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Overview

Lung Cancer - Symptom, Treatment And Causes

Lung cancer starts from the lungs and spreads to other body parts. In most cases it starts in the airways of the lungs, known as alveoli and bronchioles. There are over 20 types of lung cancer. The cause of most lung cancers is smoking, both from smoking and passive smoking. People who never smoke are also prone to get it and the cause in such cases isn’t known.

The two major types of lung cancer based on the microscopic appearance are:

  • Small-cell lung cancer: It is the major type of lung cancer and affects smokers exclusively.
  • Non small-cell lung cancer: It is a term for lot of different lung cancer types that have similarities. Large-cell carcinoma, squamous-cell carcinoma and adenocarcinoma all come under this category.

Chemotherapy aims at killing cancer cells. Drugs might be administered by a vein, usually in the arm or through the oral route. Multiple drugs are generally given over few months. A surgeon removes the cancer and some part of the adjacent healthy tissue.

Here are the procedures done to obliterate lung cancer:

  • Wedge resection- A small part of the lung that has the tumour with marginal healthy tissue is removed.
  • Segmental resection- A larger part of the lung is removed.
  • Lobectomy- A whole lobe of the lung is removed
  • Pneumonectomy- An entire lung is removed

Radiation therapy employs energy beams obtained from protons and X-rays for killing the cancerous cells. It can be done externally or may be placed within the body close to the affected area through seeds, catheters or needles. Palliative care, a specialty medicine field, involves a doctor’s help to reduce symptoms and signs.

Alternative and complementary lung cancer treatment options are available to reduce symptoms and signs, even though they may not be able to cure cancer:

  • Meditation- It involves focusing on a thing like an image, sound or idea. It helps reduce distress and improves the life quality of cancer patients.
  • Yoga- It includes stretches with meditation and deep breathing. It helps with sleep. An instructor can guide you through the exercises and movements. Don’t do stretches that strain you or feel uncomfortable.
  • Acupuncture- A trained professional puts in tiny needles in specified points in the body during an acupuncture session. It may reduce pain and the side effects of cancer treatment. However, there isn’t any evidence that acupuncture affects the cancer in any way.
Treatable by medical professional Require medical diagnosis Lab test not required Chronic: can last for years or be lifelong Non communicable
Symptoms
It generally doesnt have any symptoms. When the symptoms start appearing , they can be scary like blood in the mucus. Wheezing with chest pain Swollen face and neck Difficulty in swallowing Severe headaches, body pain and fatigue

Popular Health Tips

Lung Cancer - A Practical Guide To Help You Manage It!

Dr. Shilpy Dolas 88% (73 ratings)
MBBS, MS - General Surgery, FBD (Fellowship in Breast Diseases), UICC Fellowship
Oncologist, Pune
Lung Cancer - A Practical Guide To Help You Manage It!
Cancer is not just a physical problem but an emotional one, not just for the patient but for the caretakers as well. While treating cancer per se is a task, managing the complications that arise out of it is another major issue. With environmental pollution and smoking on the rise, lung cancer incidences have also increased significantly. Read on to know how to manage lung cancer, including some symptoms. Emotionally, once the diagnosis is confirmed, there could be a mixed bag of feelings including fear, confusion, anxiety and uncertainty. Having a close family member or friend accompany you on medical visits certainly helps, as they can guide in asking the right questions and interpreting things the right way. Being a part of social groups helps in coping with emotional stress that comes with the disease, as it reduces the feeling of loneliness and puts you in touch with others who are on the same journey. Physically, some of the symptoms along with ways to manage are listed below. Pain: One of the major symptoms of any cancer, pain can be severe and needs to be handled for the overall quality of life. Long-acting pain medications would be required to control pain, and if the still persists, one might have to go for short-acting pain killers for immediate pain control. In addition, warm massages, oil therapies, meditation, and Ayurvedic therapies can do wonders in managing the pain. Smoke exposure: One of the main causes of lung cancer, exposure to smoke should be avoided at all costs. While quitting smoking is a must, exposure to secondhand smoke should also be avoided. Any other form of tobacco is a strict no too. Shortness of breath: With lung cancer, the lungs ability to supply oxygen to the various organs is reduced. This puts additional pressure on the lungs, and so can cause shortness of breath. Try to not exert the body, and with any physical strain, it is advisable to rest. Listen to your body s signs and rest accordingly. Weakened immunity: Chemotherapy weakens the immune system and puts you at risk for infections of all the organs. Therefore, eat healthy, drink lots of water including non-caffeinated beverages, exercise within limits that your body allows, and sleep well. This helps in improving the immune system. Reduce exposure to pollutants and to people who are not well. This can control chances of developing infections. Cough and sore throat: Lung cancer puts one at risk of developing a chronic sore throat and cough. Drink warm liquids, avoid cold beverages, and keep your flu shots up to date. While cancer definitely is a scary proposition, some simple things can help you cope better.
5 people found this helpful

