What department should lung cancer patients visit?

Written by Gong Chun
Oncology
Updated on August 31, 2024
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The first point is that lung cancer can be categorized as a respiratory system disease, so one could visit the respiratory department. However, the respiratory department is not specialized enough for lung cancer, so it is recommended to visit the oncology department instead. After all, lung cancer is a malignant tumor. Initially, one can visit the respiratory department, but once it is confirmed through biopsy that it is lung cancer, it is advised to seek specialized treatment in the oncology department, as it is a malignant tumor.

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Written by An Yong Peng
Pulmonology
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Does lung cancer cause a dry cough and a feeling of stuffiness?

Lung cancer can present symptoms of chest tightness along with dry cough, or it may simply manifest as dry cough alone. Some early-stage lung cancers might only involve dry cough without other symptoms like chest tightness or breathing difficulties. However, for patients with advanced lung cancer, in addition to dry cough, symptoms may include chest tightness and breathing difficulties. Advanced lung cancer can compress the patient's major airways, leading to narrowing of these airways, and thus cause symptoms such as dry cough and chest tightness. In advanced stages, lung cancer may also be accompanied by a significant accumulation of pleural effusion. In such cases, patients might experience chest tightness and breathing difficulties along with dry cough. Therefore, lung cancer can either solely manifest as dry cough or may also be accompanied by symptoms of chest tightness, particularly in advanced stages, where it is relatively common to have chest tightness along with dry cough.

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Written by Li Ying
Pulmonology
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Is hemoptysis lung cancer?

Coughing up blood is not necessarily lung cancer. Among respiratory diseases, the three most common causes of coughing up blood are, first, bronchiectasis; second, pneumonia and lung abscess; and third, lung cancer. So how can we determine the cause? The best, simplest, and fastest method is to go to the hospital for a lung CT scan as soon as coughing up blood occurs. If the lung CT shows bronchiectasis, then bronchiectasis should be considered; if it shows an infiltrative lesion, then pneumonia should be considered; if it shows a tumor, then lung cancer should be considered at that time. However, there is also a scenario where blood is coughed up, but the lung CT is completely normal. What should be done then? This situation might be due to pharyngitis. Sometimes, severe coughing from pharyngitis can cause bleeding of the mucous membranes in the throat. In this case, there’s no need for excessive worry, as it may be caused by factors involving the throat. Cough gently, and if there’s no blood when coughing lightly, it’s likely not serious. However, if there's still blood in the sputum even when coughing lightly, it is recommended to undergo a bronchoscopy to check for tuberculosis or cancer in the bronchi.

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Written by Wang Chun Mei
Pulmonology
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How to treat dry cough caused by lung cancer?

Dry cough is a very common symptom in clinical practice, caused by many factors which are also very complex. Some patients might clearly have lung cancer. Due to the presence of lung cancer lesions, patients can experience irritating dry cough as well as symptoms like hemoptysis, chest pain, and chest tightness. It is possible that some patients do not exhibit symptoms of dry cough, perhaps due to other causes. Therefore, for dry cough, we need to identify if it is caused by lung cancer, as it often requires surgical treatment to control the symptoms. Some patients with minor lung cancer who experience dry cough might be able to control it with appropriate medications. However, to effectively control symptoms of dry cough caused by lung cancer, surgical removal is generally necessary and is the ultimate treatment plan.

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Written by Gong Chun
Oncology
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How to check for lung cancer?

How to check for lung cancer, firstly, for lung cancer screening, particularly in people over forty years old, especially smokers, it is recommended to regularly undergo low-dose spiral CT scans of the chest. Secondly, if a tumor is detected, it is suggested to proceed with enhanced CT scans, sputum cytology tests, or PET-CT. If it is confirmed that there is a tumor in the lungs, then a biopsy is needed. The biopsy can be performed under bronchoscopy, or transthoracic lung puncture and biopsy of living tissue can also be done, as well as biopsy of metastatic lesions or cytological examination of pleural effusion to diagnose whether it is lung cancer, the type of lung cancer, and certain immunohistochemical situations.

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Written by Gong Chun
Oncology
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Symptoms of brain metastasis from lung cancer

Brain metastasis of lung cancer is caused by hematogenous spread of lung cancer to the brain. Brain metastasis typically presents with symptoms such as headaches, nausea, and vomiting, including projectile vomiting. The headaches may be severe, and there may be abnormalities in sensory perception and motor function, possibly accompanied by seizures, mental confusion, olfactory disturbances, visual impairments, and other symptoms. The specific symptoms can vary depending on the location of the metastasis in the brain. However, most patients experience headaches, nausea, and vomiting. Individual differences are significant, and it's important to analyze the specific issues and the specific areas of the brain affected.