Does early-stage lung cancer cause facial swelling?

Written by Yan Chun
Oncology
Updated on November 23, 2024
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Patients with early-stage lung cancer generally do not experience facial swelling. This is because early-stage lung cancers mainly include carcinoma in situ and stage I lung cancer. At this stage, the cancer tissue is confined to the mucosa, without invasion of the surrounding tissues or distant metastasis. Therefore, the clinical symptoms of patients with early-stage lung cancer primarily involve the respiratory system. Clinical symptoms mainly include coughing, often a dry cough without phlegm, or coughing up phlegm with blood, hemoptysis, and massive hemoptysis. Some patients may experience chest pain, or have a barking cough, or a metallic-sounding cough. Some patients may have shortness of breath after physical activity, and severe cases can experience breathing difficulties. In most cases, patients do not exhibit other clinical changes. However, as the disease progresses, and there is invasion into surrounding tissues, or distant metastases occur, symptoms of invasion into surrounding tissues or distant metastatic sites may appear. For example, metastasis to the cervical lymph nodes can cause enlarged lymph nodes, or compression of the superior vena cava by the patient, resulting in swelling of the face and neck.

Other Voices

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What tests are conducted for lung cancer?

Diagnosis of Lung Cancer: The first method can be through chest X-ray and CT scan; The second is sputum cytology examination; The third involves using a bronchoscopy; The fourth is mediastinoscopy, which allows direct observation of the enlargement of lymph nodes on both sides of the mediastinum; The fifth is to perform PET-CT, which is Positron Emission Tomography-Computed Tomography; The sixth requires a biopsy; it can be done through a transthoracic needle biopsy, or via a bronchoscopic biopsy; The seventh is the biopsy of metastatic lesions, such as subclavian lymph nodes, and lymph node metastases in the neck or axillary areas can be examined; The eighth can involve drawing cancerous pleural effusion; if there is pleural effusion, pleural fluid cytology examination can be performed; The ninth method is thoracotomy exploration; if lung nodules or lung tumors cannot be definitively diagnosed through various other methods, thoracotomy exploration can be performed.

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How long can one live with lung cancer?

The survival period of malignant tumors is a topic of great concern to everyone. The question of how long one can live with lung cancer is very difficult to answer. It should be based on the patient's physical condition and the pathological staging. However, these judgments are only based on a predictive basis and do not determine how long the patient can live. If the patient does not relapse after surgery, is sensitive to radiotherapy and chemotherapy, and shows no signs of recurrence or resistance, then their five-year survival rate is naturally higher. If the patient experiences recurrence and metastasis after surgery, then the five-year survival rate is naturally lower. Therefore, the question of how long a person can live with a malignant tumor cannot be answered generically.

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How is lung cancer treated?

For the treatment of lung cancer, it should currently be based on a comprehensive treatment method tailored to the patient's age, specific condition, nutritional status, economic condition, and the capabilities available at the hospital. It is particularly related to the stage of the disease and the type identified in the tissue biopsy. Currently, lung cancer primarily adopts a multidisciplinary comprehensive treatment approach spearheaded by surgical intervention. Surgical treatment is the preferred method for lung cancer, but since it is a systemic disease, surgery alone cannot completely address the issue. Therefore, it must be combined with radiotherapy, chemotherapy, and other treatments in a multidisciplinary and comprehensive approach. Additionally, immunotherapy and targeted therapy are inseparable and crucial parts of integrated treatment strategies for lung cancer. If the disease is staged and involves adenocarcinoma or squamous cell carcinoma of the lung, surgical treatment is recommended followed by adjuvant radiotherapy or chemotherapy, or targeted and immunotherapy. If surgery is not possible, some supportive treatments can be considered. For small-cell lung cancer, surgery is not recommended because it offers no benefit; instead, a combined approach of chemotherapy and radiotherapy is advised.

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How is lung cancer caused?

The specific causes of lung cancer are not completely clear, but there are some high-risk factors. Research has shown that lung cancer is influenced by a combination of genetic defects and internal and external environmental carcinogens. It is undeniable that long-term heavy smoking is the most important carcinogenic factor for lung cancer, with the amount and duration of smoking being positively correlated with the incidence of lung cancer. Secondly, environmental factors, such as working with asbestos or in mining areas, are also very relevant to the incidence of lung cancer. Thirdly, irregular eating habits, rest, alcohol consumption, indoor combustion, coal smoke, fumes from kitchen cooking, and carcinogenic substances released from indoor decorations and materials are also related. Fourthly, the body's internal immune status, metabolic abnormalities, genetic factors, and chronic lung infections also have a significant impact.

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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.