Lung Cancer

Lung Cancer: Overview

Alternative names: Lung carcinoma

Lung cancer is a malignant lung tumor, consisting of cancer cells that grow uncontrollably in lung tissue.

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There are three main types of lung cancer, each with its own prognosis and set of treatment options.  The type is determined by how the cancer cells look under a microscope:

  • Non-Small Cell Lung Cancer
    The most common type of lung cancer, making up around 85% of cases.  Subtypes include Squamous Cell Carcinoma, Adenocarcinoma, and Large Cell Carcinoma.
  • Small Cell Lung Cancer
    Also known as Oat Cell Cancer, this makes up 10-15% of lung cancer cases and tends to spread quickly.
  • Lung Carcinoid Tumor
    Responsible for under 5% of lung cancer cases, these are also known as Lung Neuroendocrine Tumors.  They usually grow slowly and rarely spread.

Incidence; Causes and Development

Lung cancer is the leading cause of cancer death for men, and the second-most common cause for women, after breast cancer, according to the American Cancer Society.  In 1997, for example, 164,100 new cases were diagnosed in the U.S. and 156,900 people died from the cancer.  Lung cancer is most often diagnosed in those aged around 70 years.

Most cases of lung cancer (85%) are caused by long-term smoking, but increasing levels of air pollution are also a major factor and may in some places even overtake smoking as the major cause.

Other causes can include:

  • Genetic factors
  • Exposure to radon gas
  • Exposure to asbestos
  • Exposure to second-hand smoke

Signs and Symptoms

As lung cancer progresses, symptoms will include:

  • Coughing
  • Wheezing
  • Shortness of breath
  • Coughing up bloody mucus
  • Weight loss
  • Chest pains

Diagnosis and Tests

Lung cancer is visible on chest X-rays and CT scans.  Diagnosis is confirmed by a lung tissue biopsy.

Treatment and Prevention

Treatment will depend on which type of lung cancer is present.  Conventional treatment generally includes surgery, chemotherapy, and/or radiation therapy (radiotherapy).  Unfortunately, current treatments are unable to cure the cancer in most cases.

It almost goes without saying that stopping smoking and avoiding air pollution are the most important ways to reduce lung cancer risk.  Researchers estimate that fruit and vegetable consumption may lower risk at best two-fold, while smoking cessation causes a 20-fold decrease in risk.

Apart from smoking cessation, further reduction of risk may be achieved by weight loss (when appropriate), a healthier diet (fruits and cabbage family vegetables), and supplements such as selenium and vitamins C and E. Vitamins C and E work synergistically and a moderate dose of both taken in combination may provide more of a protective effect against lung cancer than either taken separately. [American Journal of Epidemiology, 1997;146(3): pp.231-43]

Prognosis; Complications

Lung cancer is the deadliest form of cancer, with only 1-in-20 patients surviving more than 10 years and 1-in-6 surviving more than 5 years after diagnosis.  The expected outcome depends largely on the type of lung cancer that is present, and where one lives – prognosis is worse in the developing world.

Lung cancer can spread (metastasize) into nearby tissue or other parts of the body.

Signs, symptoms & indicators of Lung Cancer:

Symptoms - Nails

Conditions that suggest Lung Cancer:

Symptoms - Cancer

Risk factors for Lung Cancer:

Dental / Oral

Periodontal Disease - Gingivitis

January, 2018: A study published in the Journal of the National Cancer Institute found that those with severe gum disease were at significantly higher risk of developing various cancers.  Those with severe gum disease were found to have more than double the risk of developing lung cancer compared to those with no or mild gum disease.

Lab Values - Nutrients

Lab Values - Scans

Counter-indicators

Metabolic

Problems Caused By Being Overweight

Researchers used data from a study of lung cancer patients in New York from 1982 to 1985.  They focused on patients who had never smoked, or those who hadn't smoked in the last 10 years, then took into account physical data on patients' heights and weight.  Researchers found that study subjects who were at the most extreme levels of obesity had the highest risk of lung cancer.  The study is a first for linking being overweight to lung cancer; it has previously been shown to play a role in breast, uterine, and colon cancer.

