Is the appetite good in the early stages of lung cancer?

Written by An Yong Peng
Pulmonology
Updated on April 10, 2025
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In the early stages of lung cancer, generally, there is no obvious impact on the appetite. Most early-stage lung cancers do not show clinical symptoms. However, some patients may experience coughs or blood-streaked sputum if the tumor grows along the inner wall of the airway, stimulating the respiratory tract. Nevertheless, early-stage lung cancer typically does not metastasize or spread to the digestive tract. Thus, early-stage lung cancer usually does not affect the patient's appetite, and the patient's appetite generally remains unaffected. However, it is crucial to diagnose early-stage lung cancer because surgical removal at this stage can often achieve good results. Once it progresses to mid or late stages, the outcomes are usually poor, and the survival period is typically short. Therefore, it is advocated that people at high risk for lung cancer undergo regular chest CT screenings to check for early-stage lung cancer.

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Written by Han Shun Li
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Is coughing up blood lung cancer?

Everyone knows that lung cancer can cause coughing up blood, but does coughing up blood necessarily mean one has lung cancer? It should not be interpreted this way. Although lung cancer can cause coughing up blood, there are many reasons for coughing up blood, and it is not only caused by lung cancer. Reasons for coughing up blood can also include bronchitis, pneumonia, bronchiectasis, tuberculosis, lung abscess, and many others. Therefore, if coughing up blood occurs, it doesn't necessarily mean one has lung cancer, and there is no need for excessive worry. If coughing up blood occurs, it is important to visit a hospital in a timely manner, where a doctor can conduct checks like chest X-rays to further investigate the cause.

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Written by Li Ying
Pulmonology
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Is hemoptysis lung cancer?

Coughing up blood is not necessarily lung cancer. Among respiratory diseases, the three most common causes of coughing up blood are, first, bronchiectasis; second, pneumonia and lung abscess; and third, lung cancer. So how can we determine the cause? The best, simplest, and fastest method is to go to the hospital for a lung CT scan as soon as coughing up blood occurs. If the lung CT shows bronchiectasis, then bronchiectasis should be considered; if it shows an infiltrative lesion, then pneumonia should be considered; if it shows a tumor, then lung cancer should be considered at that time. However, there is also a scenario where blood is coughed up, but the lung CT is completely normal. What should be done then? This situation might be due to pharyngitis. Sometimes, severe coughing from pharyngitis can cause bleeding of the mucous membranes in the throat. In this case, there’s no need for excessive worry, as it may be caused by factors involving the throat. Cough gently, and if there’s no blood when coughing lightly, it’s likely not serious. However, if there's still blood in the sputum even when coughing lightly, it is recommended to undergo a bronchoscopy to check for tuberculosis or cancer in the bronchi.

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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.

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Written by Gong Chun
Oncology
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What department should lung cancer patients visit?

The first point is that lung cancer can be categorized as a respiratory system disease, so one could visit the respiratory department. However, the respiratory department is not specialized enough for lung cancer, so it is recommended to visit the oncology department instead. After all, lung cancer is a malignant tumor. Initially, one can visit the respiratory department, but once it is confirmed through biopsy that it is lung cancer, it is advised to seek specialized treatment in the oncology department, as it is a malignant tumor.

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Written by Gong Chun
Oncology
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How is lung cancer detected?

For lung cancer detection, it is recommended for individuals over forty, especially smokers, to undergo a low-dose spiral CT for screening. Secondly, if someone has been a long-term heavy smoker and has undergone chest X-rays and low-dose spiral CT and a lung mass is found, it is suggested that the patient undergo a contrast-enhanced CT or a PET-CT to determine the condition and location of the lung mass. After establishing the condition and location, a sputum cytology test can be conducted. Thirdly, to confirm whether it is lung cancer, one should undergo bronchoscopy to obtain a biopsy, or a transthoracic lung puncture biopsy, or examine live tissue or metastatic lesions, or perform a pleural fluid examination to detect the cancer cells and determine the specific type of lung cancer to guide treatment. However, if the nature of the lesion cannot be clearly determined through mediastinoscopy, bronchoscopy, chest wall puncture biopsy, or other methods, a thoracotomy exploration is recommended. Additionally, the examination of tumor markers cannot be ignored.