Conditions InDepth: Lung Cancer

Cancer is a disease in which cells grow in an abnormal way. Normally, the cells divide in a controlled manner to replace old or damaged cells. If cells keep dividing when new cells are not needed, a mass of tissue called a tumor forms.

Not all tumors are cancer, those that are cancer are called malignant. Cancer tumors invade and damage tissue around them. The cancer cells can also enter the lymph and blood streams, spreading to other parts of the body. Lung cancer is the development of malignant cells in the lung tissue.

Cancer Cell Growth
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Normal Lung Anatomy and the Development of Lung Cancer

The lungs are 2 football-sized organs located in the chest cavity. Each lung is divided into sections called lobes. The left lung has 2 lobes and the right lung has 3 lobes. The lungs are surrounded by a membrane called the pleura. The inside layer of the pleura covers the lungs and helps separate the lobes. The outside layer is attached to the chest wall. The fluid that fills the space between the layers serves as a lubricant that allows the lungs to expand and contract in smooth movements. Cancer can develop in any of these areas.

Air moves through the nose or mouth enters the trachea, or windpipe. The trachea divides into tubes called bronchi, which lead into each lung. The bronchi further divide into smaller bronchioles, much like the branches on a tree. The bronchioles ends in little air sacs called alveoli. Oxygen from the air passes to the blood through these air sacs. Waste carbon dioxide also moves from the blood to the lungs here as well, so it can be exhaled from the body.

Oxygen Exchange in the Lungs
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Cell division and growth is a normal process in the body to replace old or damaged cells. The inside of the lungs have a higher rate of cell turnover than other areas because of constant usage during normal breathing. Breathing also exposes the lungs to carcinogens (cancer-causing agents) from smoking, pollutants, and other chemicals in the air. These changes may irritate the cells and increase turnover from old to new cells.

Lung cancer can start anywhere in the respiratory tract, but it is most commonly found in the cells that form the lining of the bronchi or alveoli. Tumors that grow in the lungs can cause a persistent, worsening cough or shortness of breath. If it grows beyond the lungs, the cancer can penetrate nearby structures, such as the great blood vessels that lead to and from the heart, tissue in and around the heart, or major nerves. The cancer can also spread to the lymph nodes or blood vessels, which can carry cancer cells to other areas of the body. The most common sites for lung cancer to spread to are the lymph nodes in other parts of the body, the liver, bones, or brain.

Types of Lung Cancer

Lung cancer is categorized by where tumors start, how they grow, and their appearance under a microscope. Lung cancer types include:

  • Non-small cell —This type generally grows and spreads more slowly. Non-small cell lung cancer accounts for about 85% lung cancer cases. The most common types of non-small cell lung cancer are:
    • Adenocarcinoma—Generally found in the outer areas of the lung. Adenocarcinomas arise from cells that form in glandular tissue. They tend to grow slowly, making earlier detection more likely.
    • Squamous cell—Arise from the flat cells that line the inside the respiratory pathways and lungs. These cancers tend to be found near major structures in the airways like the bronchi.
    • Large cell—This type can develop in any part of the lung. It generally grows and spreads faster than the previous types mentioned above.
  • Small cell—This type generally grows more quickly and is mainly associated with smoking. It is more likely to spread to other parts of the body. Small cell cancers are classified as oat cell or combined based on the appearance of cells under the microscope.
  • Carcinoid tumors—Rare type of slow-growing tumor.

Many types of metastatic cancers in other parts of the body spread to the lungs. This fact sheet focuses on cancers that start in the airways and/or lungs.

Lung Cancer
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Lung Cancer
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What are the risk factors for lung cancer? | What are the symptoms of lung cancer? | How is lung cancer diagnosed? | What are the treatments for lung cancer? | Are there screening tests for lung cancer? | How can I reduce my risk of lung cancer? | What questions should I ask my doctor? | What is it like to live with lung cancer? | Where can I get more information about lung cancer?

Revisions

Please note, not all procedures included in this resource library are available at Henry Ford Allegiance Health or performed by Henry Ford Allegiance Health physicians.

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Unexplained shortness of breath, panting or the inability to take a deep breath may be warning signs of a heart attack, with or without chest pain. Call 911 if you experience these symptoms.