Lung Cancer Symptoms: Chest Pain and Its Differentiation - Pulmonology

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I would like to inquire about lung cancer?


Hello, doctor.
I would like to inquire about the more prominent symptoms of lung cancer, such as chest pain.
How can we differentiate whether the chest pain is related to lung cancer? For the past 2-3 days, I have experienced sudden sharp and dull pain in my right chest that lasts about 3-4 seconds and then stops, occurring around 7-8 PM.
There is no pain during the day.
I had a similar situation last year, but it was a stabbing pain that also lasted a few seconds.
After examination, it was diagnosed as gastroesophageal reflux disease (GERD).
Given my current situation, do I still need to undergo further testing? I have no family history of lung cancer, and I do not have a cough; I only have gastroesophageal reflux.

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

Dr. Yang Wenda reply Pulmonology


Hello: As long as the chest X-ray does not reveal any tumors, lung cancer should not be considered at this stage.
We should prioritize treating gastroesophageal reflux disease (GERD) instead!

Reply Date: 2016/11/24

More Info


Understanding lung cancer symptoms, particularly chest pain, is crucial for early detection and management. Chest pain can arise from various causes, and distinguishing between them is essential for appropriate treatment. In the context of lung cancer, chest pain often results from tumor invasion into surrounding structures, such as the pleura (the lining of the lungs) or the chest wall, leading to a specific type of pain that is typically persistent and may not respond well to over-the-counter pain relief.

Lung cancer-related chest pain is often described as a dull, aching sensation that can be localized or diffuse. It may be accompanied by other symptoms such as coughing, shortness of breath, or hemoptysis (coughing up blood). In contrast, pain associated with gastrointestinal issues, such as gastroesophageal reflux disease (GERD), often presents as a burning sensation in the chest, which can mimic heartburn or angina. This type of pain may be more pronounced after eating or when lying down, and it often responds to antacids or other medications aimed at reducing stomach acid.

Given your recent experience of intermittent right chest pain lasting a few seconds, it is understandable to be concerned, especially since you have a history of GERD. However, the absence of other symptoms commonly associated with lung cancer, such as persistent cough, weight loss, or hemoptysis, is reassuring. The fact that your pain has been evaluated previously and attributed to GERD suggests that it may not be related to lung cancer. Nevertheless, it is essential to monitor any changes in your symptoms closely.

If your chest pain persists, worsens, or is accompanied by new symptoms, it would be prudent to seek further evaluation. This may include imaging studies such as a chest X-ray or CT scan to rule out any underlying issues, including lung cancer or other pulmonary conditions. Additionally, if you experience any alarming symptoms such as significant weight loss, persistent cough, or blood in your sputum, you should seek medical attention promptly.

In summary, while your current symptoms may be related to GERD, it is essential to remain vigilant. Chest pain can have many causes, and while lung cancer is one possibility, it is not the only one. Regular follow-ups with your healthcare provider and open communication about any changes in your symptoms are key to ensuring your health and peace of mind. If you have concerns about lung cancer or any other serious condition, do not hesitate to discuss them with your doctor, who can provide personalized advice based on your medical history and current symptoms.

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