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Despite these crucial medical advances, lung cancer disparities exist among marginalized racial and ethnic groups [11, 12], particularly Black as well as Hispanic, Asian/Pacific Islanders, and Indigenous patients [11]

The exposure of smokeless tobacco users and smokers to carcinogens and toxicants can now be monitored by urinary and DNA adduct biomarkers that may be able to identify those individuals at highest risk of cancer so that effective cancer prevention interventions can be initiated

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