Researchers are unsure why being obese plays a role in lung cancer; some researchers suggest it's related to hormones such as higher levels of estrogen and insulin.  In addition, being overweight puts an added strain on the lungs, reduces lung capacity, and increases asthma risk. [American Journal of Epidemiology Sept. 2000]

Supplements, Medications, Drugs

Counter-indicators
Frequent/regular aspirin use

October, 2017: A major Chinese study involving 600,000 subjects reported that daily aspirin use results in a 35% reduced risk of developing lung cancer.

Symptoms - Cancer

Symptoms - Environment

Significant/severe diesel exhaust exposure

Human epidemiological studies demonstrate an association between diesel exhaust exposure and increased lung cancer rates in occupational settings.  A preliminary report, still undergoing review by experts, states that "For carcinogenic hazard and risk of cancer over a lifetime, the EPA is recommending that exposure (to diesel exhaust) be viewed as likely to pose a risk at low levels, as well as high levels."

The draft report, which can be accessed at the agency's website at www.epa.gov, is based on an overview analysis of dozens of animal- and human-based studies.  It explains that the particulate matter found in diesel fumes is very small in diameter and thus able to penetrate deeply into the lungs upon inhalation.  The report authors also note that "light-duty diesel engines emit 50-80 times and heavy-duty engines 100-200 times more particulate matter than catalytically equipped gasoline engines."

High air pollution exposure

Over many years, the danger of breathing soot-filled air in polluted cities is comparable to the health risks associated with long-term exposure to second-hand smoke, according to a study funded by the NIH and US EPA.  The study assessed the impact of particles smaller than 2.5 micrometers, called fine particulate matter, in cities across the United States.  Data was gathered from 500,000 adults who were followed from 1982 to 1998 as part of an ongoing cancer study.  The study concluded that a 10mcg increase per cubic meter in fine particulate matter caused an 8% increase in the number of deaths from lung cancer. [Environmental News Service March 6, 2002]

2017: The UK's largest cancer surgery center, London's Brompton Hospital and Harefield NHS Trust, estimated that the number of lung cancer deaths among people who have never smoked would overtake deaths from smoking-related cancer within a decade if air pollution levels continue to rise at the current rate.

Symptoms - Food - Intake

High omega-6 oil intake

Although smoking has been linked to lung cancer, the risk of developing it may be increased more by fatty acid consumption while smoking, rather than by the smoking itself.  Lung cancer was not so much of a problem for smokers until polyunsaturated oils such as corn, safflower and sunflower were added to the diet during the 1950s in the United States.  Even among smokers, a low fatty acid diet will reduce the likelihood of getting lung cancer.

Counter-indicators
No significant/low omega-6 oil intake

Although smoking has been linked to lung cancer, the risk of developing it may be increased more by fatty acid consumption while smoking, rather than by the smoking itself.  Lung cancer was not so much of a problem for smokers until polyunsaturated oils such as corn, safflower and sunflower were added to the diet during the 1950s in the United States.  Even among smokers, a low fatty acid diet will reduce the likelihood of getting lung cancer.

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Lung Cancer suggests the following may be present:

Tumors, Malignant

Recommendations for Lung Cancer:

Drug

Hydrazine Sulfate

See the link between Cancer (General) and Hydrazine Sulfate.

Supplements

Preventive measures against Lung Cancer:

Diet

Cabbage Family Vegetables

Chemicals found in broccoli, cabbage, bok choy and other cruciferous (cabbage family) vegetables may protect against lung cancer, according to a new study conducted jointly with US and Chinese researchers.  Although the chemicals did lower cancer risk by 36% in this study, smoking alone increases lung cancer risk by as much as 10 times.

Drug

LDN - Low Dose Naltrexone

Although lung cancer tissue is low in opioid receptors and thus not so likely to respond to LDN, there may be benefit due to LDN's ability to increase natural killer cell function.

Environmental

Hormone

Mineral

Selenium

A double-blind study demonstrated that supplementation with 200 mcg/day of selenium (in the form of high-selenium brewer's yeast) reduced the incidence of prostate, colorectal and lung cancer, and reduced overall cancer mortality by 50%. [JAMA 1996;276: pp.1957-63]

Vitamins

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