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Changes in voice quality or difficulty in speaking clearly can occur if cancer affects the areas involved in vocalization

PMID 22984447

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In that study, lung cancer deaths were estimated at 89, 29 fewer than in the current study conducted in 2020.17 The previous estimate of AM in Spain, as noted above, was from 2011.7 The most notable difference between the 2011 estimate and the 2020 estimate is the decrease in the prevalence of ETS exposure

doi:10.1016/j.jadohealth.2013.07.033