Skip to main content
CancerICD-10: C34About 238,000 new cases annually in the U.S.; leading cause of cancer death worldwide

Lung Cancer

Also known as: Bronchogenic Carcinoma, Non-Small Cell Lung Cancer, Small Cell Lung Cancer

Lung cancer is the leading cause of cancer death worldwide, most commonly caused by smoking but also occurring in never-smokers. The two main types are non-small cell (NSCLC, ~85%) and small cell (SCLC, ~15%). Advances in screening, targeted therapy, and immunotherapy have significantly improved outcomes.

Symptoms

Persistent cough that worsens or doesn't go away
Coughing up blood or rust-colored sputum
Chest pain worsening with deep breathing or coughing
Shortness of breath
Hoarseness
Unexplained weight loss
Recurrent respiratory infections
Fatigue and weakness

Causes

  • Cigarette smoking (80–90% of lung cancer deaths)
  • Secondhand smoke exposure
  • Radon gas exposure (second leading cause)
  • Occupational exposure to asbestos, diesel exhaust, and other carcinogens
  • Genetic mutations (EGFR, ALK, ROS1, KRAS) — particularly in never-smokers
  • Air pollution

Risk Factors

  • Current or former cigarette smoking
  • Secondhand smoke exposure
  • Radon exposure in the home
  • Family history of lung cancer
  • Occupational carcinogen exposure
  • Previous chest radiation therapy

Diagnosis

  • Low-dose CT scan for screening high-risk individuals
  • Chest X-ray
  • Biopsy via bronchoscopy, CT-guided needle, or surgery
  • PET-CT scan for staging
  • Molecular testing for targetable mutations (EGFR, ALK, PD-L1)

Treatment

  • Surgery (lobectomy, pneumonectomy) for early-stage NSCLC
  • Stereotactic body radiation therapy (SBRT) for inoperable early-stage
  • Chemotherapy with immunotherapy for advanced disease
  • Targeted therapy for specific mutations (osimertinib for EGFR, alectinib for ALK)
  • Immunotherapy (pembrolizumab, nivolumab, atezolizumab)
  • Concurrent chemoradiation for locally advanced disease

Prevention

  • Don't smoke, and quit if you do
  • Avoid secondhand smoke
  • Test your home for radon and mitigate if needed
  • Get screened with low-dose CT if you meet high-risk criteria
  • Minimize occupational carcinogen exposure

When to See a Doctor

  • Persistent cough lasting more than 2–3 weeks
  • You cough up blood, even a small amount
  • Unexplained shortness of breath or weight loss
  • You are a current or former smoker who has not been screened

Frequently Asked Questions

Related Conditions

Have questions about Lung Cancer?

Ask Mother Nature AI for personalized, evidence-based guidance.

Ask about Lung Cancer

Medical Disclaimer: This content is for educational and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider.

Content reviewed against peer-reviewed medical literature and clinical guidelines. Read our editorial standards.