Chest Tightness and Pain: Could It Be Early Lung Cancer? - Pulmonology

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Chest pain and lung cancer?


Hello doctor, this month I have been experiencing occasional feelings of tightness and dull pain in my left chest, without a fixed point of pain (sometimes it occurs in the right chest as well).
Occasionally, it is accompanied by palpitations, but it is not severe.
I visited a cardiology clinic, and they said everything is fine.
I found information online stating that early-stage lung cancer may present with mild chest tightness or dull pain symptoms without a fixed point of pain.
However, I do not have symptoms like coughing, nausea, or shortness of breath; I only have some phlegm and a tendency for my throat to itch.
Could this possibly be early-stage lung cancer, or am I just worrying too much? ><

Yangguang, 20~29 year old female. Ask Date: 2018/01/30

Dr. Yang Wenda reply Pulmonology


Hello: Early-stage lung cancer usually has no symptoms.
Your symptoms seem more like nerve pain.
Learning to relax and getting plenty of rest should help improve your condition!

Reply Date: 2018/01/30

More Info


When it comes to the symptoms of lung cancer, it is crucial to understand that early-stage lung cancer often presents with very subtle or even no symptoms at all. The symptoms you describe, such as chest tightness, dull pain, and occasional heart palpitations, can be concerning, but they are not definitive indicators of lung cancer.
Chest pain and tightness can arise from a variety of causes, including anxiety, musculoskeletal issues, gastroesophageal reflux disease (GERD), or even respiratory conditions like asthma or bronchitis. Given that you have not experienced persistent cough, nausea, or shortness of breath, which are more common symptoms associated with lung cancer, it is less likely that your symptoms are indicative of this disease.
The fact that you have already consulted with a cardiologist and received reassurance that your heart is functioning normally is a positive sign. This suggests that your symptoms may not be related to a cardiac issue, which is often a primary concern when experiencing chest discomfort.
It is also important to note that lung cancer is more prevalent in individuals with a history of smoking or significant exposure to carcinogens. Since you mentioned that you do not smoke and have no significant exposure to harmful substances, your risk for lung cancer is relatively low.
However, your symptoms warrant further investigation, especially since they have persisted. It might be beneficial to consult with a pulmonologist, who specializes in lung conditions, to explore other potential causes of your symptoms. They may recommend additional tests, such as a low-dose computed tomography (LDCT) scan, which is more sensitive than a standard chest X-ray in detecting lung abnormalities, including early-stage lung cancer.
Additionally, your mention of having some phlegm and a scratchy throat could indicate an upper respiratory issue, which might be unrelated to lung cancer. Conditions like allergies or chronic bronchitis can cause similar symptoms and may require different management strategies.

In summary, while your symptoms are understandably concerning, they are not definitive signs of early lung cancer, especially in the absence of other common symptoms. It is essential to continue monitoring your health and seek further evaluation from a specialist if your symptoms persist or worsen. Remember, early detection of any health issue is key, and being proactive about your health is always a wise approach.

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