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

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Chest pain issues?


Hello, Dr.
Huang.
I have been troubled by chest pain recently.
Sometimes it hurts on the left side and sometimes on the right side, occurring several times a day, with each episode lasting a few seconds and not exceeding one minute.
This symptom has persisted for six months.
I have had an electrocardiogram, and the doctor said there is no issue, attributing it to neuralgia (I have a hunchback).
I also had a chest X-ray in December last year, and the doctor said everything was fine.
If the pain continues into January, they will arrange for a CT scan.
However, I had a CT scan in March last year due to a cough issue, and I also had a barium swallow study in July, so I am a bit concerned about excessive radiation exposure.
Based on the current information, is the likelihood of lung cancer high? Do I need to undergo another CT scan? Thank you.

Parker, 30~39 year old female. Ask Date: 2021/03/25

Dr. Huang Yiwen reply Pulmonology


Dear Parker: Based on your description, I also believe that the likelihood of neuropathic pain is higher.
Since you had a CT scan last year and considering your age, there is no need to perform a chest X-ray; monitoring is sufficient.
I recommend visiting a rehabilitation specialist to learn some rehabilitation exercises and to avoid continuously taking painkillers.
Changhua Hospital cares about you.

Reply Date: 2021/03/25

More Info


Dear Patient,
Thank you for reaching out with your concerns regarding your chest pain and the potential risks of lung cancer. It’s understandable to feel anxious about symptoms, especially when they persist over time. Let’s break down your situation and address your questions.

Firstly, the nature of your chest pain is important to consider. You mentioned that the pain is intermittent and lasts only a few seconds, occurring several times a day. This pattern is less typical for lung cancer, which often presents with more persistent pain, especially if it is related to a tumor pressing on surrounding structures. Lung cancer pain is usually not fleeting and may be associated with other symptoms such as weight loss, persistent cough, or hemoptysis (coughing up blood). Given that you have had a normal electrocardiogram and chest X-ray, and your doctor has suggested that the pain may be related to nerve issues, it is less likely that your symptoms are indicative of lung cancer.

Regarding your concern about radiation exposure from CT scans, it is valid to be cautious. CT scans do involve exposure to radiation, but the risk associated with a single scan is generally considered low compared to the potential benefits of accurately diagnosing a condition. If your symptoms persist or worsen, it may be warranted to discuss with your physician the possibility of a CT scan, especially if there are new concerning symptoms or changes in your health status.

In terms of lung cancer risk, several factors contribute to the likelihood of developing this disease, including smoking history, exposure to secondhand smoke, occupational hazards, and family history of lung cancer. You did not mention any significant risk factors, which is reassuring. Additionally, lung cancer typically does not present with isolated chest pain without other accompanying symptoms.

If you are experiencing anxiety about your health, it may be beneficial to speak with a healthcare professional who can provide reassurance and possibly refer you to a mental health specialist if needed. Anxiety can exacerbate physical symptoms, and addressing your mental well-being is just as important as your physical health.

In summary, based on the information you provided, the likelihood of lung cancer seems low given the nature of your symptoms and previous imaging results. However, if your chest pain continues or if you develop new symptoms, it would be prudent to follow up with your healthcare provider. They can evaluate your situation further and determine if additional imaging or tests are necessary.

Take care of yourself, and don’t hesitate to reach out for support from healthcare professionals who can help you navigate these concerns.

Best regards.

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