Is the appetite good in the early stages of lung cancer?

Written by An Yong Peng
Pulmonology
Updated on April 10, 2025
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In the early stages of lung cancer, generally, there is no obvious impact on the appetite. Most early-stage lung cancers do not show clinical symptoms. However, some patients may experience coughs or blood-streaked sputum if the tumor grows along the inner wall of the airway, stimulating the respiratory tract. Nevertheless, early-stage lung cancer typically does not metastasize or spread to the digestive tract. Thus, early-stage lung cancer usually does not affect the patient's appetite, and the patient's appetite generally remains unaffected. However, it is crucial to diagnose early-stage lung cancer because surgical removal at this stage can often achieve good results. Once it progresses to mid or late stages, the outcomes are usually poor, and the survival period is typically short. Therefore, it is advocated that people at high risk for lung cancer undergo regular chest CT screenings to check for early-stage lung cancer.

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Will early-stage lung cancer cause coughing up blood?

Patients with lung cancer, in the early stage, may have symptoms of coughing up blood. Some patients not only cough up blood but may also experience coughing or coughing up phlegm. In more severe cases, there may be symptoms of fever or difficulty breathing, and some may experience chest tightness or chest pain. If such conditions are detected, timely treatment is necessary to effectively alleviate the symptoms. It is recommended to consider chemotherapy or radiotherapy for treatment. Patients themselves must pay attention to rest and avoid excessive fatigue.

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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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Is coughing severe in the early stages of lung cancer?

Patients with lung cancer in the early stages may experience severe coughing, mild coughing, or no coughing symptoms at all. Many early-stage lung cancer patients have lesions located near the periphery of the lungs that do not involve the airways or other significant structures, typically resulting in no clinical symptoms. By the time clinical symptoms appear, the patient may already be in the middle or late stages of lung cancer. Additionally, it is important to note that some patients with early-stage lung cancer may also experience coughing, which can range from severe to mild, and may include coughing up blood. Such symptoms are often seen in early-stage central lung cancer, which frequently presents with cough and blood in the sputum. Therefore, older patients with a long history of smoking who suddenly develop a cough or start coughing up blood should be highly vigilant and likely need to undergo chest CT scans, bronchoscopy, and other related examinations for evaluation.

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Does lung cancer cause coughing?

The most common symptoms of lung cancer patients include coughing, followed by coughing up blood, difficulty breathing, and chest pain. When the tumor grows in larger bronchi, it often causes an irritable cough, which can easily be mistaken for a cold. As the tumor continues to grow and affects the drainage of the bronchi, secondary lung infections can occur, possibly producing purulent sputum and an increased amount of coughed-up sputum. At this time, coughing becomes quite severe. Another symptom that may appear is blood in the sputum, which could be blood-streaked sputum, or sporadic, small amounts of coughed-up blood.

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What department should lung cancer patients visit?

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.