Original Research Article Introduction: Like many other countries in the world cancer in Bangladesh is one of the major killer diseases. Along with many other countries, Bangladesh has an increasing number of cancers, primarily because of cigarette smoking, chewing of betel nut/betel leaf and exposure to several oncogenic microorganisms and other carcinogens ubiquitous and also for coupled with lack of screening, awareness and poor health seeking behaviors associated with poverty, malnutrition, and illiteracy. Aim of the study: To assess the risk of smoking in patients with malignant tumor.