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Recent research demonstrates that among Asian American women with a lung cancer diagnosis, the vast majority of patients have never smoked, a rate as high as 80% among Chinese and Asian Indian American women. Despite declining rates in lung cancer overall in the United States, rates among Asian American women who have never smoked appear to be increasing. This commentary articulates extant knowledge, based on studies in Asia, of a range of risk factors, such as a family history of lung cancer; a history of lung diseases, including tuberculosis and chronic obstructive pulmonary disease; exposure to cooking fumes and second-hand smoke; and various putative risk factors. Unique mutational profiles at the tumor level, including a higher prevalence of EGFR variations among Asian populations, highlight the importance of tumor genomic testing of newly diagnosed patients. Additional research is essential, given the high burden of disease among Asian American women who have never smoked and the limited knowledge regarding contributing risk factors specific to Asian American women, because the risk factors identified in Asian people living in Asia may not apply.<\/jats:p>","DOI":"10.1093\/jnci\/djae299","type":"journal-article","created":{"date-parts":[[2024,11,18]],"date-time":"2024-11-18T23:28:26Z","timestamp":1731972506000},"page":"1104-1109","source":"Crossref","is-referenced-by-count":16,"title":["Elevated risk of lung cancer among Asian American women who have never smoked: an emerging cancer disparity"],"prefix":"10.1093","volume":"117","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5143-4867","authenticated-orcid":false,"given":"Scarlett Lin","family":"Gomez","sequence":"first","affiliation":[{"name":"Department of Epidemiology & Biostatistics, University of California San Francisco , San Francisco, CA 94158,","place":["United States"]},{"name":"Helen Diller Family Comprehensive Cancer Center, University of California San Francisco , San Francisco, CA 94158,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7198-7629","authenticated-orcid":false,"given":"Mindy","family":"DeRouen","sequence":"additional","affiliation":[{"name":"Department of Epidemiology & Biostatistics, University of California San Francisco , San Francisco, CA 94158,","place":["United States"]},{"name":"Helen Diller Family Comprehensive Cancer Center, University of California San Francisco , San Francisco, CA 94158,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0076-2550","authenticated-orcid":false,"given":"Moon S","family":"Chen Jr","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Hematology and Oncology, University of California, Davis School of Medicine , Sacramento, CA 95817,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1136-980X","authenticated-orcid":false,"given":"Heather","family":"Wakelee","sequence":"additional","affiliation":[{"name":"Department of Medicine, Stanford University , Stanford, CA 94305,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1405-8487","authenticated-orcid":false,"given":"Jeffrey B","family":"Velotta","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Kaiser Permanente Northern California , Oakland, CA 94611,","place":["United States"]},{"name":"Division of Research, Kaiser Permanente Northern California , Pleasanton, CA 94588,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0900-5735","authenticated-orcid":false,"given":"Lori C","family":"Sakoda","sequence":"additional","affiliation":[{"name":"Division of Research, Kaiser Permanente Northern California , Pleasanton, CA 94588,","place":["United States"]},{"name":"Department of Health Systems Science, Kaiser Permanente Bernard J. 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