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Malignant transformation
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===Diet and lung cancer=== A second example, relating a dietary component to a cancer, is illustrated by lung cancer. Two large population-based studies were performed, one in Italy and one in the United States.<ref name="pmid28077426">{{cite journal |vauthors=Lee JT, Lai GY, Liao LM, Subar AF, Bertazzi PA, Pesatori AC, Freedman ND, Landi MT, Lam TK |title=Nut consumption and lung cancer risk: Results from two large observational studies |journal=Cancer Epidemiol. Biomarkers Prev. |volume= 26|issue= 6|pages= 826β836|year=2017 |pmid=28077426 |pmc=6020049 |doi=10.1158/1055-9965.EPI-16-0806 }}</ref> In Italy, the study population consisted of two cohorts: the first, 1721 individuals diagnosed with lung cancer and no severe disease, and the second, 1918 control individuals with absence of lung cancer history or any advanced diseases. All individuals filled out a food frequency questionnaire including consumption of walnuts, hazelnuts, almonds, and peanuts, and indicating smoking status. In the United States, 495,785 members of [[AARP]] were questioned on consumption of peanuts, walnuts, seeds, or other nuts in addition to other foods and smoking status. In this U.S. study 18,533 incident lung cancer cases were identified during up to 16 years of follow-up. Overall, individuals in the highest quintile of frequency of nut consumption had a 26% lower risk of lung cancer in the Italian study and a 14% lower risk of lung cancer in the U.S. study. Similar results were obtained among individuals who were smokers.
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