Inclusion Criteria:

A new** [**Patients will be considered "new" if they are attending approximately one of
their first 4 visits with their primary oncologist at the Massachusetts General Hospital
(MGH) Cancer Center or Memorial Sloan Kettering Cancer Center (MSKCC) for suspected or
recently diagnosed cancer. Patients who come to the MGH or MSKCC for a second opinion and
opt to receive their cancer treatment at one of these institutions will be considered
eligible. Local and distant recurrence of tumors in patients with past cancer diagnoses
will be considered "new" diagnoses in this study. Patients with a new form of cancer who
have been treated previously for other types of cancer will be considered eligible] adult
patient who has smoked a cigarette, even a puff, in the past week, with suspected or newly
diagnosed thoracic, breast, genitourinary or gastrointestinal cancer will be considered
eligible if he/she:

1. is willing to consider trying to quit smoking using counseling and/or medication

2. is English or Spanish speaking

3. has regular telephone access

Participants may decide not to use any medication.

Exclusion Criteria:

In an effort to be as inclusive as possible, a patient will be excluded only if he/she:

1. is currently psychiatrically unstable or otherwise unable to provide informed consent
as determined by study investigators or oncology clinician

2. is not English or Spanish speaking

3. is medically ineligible (as determined by their treating physician)

4. has no intention to receive their cancer care at MGH or MSKCC

Any participant may decide not to use any medication. Patients deemed ineligible will be
referred to the state quit line.