Is a cough indicative of lung cancer?

Written by Yuan Qing
Pulmonology
Updated on April 13, 2025
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Lung cancer occurs when the tissue cells in the lungs lose their normal genetic regulation, mutations occur in the genes, and normal tissue cells grow disorderly, forming a disease characterized mainly by tumors, known as lung cancer. The clinical manifestations of lung cancer can include choking cough, cough, coughing up blood, fever, weight loss, and other symptoms. However, it does not necessarily mean that a choking cough is definitely lung cancer. For example, conditions like bronchitis, asthma, chronic obstructive pulmonary disease, and even pneumonia and lung infections can cause choking coughs. Some colds may also present symptoms of choking cough. Therefore, a choking cough is not necessarily indicative of lung cancer. It is essential to consider the patient's age, occupation, smoking history, and if available, to combine this information with chest X-rays to make a comprehensive determination of whether it is lung cancer.

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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 Yang Feng
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Symptoms of malignant transformation of chronic obstructive pulmonary disease

Firstly, cancer transformation is not the main complication of chronic obstructive pulmonary disease (COPD), but both COPD and lung cancer share a common cause, which is smoking. Therefore, COPD and lung cancer are generally considered two different diseases, and the symptoms of COPD combined with lung cancer are mainly those of lung cancer, typically including irritating dry cough, blood-streaked sputum, weight loss, etc. Thus, lung imaging studies can be used to preliminarily determine the possibility of cancer in patients, and further diagnostic steps can be chosen based on the patient’s imaging and related symptoms, including biopsy, bronchoscopy, etc.

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Written by Gong Chun
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How is lung cancer diagnosed?

Lung cancer is one of the malignant tumors and falls under respiratory system diseases. The gold standard for the diagnosis of malignant tumors is biopsy. Thus, lung cancer is no exception; it requires a biopsy and immunohistochemistry to determine the type of cancer and its pathological type. So how is the biopsy obtained? We can use a bronchoscope to directly observe the tumor and collect small tissue samples for pathological examination. Additionally, there is the thoracic wall lung puncture biopsy, where tissue from the tumor can be sampled using a fine needle. These samples are observed under a microscope to differentiate the pathological types and to further confirm the diagnosis.

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Written by Wang Chun Mei
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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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What are the symptoms of lung cancer?

The most common symptoms of lung cancer include coughing, particularly irritating coughs, and symptoms of coughing up blood. The blood in the sputum may appear as spots, streaks, or intermittent small amounts. Other symptoms include difficulty breathing and chest pain, as well as potential tightness in the chest, shortness of breath, and fever. Secondly, if lung cancer grows within the thoracic cavity and spreads, invading nearby tissues and organs, it can produce secondary symptoms. For example, paralysis of the phrenic nerve on the same side may lead to difficulty breathing and belching. Compression of the recurrent laryngeal nerve may cause hoarseness; compression of the superior vena cava can lead to distended veins in the face, neck, and upper limbs; subcutaneous edema; and if the pleura is invaded, it can cause pleural effusion, among other symptoms. If lung cancer metastasizes through the bloodstream, it may spread to the brain and potentially lead to symptoms such as headaches, nausea, and vomiting. Metastasis to different regions of the brain might cause various symptoms, including seizures, mental confusion, and vision impairment. In a minority of cases, lung cancer may produce endocrine substances, possibly leading to symptoms like severe muscle weakness, bone and joint pain, and other such symptoms.