Sudden Chest Pain: Should You Worry About Lung Cancer? - Pulmonology

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A dull, aching pain similar to a pulling sensation to the left of the right nipple?


Hello, I experienced sudden pain on the left side of my right nipple and the upper part of my right chest yesterday and today, but it lasts only about 1 to 2 seconds.
Should I get this checked? Could this be chest pain related to lung cancer? Thank you.

Leo, 20~29 year old female. Ask Date: 2016/11/24

Dr. Jian Shuntian reply Pulmonology


Hello: Chest pain that is not typical for lung cancer based on age can be initially evaluated with an X-ray.

Reply Date: 2016/11/24

More Info


When it comes to sudden chest pain, especially in the context of concerns about lung cancer, it's essential to approach the situation with a clear understanding of the symptoms and their potential implications. Chest pain can arise from various causes, and while it can be alarming, not all chest pain is indicative of lung cancer.
Lung cancer typically presents with a range of symptoms, but early signs can often be subtle and may not include pain at all. Common early symptoms of lung cancer include a persistent cough, coughing up blood (hemoptysis), unexplained weight loss, and shortness of breath. Chest pain associated with lung cancer is usually not sudden and fleeting; rather, it tends to be persistent and may worsen over time. It can also be accompanied by other symptoms such as a chronic cough or changes in breathing patterns.

In your case, the sudden and brief nature of the pain you described—lasting only 1 to 2 seconds—does not strongly suggest lung cancer. This type of pain could be related to musculoskeletal issues, such as muscle strain or irritation of the chest wall, especially if it is localized and not accompanied by other concerning symptoms like difficulty breathing, significant weight loss, or a persistent cough. Conditions such as costochondritis (inflammation of the cartilage connecting the ribs to the breastbone) or even anxiety can also manifest as brief episodes of chest pain.

However, it is crucial to consider other potential causes of chest pain, including cardiac issues, gastrointestinal problems (like acid reflux), or even pulmonary conditions such as pleuritis (inflammation of the lining of the lungs). Given the complexity of chest pain and the potential seriousness of some underlying conditions, it is always advisable to err on the side of caution.

If you are experiencing recurrent episodes of chest pain, even if they are brief, it would be prudent to consult with a healthcare professional. They may recommend a thorough evaluation, which could include a physical examination, a review of your medical history, and possibly imaging studies like a chest X-ray or a CT scan to rule out any serious conditions.
In summary, while your symptoms may not immediately suggest lung cancer, any new or concerning symptoms warrant a discussion with a healthcare provider. They can help determine the appropriate next steps based on a comprehensive assessment of your health. Remember, early detection and intervention are key in managing any health concerns effectively.

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