When is Lung Cancer Screening Recommended?

Dr. (Brig.) Ashok K. Rajput 90% (82 ratings)
MBBS, MD - Pulmonary Medicine, DNB - Pulmonary Medicine, MD - Internal Medicine, Diploma in Tuberculosis and Chest Diseases (DTCD)
Pulmonologist, Delhi
When is Lung Cancer Screening Recommended?
One of the major causes of death worldwide is lung cancer and it has been continuously affecting men and women accounting for about 150,000 deaths every year. Astonishingly, this figure is more than the combined death rate of the next three kinds of cancer, namely, colon, breast, and pancreatic cancer. As with any type of cancer, lung cancer to has increased life expectancy when diagnosed in the earlier stages. Thus, being informed about the causes and signs of this deadly disease becomes critical to treat the condition. The prevalent causes The major risk factor for lung cancer is smoking and second-hand or passive smoking. The risks are increased when the smokers are exposed to other potential risk factors such as getting exposed radon and asbestos. Who should be screened? As said earlier, cancer when diagnosed early has an increased success rate for a cure. Most people do not admit that they are vulnerable to lung cancer and this mindset has to be changed first and foremost. There are many people who would benefit from an early diagnosis. This is because the modern medical procedures are highly beneficial in changing the lives of the affected, for better. People, who are avid smokers or have a history of smoking, should always opt for lung cancer screening. In this regard, it should be kept in mind that people, who have stopped smoking for the last 15 years, should also be tested. People belonging to the age group of 55-80 and who have smoked in the past should also come under the screening procedure. Who should not be tested and why? Lung cancer is a ghastly disease, but still, it is advised that everyone should not be screened. These tests involve a lot of risks, which are indeed severe. The first risk is the false-positive test result wherein the test confirms that the patient is suffering from the disease, but he is not. The second risk is over-diagnosis where the cancer is at a benign stage, but there are unnecessary treatments considering it to be dangerous. Lastly, there is the risk of exposure to radiation. So, who is the right candidate? Now the question arises, who should be asked to screen themselves for lung cancer? Or, when is the ideal time to for screening? Because of the risks associated with CT scanning and the chances of doing more harm than good to people who are not prone to having lung cancer, the doctors recommend screening to only those people who are at high risk. Unfortunately, the symptoms of this disease are almost nil in number. To be an ideal candidate for screening, the patient should be in good health and should have a smoking habit as mentioned above.
12 people found this helpful

Lung Cancer - Ways You Can Prevent It!

