5: COPD is a man’s disease

The Centers for Disease Control (CDC) reports that women are more likely to develop COPD than men in the U.S.

More women than men have also died from COPD since 2000 in the U.S.

Exposure to tobacco smoke and other pollutants raises the risk of COPD for anyone; however, women can experience more harmful effects than men from these pollutants.

Women with COPD also tend to get a diagnosis later than men, after the disease has progressed and treatment is less effective. This may contribute to reduced survival in women with COPD.

Myth #6: Nothing can be done to treat COPD

COPD treatments are available to help limit symptoms and potentially slow the progression of COPD.

Your treatment plan can include lifestyle changes like quitting smoking (if you smoke), as well as one or more of the following:

Vaccinations
Medications
Pulmonary rehabilitation
Supplemental oxygen
Lung transplant
Surgery

Talk with your healthcare provider to learn more about your treatment options.

Myth #7: There’s no point in quitting smoking after you develop COPD

Avoiding tobacco smoke is one of the most important things you can do to manage COPD.

If you smoke, cutting back and quitting can help limit symptoms and slow the progression of COPD.

Although more research is necessary, it may also be helpful to avoid e-cigarettes and other vaping products.

Avoiding smoking and vaping altogether is likely your healthiest option. Talk with a healthcare provider to learn about smoking cessation counseling, medication, or other resources that can help you cut back and quit smoking or vaping.

Today is the Great American Smokeout

Posted on November 15, 2018 by Michael Hinck

Today is the Great American Smokeout, an annual event when the American Cancer Society encourages everyone to quit smoking. This event helps to make people aware of the dangers of using tobacco products as well as the tools that are available to help them quit smoking.

The Great American Smokeout started in 1970 in a small town in Massachusetts. People were asked to give up smoking for one day and to take the money that they would have spent on cigarettes and donate it to a local high school scholarship fund. The event spread to other cities both large and small and eventually led to legislation that bans smoking in workplaces, restaurants, and other public spaces both indoors and outdoors.

Smoking is responsible for one in five deaths in the United States today. Lung cancer is the leading cause of death in both men and women. Smoking is also the cause of cancer of the larynx, mouth, sinuses, throat, esophagus, and the bladder. The number of people who smoke has dramatically decreased in the United States since the anti-smoking campaigns began. In 1965 it was estimated that over 40 percent of the population were smokers and today that number is around 18 percent.

Smokers have the best chances of quitting if they use at least two of the following methods:

• Smoking Cessation Groups
• Nicotine substitute products
• Support from family and friends
• Telephone quit lines
• Counseling
• Prescription medications that help to reduce the urge to smoke

If you would like more information about quitting smoking please call the American Cancer Society at 1-800-227-2345. If you would like to schedule an appointment with a doctor at Jamaica Hospital to discuss smoking cessation, please call 718-206-8494.

The Effects Smoking Has on the Digestive System

Posted on August 10, 2018 by Jamaica Hospital Medical Center

Smoking affects the entire body, increasing the risk of many life-threatening diseases—including lung cancer, emphysema, and heart disease. What some might not realize however is the strong effect smoking has on the digestive system.

Smoking increases the chances of developing many types of cancers of the digestive system, including the mouth, esophagus, stomach and pancreas. Research has also suggested that smoking can contribute to liver, colon, and rectal cancers.

In addition, smoking can be a factor in the development or progression of many common disorders of the digestive system, such as heartburn and gastroesophageal reflux disease (GERD). When you smoke, it can cause the lower esophageal sphincter to weaken. This muscle between the esophagus and stomach keeps stomach contents, such as acids intended to break down foods, from flowing back into the esophagus. When the lower esophageal sphincter weakens, stomach contents may reflux into the esophagus, causing heartburn and possibly damaging the lining of the esophagus.

