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That same combustion process that burns the tobacco and paper also produces a toxic cloud of carcinogens that directly harm lung tissue, says Narjust Florez, MD, a thoracic medical oncologist at Dana-Farber Cancer Institute, co-director at the Young Lung Cancer Program, and assistant professor of medicine at Harvard Medical School

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[6] There have been reports of ethnic variation

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For example, while the classic filterless 'plain' version was sold, filtered varieties were introduced to keep pace with modernization and evolving tastes in the mid-20th century

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