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Lung Cancer Symptoms

In about 25% of people with lung cancer, there are no symptoms and the cancer is discovered during screening or a routine physical examination. However, in three-quarters of patients with lung cancer, there are warning symptoms and signs that can alert the patient or their doctor.

Most often, lung cancer patients experience respiratory symptoms such as shortness of breath, wheezing, hoarseness and a persistent cough. These symptoms are very common among smokers, and are also present in a number of other conditions such as asthma, emphysema and chest infections. A new cough should always be evaluated, as it may be a symptom of lung cancer. Lung cancer can spread to the chest wall, causing chest, shoulder and back pain. When cancer cells erode lung blood vessels, the patient may cough up blood. There may also be other generalized effects that occur with most cancers, such as fever, fatigue, loss of appetite, and weight loss.

As a lung cancer grows, it increasingly compromises the normal functioning of an affected lung. Secondary complications can occur, such as accumulation of fluid in the tissue lining the lungs (pleural effusion), pneumonia, airway obstruction and repeated lung infections. Lung cancer can also spread or metastasize to other parts of the body, such as the lymph nodes, bones, liver and brain. Bone pain and abnormal liver or brain function may result.

The absence of symptoms does not necessarily indicate early disease, and the presence of non-specific breast symptoms can often go unheeded. Both factors contribute to the fact that only about 15 percent of lung cancer patients are diagnosed in the early stages of the disease. The later lung cancer is diagnosed, the less effective treatment options are. Delays in diagnosing lung cancer patients result in an overall survival rate of only 15 percent at five years after diagnosis.

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