What is lung cancer?
Lung cancer starts when abnormal cells grow rapidly in the lining of the tubes, branches or air sacs that make up your lungs. It’s a very common type of cancer. However, it has been declining in recent years. This decline is partly due to fewer people smoking and a broader disease awareness. If you have a history of smoking and meet other criteria, you may qualify for routine lung cancer screening, which catches early signs of lung cancer when it’s most treatable.
There are two main types of lung cancer—non-small cell lung cancer (NSCLC) and small cell lung cancer (SCLC). While both types of lung cancer start in the lining of the lungs, NSCLC is more common and usually grows slower than SCLC.
Symptoms of lung cancer
Lung cancer causes a range of symptoms similar to other respiratory conditions. In the early stages, you may have no lung cancer symptoms, and the condition is only detected through an imaging test or routine lung cancer screening.
In the beginning stages of lung cancer, respiratory symptoms are more common. As lung cancer spreads, you may have symptoms that affect other places in your body.
Lung cancer symptoms include:
- A lingering cough
- Changes in breathing, like wheezing or shortness of breath
- Changes in your voice, such as hoarseness
- Coughing up blood or blood in saliva
- Body pain or chest pain
- Loss of appetite and weight loss
- Swelling in the face or neck
- Fatigue
- Recurring respiratory infections
When to see a doctor
It’s important to stay in tune with your body and know when to get checked for lung cancer symptoms. Although you can have respiratory symptoms with various conditions, it is crucial to consult a doctor when experiencing lung cancer symptoms, especially if you have been exposed to cigarette smoke, or have a smoking history.
Your doctor is your best resource to understand your symptoms and guide your path to treatment.
Causes of lung cancer
Smoking is the leading cause of lung cancer. Exposure to other harmful substances or chemicals could also lead to lung cancer. However, a small number of people develop lung cancer without any risk factors or prior history of cigarette smoking.
How does smoking cause lung cancer
Tobacco smoke is known to contain several substances that are considered cancer-causing, called carcinogens. Exposure to these chemicals over time leads to more and more damage in your lung tissue, which causes abnormal changes to lung cells, which then multiply over time.
Lung cancer risk factors
While smoking is the most well-known risk factor for lung cancer, other factors increase your risk, too. You can take steps to detect lung cancer early—which often gives you more treatment options.
Risk factors you can change
Certain risk factors for lung cancer are controllable, so you have the power to make changes that could reduce your risk of lung cancer.
Some substances linked to lung cancer that you can avoid include:
- Tobacco smoke: Being a current or former smoker is the leading risk factor for lung cancer.
- Secondhand smoke: Even if you don’t smoke, breathing in the smoke from others using cigarettes or cigars also increases your risk of lung cancer.
- Exposure to radon: Radon is an odorless gas that occurs naturally in the environment. However, exposure to a buildup of this gas in an indoor space, such as your home, increases your risk of lung cancer.
- Exposure to asbestos and other carcinogens: Exposure to several different substances and chemicals, including asbestos, radioactive materials or diesel exhaust, puts you at risk for lung cancer.
- Air pollution: Exposure to air pollution can increase your risk for lung cancer.
Risk factors you cannot change
Several risk factors for lung cancer are beyond your control. However, it’s still important to know the risk factors you cannot change and talk with your doctor about other steps to be proactive in caring for your health:
- Age: In general, your risk of lung cancer increases with age. Very few people who develop lung cancer are under 45. The average age of a lung cancer diagnosis is around 70.
- Previous radiation therapy: If you’ve had radiation therapy in the chest area for another type of cancer, including breast cancer or lymphoma, you have a higher risk of lung cancer.
- Air pollution: Exposure to air pollution, especially if you spend much time outdoors in a highly polluted area, can increase your risk.
- Personal or family history of lung cancer: If you have previously had lung cancer, you have a higher risk of developing a new lung cancer. People with a family history may also have an increased risk. Studies are ongoing to understand how specific genes are related to lung cancer.
Bonny's story: The power of early detection.
When Bonny, a former smoker, noticed signs something was off with her body, a screening test revealed early-stage lung cancer. But with our team, she found the right support to put cancer behind her.
How is lung cancer diagnosed?
Lung cancer is usually diagnosed when you have symptoms and undergo testing. However, in people at risk for lung cancer, routine screening with a low-dose CT scan can also catch signs of cancer and lead to a diagnosis sooner.
Your care team has several options for imaging tests and diagnostic procedures that help detect and diagnose lung cancer. These tests will provide information about your specific lung cancer to guide your care after diagnosis.
Medical history and physical exam
If you have symptoms of lung cancer, you should schedule a visit to your doctor. Your healthcare provider will ask about your health and family history and perform an exam. You’ll then work together to plan your next steps, which may include imaging tests.
Types of lung cancer
The type of lung cancer you have will guide your treatment plan. Your care team will place your lung cancer in one of two main groups—non-small or small cell lung cancer—depending on the original location of the abnormal cells.
Lung cancer stages
Lung cancer staging helps you understand the size and location of your lung cancer and how far it has spread. During staging, you may have imaging tests such as a CT, MRI or PET scan to look for signs of cancer cells in different body areas. The stage of your lung cancer provides essential information to guide your decisions in selecting the treatment plan for your specific condition.
Non-small cell lung cancer is put into one of five stages—from 0 to 4. The higher the number, the more your lung cancer has spread. Stage 0 non-small cell lung cancer is the earliest stage, while stage 4, metastatic lung cancer, is the most advanced.
Small cell lung cancer usually only has two stages. In limited-stage SCLC, lung cancer is still limited to a portion of the chest that can be treated with radiation, whereas extensive-stage SCLC has spread to other areas or distant areas. Most cases of SCLC are found when they’ve reached the extensive stage.
How lung cancer is treated
Many factors affect the right lung cancer treatment for you. Your care team will work with you to create a plan based on your type and stage of lung cancer and your personal health and goals.
Treatment options are often different for non-small cell and small cell lung cancer. Your team may be able to remove cancer with surgery during earlier stages of the condition, while later-stage treatment focuses on slowing the growth of cancer and managing symptoms.
Surgery
Surgery is often one of the main treatment options in earlier stages of non-small cell lung cancer. It isn’t a standard treatment for small cell lung cancer. The goal is to remove as much of the lung cancer as possible, and often, these procedures are performed using minimally invasive techniques.
- Segmental or wedge resection: These surgical procedures remove only a segment of a lung lobe or a wedge-shaped area of tissue that contains the lung tumor.
- Lobectomy: A lobectomy is one of the most common surgical procedures for lung cancer. It removes the entire lobe where the tumor is located.
- Pneumonectomy: Pneumonectomy is surgery that removes your entire lung on one side. It’s used when the location or spread of the lung cancer doesn’t allow for a lobectomy.
- Sleeve resection: This surgery removes part of a bronchus, one of the large air passages connecting to your windpipe. The remaining end is then reconnected to the lung.
