Dr. Piyush Goel 92% (14 ratings)
MBBS, MD - Pulmonary Medicine, FNB-Critical Care and Medicine
Pulmonologist, Gurgaon
Lung Cancer - Ways You Can Prevent It!
Lung cancer is caused by disorderly growth of uncommon cells which line the air passage, usually starting off in a single or both lungs. The irregular cells do not mature into healthy lung tissue but instead divide speedily and result in tumor formation. Causes behind lung cancer: Smoking: This is considered as the most significant source of lung cancer. As reported by multiple researches and studies, cigarettes contain over 4,000 chemicals, most of which are cancer causing agents. Active smoking is one of the major causes of lung cancer but what may come to you as a surprise is that extended periods of passive smoking is also a major factor. Pollution and Exposure: There is high risk of lung cancer development when there is occupational exposure to pollution by chemicals released from industrial factories. Chemical exposure of this kind refers to prolonged exposure over quite few months or years. Some examples of these chemicals are asbestos, diesel exhaust among many others. Radioactive Gas: Radioactive gases naturally occur in small masses present in all soils and rocks. However, if you breathe in radioactive gases your lungs will damage and may cause the development of abnormal tissue which can cause lung cancer. Family history: A family history of cancer, especially lung cancer will also put you at high risk of developing lung cancer. Treatment methods of lung cancer: Chemotherapy: Chemotherapy is a method in which drugs are injected through veins in your arm (intravenously) or orally or in a combination of both. These drugs kill cancer cells and help to stop it from spreading any further as well. Clinical Trials: These trials are experimental lung cancer treatment studies. You may have to try out this clinical therapy if other treatment methods aren t working and only if you are accepted into it. Surgery: A surgeon will help remove affected areas of the lung including cancerous tumors via surgery. The surgeon may need to remove parts of the lung along with the cancerous growth. In certain cases, one side of the lung may also be completely removed to stop the spread of the malignant tissue. Radiation Therapy: This is a therapy where high energy electromagnetic waves are passed through your body to destroy cancer cells with the help of high-powered energy beams. Can you prevent lung cancer? Nutrition -- A healthy diet with lots of fruits and vegetables may also help reduce your risk of lung cancer. Some evidence suggests that a diet high in fruits and vegetables may help protect against lung cancer in both smokers and non-smokers. But any positive effect of fruits and vegetables on lung cancer risk would be much less than the increased risk from smoking. Exercise -- Even moderate amounts of exercise can aid in lung cancer prevention. Studies suggest that even something as simple as gardening twice a week is associated with a lower risk of developing lung cancer. Smoking Habits -- If you stop smoking before a cancer develops, your damaged lung tissue gradually starts to repair itself. No matter what your age or how long you ve smoked, quitting may lower your risk of lung cancer and help you live longer. Avoidance of Air Pollution -- Long-term exposure to ambient air pollution and, in particular, particulate matter with absorbed polycyclic aromatic hydrocarbons and other genotoxic chemicals has been suspected to increase the risk for lung cancer. So, avoid air pollution as much as possible.
1 person found this helpful

Five Signs That You Might Be Suffering From Early Stage Lung Cancer!

Dr. Piyush Goel 92% (14 ratings)
MBBS, MD - Pulmonary Medicine, FNB-Critical Care and Medicine
Pulmonologist, Gurgaon
Five Signs That You Might Be Suffering From Early Stage Lung Cancer!
The sound of the word cancer can be really traumatic and the fact the one may most of the time be unaware of this condition can be hard to handle. The same is the situation in the case of lung cancer as it does not produce any remarkable signs and symptoms in its early stages. However, there are ways in which you can be aware of this life-threatening ailment. Here are some tell-tale signs of an early stage of lung cancer: A stubborn cough: Beware when a cough is lingering on for long with no sign of relief. When a cough is related to cold and respiratory infection, it will subside within a week or so. But in case the cough is persistent, it can be a symptom of lung cancer. You should never dismiss a stubborn cough regardless of whether it is dry or producing mucus. You should talk to a doctor right away as he can check the lungs and may order for other tests to determine whether you have cancer. Breathing problems: Becoming easily winded or shortness of breath is considered the most prominent symptoms of lung cancers. This may occur when cancer blocks or inhibit the airway or when the fluid from the tumor starts building up in the chest. If you find that it is becoming difficult for you to breathe in doing tasks that you found easy before, you should not ignore it. Wheezing: When the airways become inflamed, blocked or constricted, then the lungs would produce a wheezing and whistling sound while breathing. It can be associated with a host of other causes that are easily treatable but could also be due to lung cancer. Headache: Even though headaches are considered one of the most common health problems, if there is a persistent headache, then it could be a sign that lung cancer has spread to the brain. It is important to understand that all headaches are not associated with the brain metastases. There are times when the lung cancer creates pressure on the superior vena cava which is in charge of supplying blood to the upper part of the brain. This pressure can also lead to headaches. Pain in the bone: If the lung cancer has spread to the other parts of the body, then it may produce mild pain in the back and other parts of the body. It tends to become worse during the night when you are resting on your back. But it can be difficult for a commoner to differentiate between muscle and bone pain. In case you are suffering from bone pain, you will see that it is becoming worse with movement. Moreover, lung cancer is also associated with pain in the shoulder, neck, and arm even though it is very rare. You should be very attentive to the pain and aches in the body and consult with an expert at the earliest. You can easily combat lung cancer if diagnosed and treatment is started in its early stages.
2894 people found this helpful

Reasons Behind Lung Cancer!

