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Previous studies examining the association between smoking and nonmelanoma skin cancer (NMSC) have produced mixed results. Investigators conducted a case-control study comparing patients who had basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) with a control group of individuals attending a skin cancer detection screening. The analysis controlled for variations in skin, eye, and hair color; alcohol consumption; history of blistering sunburn; occupational sun exposure; and tanning ability. The control population was examined for skin cancer and those with skin cancer were eliminated.
A history of ever smoking was associated with SCC but not with BCC. A dose-dependent curve associated greater risk for SCC with more cigarettes smoke…