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Lung Cancer

Lung cancer is an abnormal growth of the cells of your lung. Sometimes the cells of the lung keep on growing even when they don't need to. Cells that grow in this way are called cancer cells or malignant cells. Malignant cells can build up into a lump or tumour. In some cases, the malignant cells can spread to other parts of the body through the blood or lymph system. New cancers formed in this way are called secondaries or metastases.

In New South Wales, lung cancer is the second most common cancer in males and the fourth most common in females. About 2,200 people die in NSW each year of lung cancer. One in 19 males and 1 in 49 females will develop lung cancer by the age of 75. Since the early seventies, death rates have fallen by 13% for males and have risen by 91% for females.

What are the signs or symptoms?

Lung cancer is difficult to detect at an early stage. Some symptoms may include:

  • a new or changing cough with hoarseness or shortness of breath
  • recurring chest infections
  • weight loss
  • swelling of the face or arms.

All of the above symptoms can be caused by conditions other than lung cancer.

How can I prevent lung cancer?

Smoking is the major cause of lung cancer. A smoker's risk of getting lung cancer is in the range 1 in 10 to 1 in 20. People who have never smoked have a 1 in 200 risk of developing lung cancer. The risk of getting lung cancer drops greatly in people who quit smoking. The best form of prevention is to stop smoking.

People exposed to industrial substances or building materials such as asbestos, nickel, chromium compounds, arsenic, polycyclic hydrocarbons and chloromethyl ether also have a higher risk of developing lung cancer. Smoking increases the risk for people exposed to these chemicals.

Passive smoking (breathing in the smoke of other people) also causes a small number of lung cancer deaths each year.

Some people get lung cancer with no obvious cause.

How can lung cancer be treated?

There are a few different types of treatment for lung cancer. Before deciding which type of treatment may be useful, the doctor may ask for a number of tests including:

  • a chest X-ray
  • a CAT scan
  • examination of blood or phlegm
  • a sample of your lung tissue
  • a bronchoscopy, which involves looking at your lung using a flexible, lighted tube inserted through your nose or mouth.

Usually after several of the tests outlined above, the doctor will recommend what the best course of treatment in each case is. Possible treatments include:

  • Surgery - this is used to remove all the cancer in the hope of a cure.
  • Chemotherapy - this is a course of drugs given to kill or control the cancer cells.
  • Radiotherapy - this is a course of high energy X-rays given to kill or control the cancer cells. (Chemotherapy and radiotherapy do not cure cancer but may result in long term control in some types of lung cancer.)
  • Laser treatment - this is used to unblock airways full of tumour but it does not cure cancer.

If the cancer has spread, it is harder to cure. Sometimes it is impossible, especially if it has gone to your liver or bones. Some people in this situation choose not to have treatment.

Where can I get more information?

Talk to your general practitioner or contact:

  • NSW Cancer Council's Cancer Information Service tel 131 120 or (02) 9334 1933, toll free 1800 422 760, TTY (02) 9334 1865.