Dr. Shobitha Rao Bhat 90% (56 ratings)
MD - Pulmonary Medicine, DAA (Allergy)
Pulmonologist, Mangalore
Reasons Behind Lung Cancer!
Lungs are the most important organ of our body that has the responsibility of taking in the oxygen and releasing out carbon dioxide. When cancer develops in it, the entire body gets imbalanced. Lung cancer leads to more death than any other type of cancer, which is why identifying the symptoms and knowing the causes are instrumental in obtaining a timely diagnosis as well as in prevention of this disease. Symptoms of Lung Cancer In the early stages: Persistent coughing Chest pain Bleeding Fatigue Loss of appetite Sudden weight loss Headaches Coughing up blood In the later stages: Bone pain Joint pain Facial paralysis Neck swelling Blood clotting Weakness Sever chest pain Causes of Lung Cancer Smoking: People who smoke are more prone to lung cancer. With the increase in the number of cigarettes you smoke, your chances of getting lung cancer increase too. People who don't smoke but are surrounded by the smokers also have high chances of being affected by this form of cancer. Exposure to Asbestos: Asbestos is a group of mineral, which is present naturally in the environment. Lung cancer can occur due to the inhalation and ingestion of asbestos fibers. Exposure to Ranon Gas: Ranon is a radioactive gas, which is formed naturally on decaying of radioactive elements. It is found in low levels in the air that we breathe and the water that we drink. Consumption of air and water having this gas leads to lung cancer. High Levels of Air Pollution: Presence of high levels of dust particles and pollutants in the air that we breathe can cause lung cancer. 1-2% of lung cancer is caused because of it. High Levels of Arsenic in Drinking Water: Consuming water with arsenic content is harmful. Some studies suggest that it is associated with increased risk of lung cancer. Exposure to Chemicals: Exposure to certain chemicals like uranium, coal products, gasoline, diesel exhaust and mustard gas can also cause lung cancer. Family History of Lung Cancer: Chances of getting lung cancer increase if your parents, child or siblings are already prone to lung cancer.
2243 people found this helpful

Popular Questions & Answers

I had a cold 4 plus weeks ago, I feel a little better but I still have a productive cough and some nasal congestion. I wake up with a sore throat in the morning and green nasal mucus. I am 27 and I smoke I had a clear chest x ray I am very concerned that I have lung cancer .

Dr. Shashidhar 92% (4020 ratings)
BHMS
Homeopath, Secunderabad
Please take charge of your self ( especially when such situations happen - which can impress your mind to take bold steps and adapt a healthy lifestyle ). Do not worry, but be courageous to reform the habits. Take the help of the doctor to examine you and speak about your concerns. Your doctor can also help you to deal with this smoking habit. You can set your priorities and start working towards those goals. Let exercise be the stress buster for you. Do all the healthy things ( follow healthy habits with consistency ) and feel better and confident soon. Revert with any queries or doubts.
1 person found this helpful

Hello actually my brother in law is suffering from lung cancer treatment is going on in TATA Medical Center kolkata under Dr. on last visit he suggested that (brother in law) for surgery so you know what we lay man are always stay away from any surgery so that's why we want a second opinion.

Dr. Kumar Sambhav 91% (1012 ratings)
MBBS
General Physician, Delhi
Lung cancer is very fast spreading cancer, if cancer is limited only to lungs ; then its better to go for surgery as once it involve other body parts it may get very lethal .it is best advisable to go for surgery, maintain a healthy protein diet.
1 person found this helpful

