November is Lung Cancer Awareness Month. Find out more about signs and symptoms, and where you can find information and support. You can also find out how you can make a difference this Lung Cancer Awareness Month.

What is lung cancer?

There are two main types of primary lung cancer. These are:

• non-small cell lung cancer (NSCLC)
• small cell lung cancer (SCLC).

Sometimes cancer spreads to the lungs from somewhere else in the body. This is called lung metastases or secondary lung cancer.

Signs and symptoms of lung cancer

Lung cancer may not always have symptoms early on. The symptoms of lung cancer can include:

• a cough for 3 weeks or more
• a change in a cough you have had for a long time
• a chest infection that does not get better, or repeated chest infections
• feeling breathless and wheezy for no reason
• coughing up blood
• chest or shoulder pain that does not get better
• a hoarse voice for 3 weeks or more.

If you have any of these symptoms, it is important to get them checked by your GP.

Reducing Your Risk

Lung cancer is the third most common cancer in the UK. Most lung cancers are caused by smoking. There are other factors that can also increase the risk.

Smoking

Smoking tobacco is the cause of most lung cancers and the biggest risk factor. This includes smoking cigarettes, cigars and pipes. The more you smoke, the bigger your risk.

Around 9 out of 10 people who get lung cancer (90%) are smokers or ex-smokers. Starting smoking at a younger age increases the risk. In the UK, 72% of lung cancer cases are caused by smoking.

When people stop smoking, their risk of lung cancer gets lower over time. After 12 years of not smoking, the risk of getting lung cancer is about 70% lower than it is for people who still smoke. After about 15 years, it is almost the same as a non-smoker.

People who do not smoke can also get lung cancer, but their risk is much lower. About 1 in 10 people who get lung cancer (10%) have never smoked.

Passive smoking

Breathing in other people’s cigarette smoke is called passive or second-hand smoking. It can slightly increase the risk of lung cancer. The risk is much lower than if you smoke yourself. In the UK, smoking is now banned in enclosed public places and workplaces.

Age

Lung cancer is more common in older people. More than 4 in 10 people (44%) who are diagnosed are aged 75 and over. Lung cancer can affect younger people, but it is rare in anyone under 40.

Asbestos

Asbestos is a material that was previously used in the building industry. People who have been in prolonged or close contact with asbestos have a higher risk of getting lung cancer. The risk is greater if they smoke.

Exposure to asbestos also increases the risk of cancer of the pleura. This is called mesothelioma. The pleura are the membranes that cover the lungs.

If you worked with asbestos and have lung cancer or mesothelioma, you may be able to claim compensation. Your lung cancer specialist nurse can give you advice on this.

Radon gas

In certain parts of the UK, a natural gas called radon can pass from the soil into the foundations of buildings. Exposure to high levels of radon is not common. But it can increase the risk of developing lung cancer, particularly in people who also smoke.

Air pollution

Recent research has shown that air pollution can increase the risk of lung cancer. The risk is linked to air quality and how much pollution a person is exposed to. For most people, the risk is very small. Smoking is the major risk factor for lung cancer.

Chemicals and other substances at work

Rarely, contact with certain chemicals and substances can increase the risk of lung cancer. Contact with these substances is usually through work. For example, you have an increased risk if you work with:

• asbestos
• silica
• arsenic
• radiation.

Being exposed to diesel fumes through work can also increase lung cancer risk. For most people, the risk is very small.

Previous cancer treatment

People have a slightly increased risk of lung cancer if they have previously had radiotherapy to the chest to treat:

• lymphoma
• testicular cancer that has spread.

The risk is higher if they smoke. The benefits of this treatment far outweigh the risk of developing lung cancer, especially as these cancers can be cured.

Lowered immunity

Having lowered immunity because of illness or treatment can increase the risk of lung cancer. People have a lowered immune system if they:

• have HIV or Aids
• take immunosuppressant drugs after an organ transplant.

Family risk

People with a parent who had lung cancer have an increased risk of developing it. People who have a brother or sister with lung cancer have a higher risk, especially if they were diagnosed at a younger age.

Doctors do not know why this is. It could be caused by a lung cancer gene that runs in the family (inherited). Or it could be caused by shared risk factors such as smoking. If you are worried about lung cancer in your family, you may find it helpful to talk to your GP.

Click here to view our Health Articles on Lung Cancer.