Chest Pain: When to Worry About Lung Cancer Symptoms - Pulmonology

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Chest pain with deep breathing?


Hello, I have been experiencing chest pain for the past month.
Initially, the pain was in the center of my chest, usually lasting for a few seconds and occurring in episodes.
It worsens with deep breaths.
Later, I also felt pain on the left side of my chest, which comes and goes.
This week, I have also experienced soreness on the left outer side of my chest, which radiates to my back, armpit, and arm.
Deep breathing exacerbates the pain.
I would like to ask the doctor if lung cancer pain is constant and unrelenting, or if it can be intermittent (I do not have issues with weight loss, coughing, or difficulty breathing).
Thank you, doctor.

Gaozhongsheng, 10~19 year old female. Ask Date: 2020/12/19

Dr. Zhang Ziyan reply Pulmonology


According to age, the likelihood of lung cancer is generally very low.
However, since there is some pleuritic pain, it is recommended that if the pain persists or worsens, you should visit a pulmonology clinic to rule out some common causes such as pneumothorax or pneumonia.
Changhua Hospital Pulmonology Department cares about you.

Reply Date: 2020/12/19

More Info


Chest pain can be a concerning symptom, especially when it comes to lung cancer. Understanding the nature of the pain and its associated symptoms is crucial for determining whether further medical evaluation is necessary.
In the context of lung cancer, chest pain can manifest in various ways. Typically, lung cancer-related pain is persistent and may worsen with deep breathing, coughing, or laughing. This pain often arises when the tumor invades surrounding structures, such as the pleura (the lining of the lungs), chest wall, or even the spine. Patients may describe the pain as sharp, dull, or aching, and it can be localized or radiate to other areas, such as the back, shoulders, or arms.
In your case, the intermittent nature of your chest pain, combined with its location and the fact that it worsens with deep breathing, could suggest several possibilities. While lung cancer pain is often continuous and can be severe, it is not uncommon for patients to experience episodes of pain that come and go. This variability can be due to factors such as muscle strain, inflammation, or even anxiety. However, the presence of pain that radiates to the back, armpit, or arm, especially if it is accompanied by other symptoms like shortness of breath or persistent cough, warrants further investigation.

It is important to note that lung cancer does not always present with classic symptoms such as weight loss, cough, or difficulty breathing, especially in the early stages. Some patients may not exhibit these symptoms until the disease has progressed. Therefore, the absence of these symptoms does not rule out the possibility of lung cancer.
If you are experiencing persistent or worsening chest pain, it is advisable to consult a healthcare professional. They may recommend imaging studies, such as a chest X-ray or CT scan, to evaluate the lungs and surrounding structures for any abnormalities. Additionally, a thorough clinical evaluation, including a physical examination and a review of your medical history, is essential to determine the cause of your symptoms.

In summary, while lung cancer pain is often persistent and severe, it can also present as intermittent discomfort. Given your symptoms, it is crucial to seek medical advice to rule out serious conditions, including lung cancer. Early detection and intervention can significantly improve outcomes, so do not hesitate to reach out to a healthcare provider for further evaluation.

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