My father (age 56 years & weight 70 Kg) has been diagnosed with Non-Small Cell Lung Cancer, Stage 4 with primary tumour in his Left Upper Lobe and metastasis in Liver and Bone. The biopsy report has confirmed it to be adenocarcinoma. The cancer was detected while he was admitted at a hospital in Mumbai and was undergoing treatment for Acute Paraplegia which happened on 02 Nov 16, due to arteries-Venous Fistula at D-10 level resulting in oedema/ ischemia of the spine from D-5 to Conus. After two failed attempts of embolization, towards treatment of the AVF, surgical clipping of the fistula was undertaken on 10 Nov 16. As part of post-operative rehabilitation therapy for his paraplegia, he was given 65 session of Hyper-basic Oxygen Therapy at 2.4 ata pressure for about two and a half month and about two hour of Physiotherapy for the same duration. My father was recovering well and had started walking with the help of support (walker). MRI of the spine taken in mid Jan & Mid June 2017 indicates that the spinal cord oedema had improved significantly, although atrophy of the spine cord is still present. He complained of wheezing and breathing difficulty and towards ascertaining the cause a X-ray was taken on 23 Feb 17 which showed massive pleural effusion in his left lungs. A series of tests followed with the ultimate result as NSCLC Stage 3B. It was categorised as Stage 3B as the pleural effusion was para-malignant and no metastases was noted in any other body parts. He was started with CCRT treatment which concluded on 05 May 17. During the treatment he was given daily dose of radiation therapy to his primary tumour site in his left upper lobe using IGRT (60 Gy/ 30 #/6 weeks) and weekly chemotherapy with paclitaxel (150 mg) & Carboplatin (300 mg) for 6 weeks. Despite the treatment, the cancer is advancing and has now spread to Liver and Bones as brought out in his latest PET CT report. Lung tissue which was obtained during CT guided biopsy conducted in the month of Mar 17, before the CCRT treatment was started, has tested positive for EGFR mutation – “E746_A750del is detected in EXON 19 of EGFR gene”. His doctor has started my father on Erlotinib 150 mg OD since 26 Jun 17. My father has developed Post Obstructive Pneumonia in his left lung and there is consolidation in his entire left lung. This is evident from a recent X-ray. He is having difficulty in breathing, takes short & fast breath, sweats a lot, feels cold, has irritation in his throat and gets tired very fast. He also has issue eating solid food and had greatly cut down his diet. He was started on Oral antibiotic for a week, but did not respond to it. He is admitted in the hospital and is being injected with antibiotics through IVs and injections. His condition remains to be same with no much improvement. His SPO2 level is also low at 90-92%. My father also has severe lower back pain and has also been diagnosed with progressive paraparesis. Because of the back pain he is not able to lie down on his back. A recent screening of the entire spine has confirmed that there is no evident compression of the spinal cord but clearly shows a number of metastasis in the vertebrae (Clivus, Dv2, Lv2, Lv4 & Tail Bone). There are plans to start him on Radiation Therapy for his spine. Is this:- 1.The right therapy for him? 2.What other option do we have for treating his spinal mets? 3.Can Radiation to treat his mets in the vertebra, damage his spine and cause further paraparesis? 4.Could you please suggest anything towards treatment of my father?

DM - Oncology, MD - Internal Medicine
Oncologist, Noida
If there is localized backache than radiation treatment may be the right choice for the time being. Though it won't cure lung cancer. It may help in resolving the local pain. Patient is on erlotinib since 26-6-17. The medicine should have shown some benefit by now. Continue it for another one month. It may be stopped for the time /days spinal radiation is given by your treating doctor. Add bisphosphonates taking care of creatinine and calcium levels. Ask for appropriate amount of analgesics. Given the history of spinal cord atrophy, yes there is risk of further damage to spinal cord by radiation. The dose, fractionation and the areas not to be irradiated will be decided by treating radiation oncologist. For EGFR mutant erlotinib is one of the best drugs. Take care of nutrition. It's important.
2 people found this helpful

