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Smoking increases from 10 to 25 times the risk of being diagnosed with lung cancer. This is by far the main risk factor.
Other factors may also...
In most cases, metastatic cancer to the lung is a sign that the cancer has spread into the bloodstream. Usually cancer will be present even in places not seen by CT scans. In these circumstances, removing the visible tumors by surgery usually is not much, so usually opt for chemotherapy.

Sometimes when the primary tumor has been removed and the cancer has spread to only limited areas of the lung, lung tumors can be removed with surgery. However, the primary tumor should be curable lung tumors must be completely removed and the patient should be strong enough to undergo surgery and recovery.
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