Person holding the anatomical structure of human lungs

Clearing the Air: Understanding Lung Cancer from Causes to Cures

While medical advancements continue to improve survival rates and treatment options, understanding lung cancer is crucial for effective prevention and management.
By the team at Speedoc,
 
August 21, 2024

Lung cancer is the third most common cancer in males and females in Singapore. In this article, we'll explore the causes of lung cancer, offer tips on how to reduce your risk and discuss the symptoms and treatments available today.

What Causes Lung Cancer?

Lung cancer is broadly classified into two main types based on the appearance of cancer cells under a microscope and how the cancer behaves- Non-Small Cell Lung Cancer (NSCLC) and Small Cell Lung Cancer (SCLC). Each of these types has distinct characteristics and treatment approaches.

Non-Small Cell Lung Cancer (NSCLC)

Small Cell Lung Cancer (SCLC)

Most common; accounting for approximately 85% of cases

Accounts for about 15% of lung cancer cases

Encompasses several subtypes:

- Adenocarcinoma

- Large Cell Carcinoma

- Squamous Cell Carcinoma

Typically classified into two main stages:

- Limited stage

- Extensive stage

Less aggressive but more common than SCLC

Strongly associated with smoking and tends to be more aggressive than NSCLC

Lung cancer develops when abnormal cells in the lungs begin to grow uncontrollably, forming tumours. The exact cause of lung cancer can vary, but several key factors are known to increase the risk:

Tobacco smoke: The leading cause of lung cancer is smoking. The risk of having lung cancer increases with the number of cigarettes smoked as well as the duration. Passive (second hand) smokers also have a heightened risk of developing lung cancer by about 30%.

Environmental pollution: Long-term exposure to air pollution, particularly fine particulate matter, can contribute to the risk of developing lung cancer. Areas with high levels of industrial emissions or vehicular exhaust are particularly concerning.

Exposure to cancer-causing chemicals: Certain professions expose workers to carcinogens like asbestos, arsenic, radon and diesel fumes, all of which can increase the likelihood of lung cancer.

Genetic factors: While less common, a family history of lung cancer or specific genetic mutations can elevate risk.

Age: Lung cancer is more common in people above the age of 40.

Prevention Tips

While not all lung cancer cases can be prevented, several strategies can significantly reduce your risk.

Quit smoking: The most effective way to lower your risk is to avoid smoking or to quit if you currently smoke. Seek support from smoking cessation programs, counselling, or medications if needed.

Avoid secondhand smoke: Ensure that you and your family are not exposed to secondhand smoke. Advocate for smoke-free environments at home and in public places.

Minimise exposure to carcinogens: If you work in an industry with exposure to carcinogens, follow safety guidelines and use protective equipment. Employers should provide proper safety measures to minimise risks.

Maintain a healthy lifestyle: A balanced diet rich in fruits and vegetables, regular physical activity, and avoiding excessive alcohol consumption can support overall health and reduce cancer risk.

Man holding cigarette coughing

Symptoms of Lung Cancer

Early-stage lung cancer may not present any symptoms, which can make it difficult to detect until the disease has progressed. Common symptoms to be aware of include:

  • Chest pain

  • Chronic fatigue

  • Persistent cough

  • Coughing up blood

  • Shortness of breath

  • Unexplained weight loss

Treatments for Lung Cancer

Treatment for lung cancer depends on the stage of the disease, the type of lung cancer, and the patient’s overall health. Common treatment options include:

Surgery

For localised cancers, surgery may involve removing part or all of a lung. The goal is to remove the tumour and some surrounding tissue.

Radiation therapy

This uses high-energy rays to target and kill cancer cells. It is often used when surgery isn’t an option or to reduce the size of a tumour before surgery.

Chemotherapy

Chemotherapy involves using drugs to kill cancer cells throughout the body. It’s often used for more advanced stages of lung cancer or when the cancer has spread.

Immunotherapy

Immunotherapy helps the body's immune system recognize and fight cancer cells more effectively. It is used for some types of lung cancer and can be part of a broader treatment plan.

Palliative care

For advanced cancer, palliative care focuses on improving the quality of life by managing symptoms and providing support.

Lung cancer is a serious disease with significant health implications, but understanding its causes, practising preventive measures, and recognizing symptoms early can make a significant difference. Advances in treatment continue to offer hope, and with ongoing research and awareness, the outlook for those diagnosed with lung cancer is improving. If you’re concerned about your risk or symptoms, consult a healthcare professional for personalised advice and potential screenings. Early detection and intervention are key to improving outcomes and managing this disease.

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