Last Updated:
It is crucial for developing targeted prevention strategies, improving early detection methods, and closing the gender gap in lung cancer incidence among young women

Emerging research suggests that female hormones, particularly estrogen, might play a role in lung cancer development and progression
Lung cancer, long associated with older men and heavy smoking, is undergoing a troubling shift. Increasingly, it’s striking younger women, many of whom have never smoked. This alarming trend highlights a complex interplay of factors beyond traditional risk profiles. Dr Vivek Singh, Director, Respiratory & Sleep Medicine, Medanta, Gurugram shares five key reasons why more young women are facing a lung cancer diagnosis:
1. The Shifting Landscape of Smoking Habits
While overall smoking rates have declined, the history of tobacco use plays a significant role. In previous decades, smoking became more prevalent among women, particularly starting in the mid-20th century. This delayed uptake means that women who started smoking later are now reaching the age where lung cancer typically manifests, even if they’ve since quit. Furthermore, the rise of e-cigarettes and vaping, often marketed with appealing flavors, has introduced a new generation of young women to nicotine and potentially harmful inhaled substances, the long-term effects of which are still emerging.
2. Hormonal Influences and Genetic Susceptibility
Emerging research suggests that female hormones, particularly estrogen, might play a role in lung cancer development and progression. Estrogen receptors have been found on lung cancer cells, and some studies indicate that estrogen could promote tumor growth. This hormonal link might explain why non-smoking women are more susceptible. Additionally, there’s growing evidence of genetic predispositions. Certain genetic mutations, like EGFR (Epidermal Growth Factor Receptor) mutations, are more commonly found in lung cancers in women, especially non-smokers. These mutations can drive cancer growth and make individuals more vulnerable regardless of smoking history.
3. Exposure to Environmental and Occupational Carcinogens
Beyond active smoking, passive exposure to secondhand smoke remains a significant risk factor, and women are often disproportionately exposed in homes or workplaces. Other environmental carcinogens, such as radon gas (a naturally occurring radioactive gas that can accumulate in homes), asbestos, and air pollution, contribute to lung cancer risk. Women, depending on their living conditions or occupational roles, may have varying levels of exposure to these silent threats, which can accumulate over time and increase their susceptibility.
4. Diagnostic Delays and Misconceptions
Lung cancer symptoms in young women can often be subtle and easily mistaken for less serious conditions like asthma, bronchitis, or even anxiety. Persistent cough, shortness of breath, or fatigue might be dismissed by both patients and healthcare providers, leading to diagnostic delays. The prevailing stereotype of lung cancer as a “smoker’s disease” can also hinder early detection, as doctors may not immediately consider it in young, non-smoking women. This delay means the cancer is often more advanced by the time it’s diagnosed, making treatment more challenging.
5. Lifestyle Factors and Co-morbidities
While less direct, certain lifestyle factors and co-morbidities might indirectly contribute to increased risk. Poor diet, lack of physical activity, and obesity are linked to chronic inflammation and other health issues that can create an environment conducive to cancer development. Furthermore, pre-existing lung conditions or a history of severe respiratory infections could potentially increase vulnerability. The cumulative effect of these factors, combined with genetic and environmental influences, paints a complex picture of lung cancer risk in young women.
Understanding these multifaceted reasons is crucial for developing targeted prevention strategies, improving early detection methods, and ultimately, closing the gender gap in lung cancer incidence among young women.

Swati Chaturvedi, a seasoned media and journalism aficionado with over 10 years of expertise, is not just a storyteller; she’s a weaver of wit and wisdom in the digital landscape. As a key figure in News18 Engl…Read More
Swati Chaturvedi, a seasoned media and journalism aficionado with over 10 years of expertise, is not just a storyteller; she’s a weaver of wit and wisdom in the digital landscape. As a key figure in News18 Engl… Read More
view comments
- First Published:
Read More