What tests are conducted for lung cancer?

Written by Gong Chun
Oncology
Updated on September 25, 2024
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Diagnosis of Lung Cancer:

The first method can be through chest X-ray and CT scan;

The second is sputum cytology examination;

The third involves using a bronchoscopy;

The fourth is mediastinoscopy, which allows direct observation of the enlargement of lymph nodes on both sides of the mediastinum;

The fifth is to perform PET-CT, which is Positron Emission Tomography-Computed Tomography;

The sixth requires a biopsy; it can be done through a transthoracic needle biopsy, or via a bronchoscopic biopsy;

The seventh is the biopsy of metastatic lesions, such as subclavian lymph nodes, and lymph node metastases in the neck or axillary areas can be examined;

The eighth can involve drawing cancerous pleural effusion; if there is pleural effusion, pleural fluid cytology examination can be performed;

The ninth method is thoracotomy exploration; if lung nodules or lung tumors cannot be definitively diagnosed through various other methods, thoracotomy exploration can be performed.

Other Voices

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Written by Hu Zhong Dong
Medical Oncology
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Causes of Lung Cancer

The most common cause of lung cancer is smoking, but many people who have never smoked also develop lung cancer. One possible reason could be related to kitchen fumes. Chinese cooking habits often involve high-temperature frying and stir-frying. After frying in hot oil, the higher the temperature, the more harmful substances are in the fumes, which over time could lead to lung cancer. Some patients develop lung cancer due to air pollution; secondhand smoke is also a significant cause. For example, if a husband smokes, the likelihood of his wife developing lung cancer is more than 200% higher than in the general population, indicating that smoking harms not only the smoker but also their nearest and dearest family members. Additionally, there are other potential causes including psychosomatic factors such as chronic insomnia, depression, decreased immunity, genetic factors, and more.

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Written by Gong Chun
Oncology
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How to check for lung cancer?

How to check for lung cancer, firstly, for lung cancer screening, particularly in people over forty years old, especially smokers, it is recommended to regularly undergo low-dose spiral CT scans of the chest. Secondly, if a tumor is detected, it is suggested to proceed with enhanced CT scans, sputum cytology tests, or PET-CT. If it is confirmed that there is a tumor in the lungs, then a biopsy is needed. The biopsy can be performed under bronchoscopy, or transthoracic lung puncture and biopsy of living tissue can also be done, as well as biopsy of metastatic lesions or cytological examination of pleural effusion to diagnose whether it is lung cancer, the type of lung cancer, and certain immunohistochemical situations.

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Written by Wang Cheng Lin
Orthopedics
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Does shoulder pain mean lung cancer?

The most common cause of shoulder pain is chronic strain of the ligaments and muscles in the shoulder, not lung cancer. Lung cancer accounts for only a small portion of the reasons. If a patient has lung cancer, it can spread to the shoulder, or the lung cancer itself can produce a type of referred pain, which can cause shoulder pain. To determine the cause, it is necessary to go to the hospital for an X-ray of the shoulder joint or a plain chest film, as well as an MRI of the shoulder joint, to clarify the cause of the shoulder pain. If the pain is solely due to the muscles or ligaments in the shoulder, it can be relieved through conservative treatments such as massage, acupuncture, electrotherapy, and magnetotherapy.

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Written by An Yong Peng
Pulmonology
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Does lung cancer cause a dry cough and a feeling of stuffiness?

Lung cancer can present symptoms of chest tightness along with dry cough, or it may simply manifest as dry cough alone. Some early-stage lung cancers might only involve dry cough without other symptoms like chest tightness or breathing difficulties. However, for patients with advanced lung cancer, in addition to dry cough, symptoms may include chest tightness and breathing difficulties. Advanced lung cancer can compress the patient's major airways, leading to narrowing of these airways, and thus cause symptoms such as dry cough and chest tightness. In advanced stages, lung cancer may also be accompanied by a significant accumulation of pleural effusion. In such cases, patients might experience chest tightness and breathing difficulties along with dry cough. Therefore, lung cancer can either solely manifest as dry cough or may also be accompanied by symptoms of chest tightness, particularly in advanced stages, where it is relatively common to have chest tightness along with dry cough.

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Written by Gong Chun
Oncology
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How to detect early symptoms of lung cancer?

So, the early symptoms of lung cancer often include a cough, hemoptysis, difficulty breathing, and chest pain. However, these symptoms, particularly the irritating cough, typically appear after the tumor has grown in the larger bronchi; this is often mistaken for a cough following a cold, leading to misdiagnosis or delayed treatment. Therefore, if this type of irritating cough occurs, it is essential to seek medical attention promptly and to undergo chest X-ray or CT scan. Second, as the tumor continues to grow and affects the drainage of the bronchus, secondary lung infections may occur, often characterized by coughing up pus-like sputum, and an increase in the amount of sputum, which should also be noted. Third, a very common symptom is the presence of blood in the sputum, or streaks of blood, or intermittent minor hemoptysis, which must be taken seriously.