9 symptoms of lung cancer you shouldn’t ignore

NHS England has announced the roll-out of a new liquid biopsy blood test to help lung cancer patients receive targeted treatments faster and reduce the need for biopsies.

This world-first rollout is expected to benefit 15,000 patients each year.

The test identifies tumour DNA fragments in the blood, allowing for personalised therapy based on genetic mutations.

Officials have confirmed that the test will also be used for breast cancer patients to detect a wider range of genetic variants to see if they are eligible for targeted treatment.

Following a pilot which involved 10,000 people with non-small cell lung cancer (the most common type), the test is being expanded, with hopes that could be used for other types of cancer in the future.

This marks an exciting breakthrough in cancer research – but how familiar are you with the basics of lung cancer? We’ve enlisted the help of some experts to explain its main causes and highlight 9 common symptoms we should all be aware of.

What causes lung cancer?

“Lung cancer is a disease where uncontrolled cell growth occurs in the lung leading to tumours,” explains Dr Jenny Messenger, consultant in respiratory and general medicine at Nuffield Health Brighton Hospital. “Sadly, lung cancer is the most common cause of cancer death in the UK.

“It has lots of potential causes, but the main one is smoking. It can also have some genetic causes and is linked to pollution, obesity, asbestos exposure and certain work-based chemicals.”

Lung cancer is most commonly diagnosed with a chest CT scan, and early diagnosis is crucial.

“It can be tempting to put changes down to getting older or another health condition,” says Dr Rachel Orritt, health information manager at Cancer Research UK. “But, it’s important to get your doctor’s advice if you notice anything that’s not normal for you or isn’t going away. In most cases it won’t be cancer, but if it is, catching it at an early stage can make a real difference.”

Here are 9 signs of lung cancer that you shouldn’t ignore…

1. Feeling breathless

“This could be feeling short of breath when doing activities that you used to do with no problem, or having other difficulties breathing,” says Orritt.

2. Chest infection

“Another sign is a chest infection that keeps coming back, doesn’t go away, or doesn’t get better with treatment,” notes Orritt.

3. A long-lasting cough

“This could be a cough that’s not gone away or not responded to treatment,” highlights Orritt. “It could also be a change or worsening of a cough that you’ve had for a while.”

4. Coughing up blood

“This could be blood in phlegm, even if it’s only a small amount,” says Orritt.

5. Feeling tired for no reason

“This could be tiredness that doesn’t go away with rest, or feeling tired when doing activities you used to do with no problem,” explains Orritt.

6. Losing weight without trying to

“Another red flag is losing weight without changing your eating patterns or your activity levels,” says Orritt.

7. Loss of appetite

“This could be not feeling hungry as much as you used to, or not wanting to eat as much food as you would usually,” notes Orritt.

8. Unexplained pain

“A symptom which can be surprising to some and easier to overlook is shoulder pain that gets progressively worse,” says Messenger. “Constant chest pain that gets progressively worse can also be a warning sign.”

9. Voice changes 

“Another lesser known symptom is a hoarse voice or change in voice that does not settle after four to six weeks,” says Messenger.

What are the treatment options?

“Treatment options include surgery, chemotherapy, immunotherapy or radiotherapy,” says Messenger.

Can it be prevented?

“Yes, lung cancer can be prevented, especially in the cases where the person is a smoker, by stopping smoking at the earliest opportunity,” highlights Messenger. “Those struggling with quitting smoking should enquire for support at their GP, in the first instance.”