My father has been diagnosed with Non-Small Cell Lung Cancer, Stage 4 with primary tumour in his Left Upper Lung and metastasis in Liver and Bone. The biopsy report has confirmed it to be adenocarcinoma. The cancer was detected while he was admitted at a hospital in Mumbai and was undergoing treatment for Acute Paraplegia which happened on 02 Nov 16, due to arteries-Venous Fistula at D-10 level resulting in oedema/ ischemia of the spine from D-5 to Conus. After two failed attempts of embolization, towards treatment of the AVF, surgical clipping of the fistula was undertaken on 10 Nov 16. As part of post-operative rehabilitation therapy for his paraplegia, he was given 65 session of Hyper-basic Oxygen Therapy at 2.4 ata pressure for about two and a half month and about two hour of Physiotherapy for the same duration. My father was recovering well and had started walking with the help of support (walker). MRI of the spine taken in mid Jan & Mid June 2017 indicates that the spinal cord oedema had improved significantly, although atrophy of the spine cord is still present. He complained of wheezing and breathing difficulty and towards ascertaining the cause a X-ray was taken on 23 Feb 17 which showed massive pleural effusion in his left lungs. A series of tests followed with the ultimate result as NSCLC Stage 3B. He was started with CCRT treatment which concluded on 05 May 17. During the treatment he was given daily dose of radiation therapy using IGRT (60 Gy/ 30 #/6 weeks) and weekly chemotherapy with paclitaxel (150 mg) & Carboplatin (300 mg) for 6 weeks. Despite the treatment, the cancer is advancing and has now spread to Liver and Bones as brought out in his latest PET CT report. Lung tissue which was obtained during CT guided biopsy conducted in the month of Mar 17, before the CCRT treatment was started, has tested positive for EGFR mutation – “E746_A750del is detected in EXON 19 of EGFR gene”. The medicine oncologist has however said that the gene profiling of the primary tumour tissue is not sufficient for starting Targeted Therapy and gene profiling of a tissue obtained from any of the metastatic site is necessary for the same. Three procedures have been undertaken to obtain tissue sample from the metastases site, twice from the liver and once from the pleural deposits, and all the three times the cancerous tissue could not be obtained. Due to non-availability of conformed cancerous tissue from the metastases site, a firm treatment plan has yet not been made for my father. In the meantime, the doctor has recently started my father on Erlotinib 150 mg OD as there has been considerable delay in his next phase of treatment due to non availability of metastases cancerous tissue. Could you please help me by answering the following:- 1.Can you suggest anything towards treatment of my father? 2.Is gene profiling of tissue from a metastases site absolutely necessary for starting targeted therapy for my father? 3.I read online that Erlotinib or Afatinib can be used as Targeted Therapy for patient with EGFR Lung cancer mutation. Is this true? If yes, will a daily tablet of these drugs be sufficient for his next phase of treatment, or a concurrent conventional chemotherapy is also required? 4.Can 65 session of Hyper-basic Oxygen Therapy at 2.4 ata given at a stretch of about 80 days, with a daily dose of 02 hour be a cause of his cancer? I have read it online that the oxygen free radical produced during HBOT treatment can cause cancer.

Dr. Dharma Ram Poonia 88% (33 ratings)
MS, DNB (Surgical Oncology)
Oncologist, Jodhpur
Hi lybrate-user, You summarize the case very well. I understanding of your case says, he has Ca lung adenoca, treated with dCTRT, that progressed and now disseminated disease, which is not curable by any means. The goal of the treatment in such cases would be palliative only, which means to increase longevity without causing much side effects of the drugs and reduce his problem. Now going towards your questions, 1&2. At this juncture, Gene profiling is not necessary for me but to start the EGFR targeted medicines, which includes Erlotinib/Gefitinib or Afatinib. Usually patients with such mutation as in your case responded but unfortunately not for the indefinite period but averagely 6 to 10 months. On progression, you have to get the gene profiling to see the change in the mutational status. You can refer to NCCN guidelines or American cancer society information. 3. Your father should receive, targertd therapy only, no chemotherapy for sure. It is proven better than chemotherapy in terms of Quality of life and progression free survival (average duration to progress on Treatment) 4. Regarding etiology or causation of lung cancer, HBOT not implicated for such cancers. And more so any carcinogen if cause cancer, it has a reasonable time to show its effects, like you must have seen chronic (long term) smokers will develop lung cancer. HBOT cause local hypervascularization and produce free radicles, so many studies tried see its role as a carcinogen, but tilll date it is not proven carcinogen as per ICAR. Hoping it solves your query. It is nice to see a son is keen and read in-depth about his father's illness. Good luck for further treatment.
2 people found this helpful

Health Quizzes

Lung Cancer - Things That Put You At Risk!

Dr. Rajesh Swarnakar 84% (10 ratings)
Diploma in Tuberculosis and Chest Diseases (DTCD), Board Certified in Pulmonary Medicine, FCCP - Pulmonary Medicine
Pulmonologist, Nagpur
Passive smoking causes lung cancer. True or False? Take this quiz to know now!
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