Another harmful effect smoking can have on the digestive system is it increases the risk of developing peptic ulcers. Peptic ulcers are sores on the inside lining of the stomach or duodenum, most commonly caused by an infection resulting from the development of the bacteria Helicobacter pylori (H. pylori). Studies suggest that smoking increases the risk of H. pylori infection, slows the healing of peptic ulcers, and increases the likelihood that peptic ulcers will recur

The good news is that quitting smoking can improve the symptoms of some digestive diseases or keep them from getting worse. If you are looking to quit smoking, but need help, Jamaica Hospital offers the Freedom From Smoking program. For more information or to enroll in our smoking cessation program, please call 718-206-8494

Now That You’ve Quit Smoking –How Do You Resist Temptation?

Posted on January 8, 2018 by Xavia Malcolm

Congratulations, you have quit smoking. You have accomplished a major milestone in your journey to achieving good health. A challenge you may face after your Quit Day is remaining tobacco-free by resisting the temptation to smoke again. Coping with tobacco cravings can be difficult; however, by applying the following tips you can decrease the urge to smoke:

Remove yourself from situations that may trigger the urge to smoke
Spend free time in environments where smoking is not allowed
Reduce alcohol consumption
Create or join a support group
Think about how harmful tobacco is to your health
Think about the health benefits you will gain by remaining smoke-free
Try nicotine replacements such as gum, patches or prescription medications
Do not have just one cigarette to satisfy a craving- one cigarette will make you want more
If you miss the feeling of having a cigarette in your mouth try a toothpick, a stick of gum, celery -anything besides a cigarette
Exercise
Practice relaxation techniques
Give yourself credit for each day you are tobacco free
Envision being tobacco-free long-term

Quitting smoking and remaining smoke-free can be difficult and requires a life-long commitment but the benefits to your health are immeasurable.

Jamaica Hospital Medical Center offers a Freedom from Smoking Tobacco Cessation Program to help you overcome your addiction to tobacco and enjoy the benefits of better health in a fun and interactive environment. Receive personalized attention as well as the support from group members who are experiencing this journey with you. For more information, please call 718-206-8494.

Smoking Cessation

Posted on December 22, 2016 by Andrew Rubin

Tobacco is the single greatest cause of multiple diseases and premature deaths in the USA today. It kills more Americans each year than alcohol, crack, heroin, homicide, suicide, car accidents, fire and AIDS combined. There are an estimated 480,000 deaths in the United States annually that are due to tobacco use. It is the only legal consumer product that is lethal when used exactly as recommended by the manufacturer.

Smoking cigarettes affects many aspects of health. Tobacco smoke contains about 7000 chemicals, including low concentrations of such strong poisons as ammonia, cyanide, arsenic and formaldehyde. It also contains 69 carcinogens – substances that are known to cause cancers in humans. Direct association has been established between smoking and cancers of the lung, mouth, nose, throat, larynx, esophagus, colon and rectum, stomach, pancreas, cervix, bladder, kidney and blood.
In the United States, Illnesses caused by smoking cost more than 300 billion dollars per year in direct medical care and lost productivity. Smokers pay twice as much for life insurance and will die on average of 13-14 years earlier than non-smokers. It costs tobacco companies approximately 5 cents to produce a pack of cigarettes.

Many lung conditions are either caused or aggravated by cigarette smoke. It irritates bronchial airways and stimulates mucous production leading eventually to decreased elasticity and functional failure. Patients suffering from COPD, Asthma, Chronic Bronchitis or Emphysema have a much higher risk of dying when repeatedly exposed to smoke.
Smokers are also at greater risk for cardiovascular disease. Smoking damages blood vessels making them stiff and narrow, obstructing blood flow which results with elevated blood pressure, heart attacks, strokes, kidney failure or chronic skin changes.

Pregnant women exposed to tobacco smoke have increased risk of complications like miscarriage, premature birth, and brain and lung damage in developing baby. Sudden infant death syndrome is three times more likely if mother smoked during pregnancy.
Secondhand smoke is the smoke exhaled by smokers or given off by a burning cigarette or pipe. Inhaling secondhand smoke is as hazardous as smoking a cigarette. There is no safe level for secondhand smoke exposure established. People can inhale it at work, homes, cars or public spaces and have all the complications mentioned above.

