A significant portion of newly diagnosed lung cancer cases occurs in populations exposed to air pollution. The World Health Organization has identified air pollution as a human carcinogen, prompting many countries to implement monitoring systems for ambient particulate matter (PM). PM is composed of a complex mixture of organic and inorganic particles, both solid and liquid, that are found in the air. Given the carcinogenic properties of PM and the high prevalence of lung cancer among exposed populations, exploring their connection and clinical implications is critical for effectively preventing lung cancer in this group. This review explores the relationship between ambient PM and lung cancer. Epidemiological studies have demonstrated a dose-response relationship between PM exposure and lung cancer risk. PM exposure induces oxidative stress, disrupts the body’s redox balance, and causes DNA damage, which is a crucial factor in cancer development. Recent findings on the strong correlation between ambient PM and adenocarcinoma highlight the importance of understanding the specific molecular and pathological mechanisms underlying pollution-related lung cancer. In addition to efforts to control emission sources at the international level, a more individualized approach is essential for preventing PM-related lung cancer.

This study presents an integrated assessment of anchorage-related emissions and air quality impacts in the Panama Canal region through Automatic Identification System (AIS) data, bottom-up emission estimation, and atmospheric dispersion modeling. One year of terrestrial AIS observations (July 2024–June 2025) captured 4641 vessels with highly variable waiting times: mean 15.0 h, median 4.9 h, with maximum episodes exceeding 1000 h. Annual emissions totaled 1,390,000 tons of CO₂, 20,500 tons of NO_x, 4250 tons of SO₂, 656 tons of PM₁₀, and 603 tons of PM_2.5, with anchorage activities contributing 497,000 tons of CO₂, 7010 tons of NO_x, 1520 tons of SO₂, 232 tons of PM₁₀, and 214 tons of PM_2.5. Despite the main engines being shut down during anchorage, these activities consistently accounted for 34–36% of the total emissions across all pollutants. High-resolution emission mapping revealed hotspots concentrated in anchorage zones, port berths, and canal approaches. Dispersion simulations revealed strong meteorological control: northwesterly flows transported emissions offshore, sea–land breezes produced afternoon fumigation peaks affecting Panama City, and southerly winds generated widespread onshore impacts. These findings demonstrate that anchorage operations constitute a major source of shipping-related pollution, highlighting the need for operational efficiency improvements and meteorologically informed mitigation strategies.