Lung Cancer Risk in Teens: A Guide for Parents - Pulmonology

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Lung cancer at the age of 16?


Hello, doctor.
I would like to ask about the likelihood of developing lung cancer at the age of 16.
My father smokes, which increases my exposure to secondhand smoke.
Recently, I've been experiencing some pain in my upper left back, occasional dull pain near my left shoulder, a scratchy throat with a sensation of mucus that makes me want to cough, and sometimes my voice sounds hoarse.
I also notice a high-pitched sound when I breathe through my nose.
I would like to know what possible conditions this could indicate.
Last October, I had a chest X-ray during a school health check, and there were no issues.
Thank you, doctor.

77, 10~19 year old female. Ask Date: 2022/06/05

Dr. Wang Lanfeng reply Pulmonology


Hello: Although you have been exposed to the risk of secondhand smoke, generally speaking, young people are not a high-risk group for lung cancer.
Additionally, you have had a chest X-ray that showed no significant issues, so there should not be any major concerns.
However, if you still have some symptoms, it is advisable to visit a pulmonology clinic for further evaluation.
Thank you.

Reply Date: 2022/06/05

More Info


When it comes to lung cancer risk in teenagers, particularly in a 16-year-old, the likelihood of developing lung cancer is generally low. Lung cancer is predominantly a disease that affects older adults, with the average age of diagnosis being in the 60s. However, certain risk factors can increase the likelihood of developing lung cancer at a younger age, including exposure to secondhand smoke, which is a significant concern in your case since your father smokes.

Secondhand smoke contains a mixture of over 7,000 chemicals, many of which are toxic and can cause cancer. Studies have shown that children and adolescents exposed to secondhand smoke are at an increased risk of developing respiratory issues and may have a higher risk of lung cancer later in life. While the immediate risk of lung cancer at 16 is low, the cumulative effects of prolonged exposure to secondhand smoke can be detrimental over time.

Regarding the symptoms you mentioned—upper back pain, chest pain, throat discomfort, and changes in voice—these could be indicative of various conditions, not necessarily lung cancer. It’s important to note that many of these symptoms can arise from non-cancerous conditions such as muscle strain, respiratory infections, allergies, or even anxiety. The fact that you had a chest X-ray last year that showed no abnormalities is reassuring, but if your symptoms persist or worsen, it would be wise to consult a healthcare professional for a thorough evaluation.

In your case, the symptoms you describe, such as back pain and throat irritation, could also be related to environmental factors or even stress. It’s essential to consider other potential causes, including allergies or even postural issues, especially if you spend a lot of time in front of screens or in sedentary positions.

If you continue to experience these symptoms, I recommend visiting a healthcare provider, preferably a pulmonologist or an ear, nose, and throat (ENT) specialist. They can perform a more detailed examination and possibly recommend further imaging or tests if necessary.
In summary, while the risk of lung cancer at 16 is low, exposure to secondhand smoke is a concern that should not be overlooked. It’s crucial to maintain open communication with your father about the dangers of smoking and the impact of secondhand smoke on your health. Encouraging him to seek help for quitting smoking could be beneficial for both of you. Additionally, if your symptoms persist, seeking medical advice is essential to rule out any serious conditions and to address your concerns effectively.

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