Smoking is the primary factor responsible for the epidemic of squamous cell
lung cancer (SqLC) and small cell lung cancer (SCLC), however, were have b
een few studies which reported the relationship between smoking and SCLC in
female patients. To examine the relationship between smoking and SCLC and
SqLC in female patients, a retrospective chart review was performed in 877
patients with lung cancer diagnosed at Tsukuba University Hospital. In both
SCLC and SqLC, the proportions of non-smokers were higher in female patien
ts than those of male patients (p=0.0001, p=0.0001, respectively). A signif
icant difference in smoking history was found between female and male patie
nts who were diagnosed with SqLC and SCLC (p=0.0001). In female patients, a
ctive smoking seems less responsible for the occurrence of smoking-related
lung cancer compared with male patients, which suggests passive smoking inf
luence the development of smoking-related lung cancer, especially in female
patients.