Although the exact cause is unknown, associations with cigarette smoking (incidence is more than twice as high for smokers as nonsmokers); diets high in fat, meat, dehydrated foods, fried foods, refined sugars, soybeans, and nitrosamines; diabetes mellitus and chronic pancreatitis have been suggested. Persons who have occupational exposure to gasoline derivatives, naphthy-lamine, and benzidine are considered to be at higher risk. High coffee consumption and alcohol intake have been implicated; however, many believe a direct effect of these substances on the development of pancreatic cancer is questionable.

Pancreatic Cancer 689

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