Symptoms of advanced lung cancer

Written by Hu Zhong Dong
Medical Oncology
Updated on May 31, 2025
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Late-stage lung cancer may cause pain. For example, bone metastasis is a common site of metastasis for lung cancer, which can lead to pain; if it metastasizes to the liver, it can cause expansive pain in the liver, and chest tightness and shortness of breath are also common symptoms of late-stage lung cancer. If the tumor is located at the hilum of the lung, compressing the lobar bronchi, main bronchus, etc., compression can lead to corresponding lung collapse, possibly causing chest tightness and shortness of breath. Additionally, a large amount of pleural effusion can also occupy the thoracic cavity, compressing the lungs, leading to difficulties in breathing due to chest tightness. Coughing might be a common symptom in lung cancer patients, especially in those whose tumors are located at the hilum of the lung. Hoarseness is caused by compression of the recurrent laryngeal nerve, and this symptom might be alleviated after tumor treatment. Furthermore, some patients with advanced-stage lung cancer may experience swelling of the upper limbs and face, which is caused by the tumor compressing the superior vena cava.

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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 Hu Zhong Dong
Medical Oncology
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incidence of lung cancer

In recent years, the incidence of tumors has continued to rise, becoming a major killer threatening public health. According to global cancer statistics from 2015, in 2012, there were approximately 14 million new cases of cancer worldwide. Among these, lung cancer had an incidence of 1.8 million, accounting for 13% of all cancer cases. It is the type of cancer most frequently diagnosed and is also the leading cause of cancer death among men globally and women in developed countries. So, what is the current situation of lung cancer incidence in our country? The National Health Commission has stated that in 2014, there were about 3.804 million new cancer cases in China, with lung cancer having the highest incidence at 181,000 cases. Lung cancer presents complex clinical symptoms and its early symptoms are relatively mild, leading many patients to seek medical advice only in the late stages, thereby missing the optimal treatment window.

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Written by Gong Chun
Oncology
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Early stage lung cancer symptoms

The most common early symptom of lung cancer includes coughing, coughing up blood, difficulty breathing, and chest pain. However, when the tumor grows in the larger bronchi, it often causes an irritating cough, leading many people to mistake it for a cold. Therefore, if an irritating cough occurs, it should be taken very seriously. The second point is that as the tumor continues to grow and affects the drainage of the bronchi, there is often an increase in purulent sputum, and the amount of sputum may also increase from before. The third commonly seen symptom is bloody sputum, which might be spots of blood in the sputum, streaks of blood, or intermittent small amounts of coughed-up blood. Large amounts of blood in the sputum are very rare.

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Written by Sun Ming Yue
Medical Oncology
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Do early-stage lung cancer patients experience vomiting?

If a patient develops lung cancer, some may experience symptoms of nausea and vomiting in the early stages, which is caused by the spread of cancer cells. Others may experience localized pain. It is suggested that lung cancer patients who experience nausea and vomiting adopt a fasting method for treatment, or treat it through localized massage. If patients discover that they have lung cancer, it is crucial to control it in the early stages to prevent the spread of cancer cells. If necessary, treatment can be administered through chemotherapy drugs or radiation therapy drugs.

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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.