man in doctor's office with lung cancer symptoms while medical provider checks patient chart

What are the symptoms of lung cancer?

Symptoms of lung cancer can vary and include respiratory issues such as an ongoing cough, breathing changes or lung infections, and symptoms outside of the lungs such as tiredness or loss of appetite. But sometimes, early-stage lung cancer doesn’t cause any symptoms.

Lung cancer is one of the most frequently diagnosed cancer types each year. However, the number of cases has been decreasing, partly due to fewer people smoking and early detection through lung cancer screening. If you have a high risk of lung cancer, early screening can give you peace of mind and detect signs of lung cancer before you have any symptoms.

Early symptoms of lung cancer

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Some people with early stages of lung cancer will experience symptoms that are similar to other common lung conditions. Unlike a cold or respiratory infection, lung cancer symptoms will persist. However, early lung cancer doesn’t always cause symptoms and signs of the condition may only be found through a screening.   

When you catch lung cancer early, you have better lung cancer treatment options. That’s why it’s important to listen to what your body tells you and to speak to your medical provider about any persistent symptoms.

Lingering cough

It’s common to have a cough from a minor respiratory illness. However, pay attention if you have a cough that lasts more than a week or two, especially if you have risk factors for lung cancer, such as smoking. Visit your doctor if your lingering cough worsens or you experience other symptoms like hoarseness or coughing up blood.

Breathing changes or wheezing

If lung cancer causes inflammation, fluid or narrowed airways in your lungs, you may feel like you can’t breathe enough air, have shortness of breath or wheeze—even when doing normal tasks. While many conditions cause shortness of breath, these changes could also indicate lung cancer.

Body pain

Sometimes, early lung cancer will cause aches and pains in your chest, neck, back or shoulders. This pain could be ongoing or happen infrequently, for example, when you laugh or cough. It may feel dull or sharp.

Raspy, hoarse voice

You or those around you may notice that your voice sounds deeper, raspy or hoarse. Conditions outside the lungs could cause this symptom, but it’s also an early sign of lung cancer. Any ongoing changes in your voice that aren’t caused by a temporary respiratory infection should be checked out by a doctor.

Unexplained weight loss

Many types of cancer, including lung cancer, cause a loss of appetite and unintended weight loss. You may begin to lose your appetite because tumors affect the levels of certain hormones or chemicals in your body.

Less common signs and symptoms

In the early stages of lung cancer, you may have symptoms that aren’t related to your lungs at all. While other conditions cause some of these symptoms, they could be signs of lung cancer that you should bring up with your doctor:     

  • Swelling in the face or neck
  • Difficulty swallowing or pain while swallowing
  • Finger clubbing, where the ends of your fingers and nails enlarge
  • Swollen breasts in men, known as gynecomastia

Non-small cell lung cancer symptoms

Non-small cell lung cancer (NSCLC) is the most common form of lung cancer and causes different signs and symptoms in people. NSCLC grows slowly; not everyone will show signs of this type of lung cancer in the early stages. As cancer spreads, non-small cell lung cancer symptoms can also affect the brain, liver and bones.

Common symptoms of this type of lung cancer include:

  • Persistent cough
  • Blood in saliva
  • Breathing or voice changes
  • Poor appetite and unintentional weight loss
  • Fatigue and weakness
  • Frequent infections, such as bronchitis or pneumonia
  • Chest pain

Small-cell lung cancer symptoms

Small-cell lung cancer (SCLC) grows faster than non-small cell lung cancer (NCLC). However, it may not cause symptoms early on and can vary from person to person. As SCLC spreads in the lungs or to other parts of the body, you may have advanced-stage symptoms, such as bone pain, headache or lumps in your neck.

Some common symptoms of SCLC include:

  • Ongoing cough
  • Coughing up bloody mucus
  • Breathing changes or wheezing
  • Hoarseness
  • Chest pain that increases with laughing or coughing
  • Poor appetite and unintentional weight loss
  • Fatigue and weakness
  • Frequent infections, such as bronchitis or pneumonia
  • Swelling of the neck or face

Metastatic lung cancer symptoms

When lung cancer spreads to other areas of the body away from the original tumor, it’s called metastatic lung cancer. At this point, it is in the most advanced lung cancer stages and may lead to symptoms throughout the body.

Lung cancer often spreads to the bones, liver and brain. These new tumors or cancerous cells outside the original lung cancer location are known as secondary cancer.

  • If lung cancer spreads and causes secondary bone cancer, symptoms include chronic bone and joint pain, pain that radiates down your legs or arms, or bone fractures.
  • If the liver is affected, secondary liver cancer symptoms include yellowing of the skin and eyes, nausea, swelling or a feeling of fullness in the abdomen.
  • Lung cancer that spreads to the brain or spinal cord causes secondary brain cancer symptoms, such as headaches, seizures, vision changes, speech changes and memory or balance problems.
Should you be screened for lung cancer?

Syndromes related to lung cancer

In some cases of lung cancer, a set of specific symptoms may occur together, known as a syndrome. These syndromes may be your first sign of lung cancer but may also be caused by other types of cancer or health conditions.

Common syndromes associated with lung cancer include Horner syndrome, superior vena cava syndrome and paraneoplastic syndromes.

When should you see a doctor for symptoms of lung cancer?

You should visit your doctor if you have any ongoing lung cancer symptoms, such as a persistent cough or shortness of breath. While many conditions cause symptoms similar to early lung cancer, getting checked is always a good idea, especially if you have any risk factors.

When you catch lung cancer early on, you typically have better options for your care. Visiting a doctor can also get to the cause of your symptoms, even if it isn’t cancer, and guide your next steps for treatment.

Our lung cancer screening locations near you

We help you get care at a location that fits your needs. Several of our locations in North and Central Texas offer lung cancer screening to detect lung cancer before you have symptoms. A physician referral is needed, so ask your primary care doctor if you qualify and then find a screening location near you.

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