“…In the USSR, the chewing of nass, which consists of tobacco powder, wood ash and lime, has been linked to the relatively high incidence of oral cancer (Paches and Milievskaya, 1980), and in India, the consumption of a powdered tobacco plus lime mixture is involved in the development of commonly called "Khaini cancers" (Hirayama, 1966;Muir and Kirk, 1960;Khanolkar and Suryabai, 1945). Analytical studies on tobacco point to N-nitrosamines as possible causative agents (Hecht et al, 1978;Hoffmann et al, 1979Hoffmann et al, , 1980Bhide et al, 1981) and to phenolics as possible promoters (Hecht et al, 1981). Of particular relevance appears to be the observation that several potent carcinogenic N-nitrosamines appear in the saliva of snuff users who are at high risk for oral cancers (Hoffmann and Adams, 1981).…”