Which of the following factors does not affect the incidence of tumor sites?

Name: Which of the following factors does not affect the incidence of tumor sites?
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Question

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Tumor site incidence is affected by environmental factors such as sun exposure.It is also affected by technological factors such as the advent of more precise imaging modalities.Additionally,tumor site incidence is affected by geographic factors as exemplified by gastrointestinal cancers in Japan.

Which of the Following Factors Does Not Affect the Incidence