Smoking tobacco is an addiction similar to heroin and cocaine. It can be successfully treated but the majority of cases require three or more attempts. Quitting smoking offers a chance of feeling better and living longer. Studies have shown that five, common sense steps, provide the best chance for quitting smoking for good:

1. Get ready: set a quit date and throw out all cigarettes and ashtrays from your home.

2. Get support: tell your family, friends and doctor about quitting plans; search the internet for advice.

3. Learn new behaviors: distract yourself from the urge to smoke; exercise or go for a walk.

4. Get medication: combining medication like nicotine patches or Zyban with behavioral adaptation and family support quadruples your chances of success.

5. Be prepared for relapse and difficult situations- most people try to quit a few times before succeeding.

If you would like to learn more about quitting smoking, please call 718-206-8494.

The Benefits of Joining a Support Group- Quit Smoking Today

Posted on August 5, 2016 by Zakiya Hazel-Jemmott

It is no secret that smoking can have a number of adverse effects on the health of a smoker and those they smoke near. The journey to quitting smoking has evolved from quitting cold turkey, to smoking patches, nicotine gum and today, electronic cigarettes. A more interactive way to stop smoking is by joining a support group.

There are several benefits associated with support groups that will keep you motivated and focused on your goal. Smoking cessation support groups help you to identify the mental, physical, and social aspects of smoking. Participants are six times more likely to be smoke-free one year later than those who quit on their own. Also, statistics have shown that up to 60% of smokers have quit by the end of the program.

The journey to quit smoking can be difficult, but you do not have to do it alone. Jamaica Hospital’s smoking cessation team wants to help you develop a plan leading to your “quit day”.

Jamaica Hospital’s Medical Home Department has partnered with the American Lung Association to bring you Freedom from Smoking, a comprehensive and successful group-based smoking cessation program. Here you will participate in a series of sessions that prepare you for your quit day, provide lifestyle change tips, manage your stress, and help you stay tobacco-free for good.

Recently Jamaica hospital was recognized for its commitment to patient health and initiating comprehensive systems for identifying tobacco-using patients and linking them with smoking cessation resources. Additionally, the hospital earned the Gold Star Recognition from the New York City Department of Health’s- NYC Tobacco-Free Hospitals Campaign for its excellence in developing inpatient and outpatient tobacco cessation systems.

Jamaica Hospital Medical Center has partnered with the American Lung Association to offer Freedom from Smoking, a comprehensive and successful group-based smoking cessation program.

Support group classes at Jamaica Hospital Medical Center are forming. For more information or to register, please call 718-206-8494.

How Harmful is Occasional or Social Smoking?

Posted on December 15, 2015 by Xavia Malcolm

“I am not really a smoker because I only smoke on occasion or socially.” These words are frequently spoken by those who consider themselves light or social smokers. It is quite common to find that people within this group are usually in denial of the frequency of their use of cigarettes and believe that they are not at risk of developing tobacco-related illnesses.

The truth is contrary as research has found that one third of people who classify themselves as social smokers actually smoke more than six times per day. Additionally, whether someone smokes a lot or a little, they are at risk for developing diseases caused by tobacco. The damage that one puff of nicotine causes is instant. It takes 10 seconds for nicotine to be transported throughout the body and to the brain. It slows down circulation and increases blood pressure and heart rate.

Furthermore in a study conducted by the Center for Tobacco Control Research and Education it was found that light smoking may result in several health complications such as:

Stroke
COPD
Peripheral artery disease
Lower respiratory tract infections
Weakened immune systems

Smoking occasionally or socially does not exclude you from developing the health complications associated with tobacco use. Over time smoking will take its toll on your body. The best thing you can do for your health is quit smoking.

If you or someone you know needs help in quitting smoking please contact Jamaica Hospital’s Freedom From Smoking program at 718 206 8494 or visit www.smokefree.gov for more information.