Prof. Suveer Singh
Consultant in Respiratory Medicine
Specialist in Respiratory, Sleep and Critical Care
Professor of Practice at Imperial College
4th Floor 369 Fulham Road London SW10 9NH
The symptoms someone with lung cancer experiences will greatly depend on the stage of cancer, i.e. if it is an early cancer, or an advanced cancer. Overall the most frequent symptoms are:
It’s important to note that, as with many cancers, when cells first start to divide in an abnormal and uncontrollable manner this will have an effect on your body on a cellular/microscopic level before these issues become more severe and express themselves as symptoms. This means someone could be asymptomatic with an early stage lung tumour.
There are some rare lung tumours which can cause other symptoms, such as hormonal changes which can lead to numbness, pins and needles, dizziness and blood clots.
A Pancoast tumour is an uncommon type of lung cancer and has characteristic symptoms of intense shoulder pain which may radiate down the arm, alongside possible drooping of an eyelid on one side of the face with a constricted pupil.
If you experience the symptoms mentioned above, you should arrange to see your GP and they will ask you to describe the history and characteristics of your cough, pain, fatigue or other symptoms. It is likely they will perform some basic tests, including measuring your blood pressure, heart rate, temperature and ask for your weight.
They may conduct a spirometry test, where you will be asked to breathe as hard and fast as possible into a tube to get some idea of your lung’s performance, and they may refer you to a specialist for further testing.
If you have symptoms which indicate that you could have lung cancer, the GP should arrange an appointment with a specialist within 2 weeks, and you may be asked to attend an emergency X-Ray which will support the medical team in finding any abnormalities. This urgent referral (<2 weeks) should be arranged particularly if you are over the age of 40, have 2+ of these symptoms or have a history of smoking and have 1+ of the below symptoms
More extreme symptoms will also mandate an emergency X-Ray and referral.
There are a number of tests which a lung specialist may perform to determine whether someone has lung cancer, including: