Busting myths in lung cancer There are a number of myths around lung cancer; many of which add to the ‘stigma’ of the disease. Click on the flashcards below to see the facts behind the fiction… Myth Only people who smoke get lung cancer Fact Approximately 15% of lung cancer cases occur in people who have never smoked.1 Other factors that may contribute include environmental exposure and second-hand smoke.2 Myth All lung cancer patients have a cough Fact Although a lot (>65%) of people diagnosed with lung cancer have a cough at diagnosis, many do not present with a cough, and some have no symptoms at all.3,4 Myth Lung cancer is a modern disease and did not exist before cigarettes Fact Lung cancer was first recognised in 1761, long before cigarettes existed. Although it was relatively rare, it caused those affected a number of health issues.5 Myth Lung cancer only affects the lungs Fact Lung cancer can spread around the body in a process called metastasis. In lung cancer, tumours often spread to the brain and can cause loss of vital functions e.g. vision.6 Myth Only men get lung cancer Fact Although lung cancer does affect more men than women (1 in 14 risk), a number of women still get lung cancer (1 in 17 risk).7,8 Myth All lung cancer is the same Fact There is not just one type of lung cancer - there are two main types; non-small cell lung cancer and small cell lung cancer, with many more subtypes.9 Myth You can’t live without two lungs so surgical removal of lung cancer is not possible Fact Actually, with removal of part or all of one lung is an option for localised lung cancer.10 Myth Lung cancer only affects the elderly Fact Lung cancer is more common in older people but about a third (31%) of new cases and deaths (28%) occur in those aged under 65.11 Myth Once lung cancer spreads it becomes untreatable Fact Once lung cancer spreads it is harder to treat, but while not typically curable it can be treated, and new options (targeted and immunotherapies) can prolong survival.10-12 More about lung cancer Facts about lung cancer New weapons against an old foe References 1. NHS. Causes of lung cancer. Available from: http://www.nhs.uk/Conditions/Cancer-of-the-lung/Pages/Causes.aspx 2. Cancer Research UK. Risks and causes. Available from: http://www.cancerresearchuk.org/about-cancer/lung-cancer/risks-causes 3. Kvale PA. Chest. 2006 Jan;129(1 Suppl):147S-153S. 4. Cancer Research UK. Symptoms. Available from: http://www.cancerresearchuk.org/about-cancer/lung-cancer/symptoms 5. Yang,P. Semin Respir Crit Care Med. 2011 Feb;32(1):10–21. 6. Wong J, et al. Current Oncology. 2008;15(5):25–45 7. GLOBOCAN. [Internet, cited 2017 May 11] Available from: http://globocan.iarc.fr/Pages/fact_sheets_cancer.aspx 8. American Cancer Society Key Statistics for Lung Cancer. Available from: https://www.cancer.org/cancer/small-cell-lung-cancer/detection-diagnosis-staging/signs-symptoms.html 9. Cancer Research UK. About lung cancer. Available from: http://www.cancerresearchuk.org/about-cancer/lung-cancer/stages-types-grades/types 10. NHS. Treatments. Available from: http://www.nhs.uk/Conditions/Cancer-of-the-lung/Pages/Treatment.aspx 11. SEER. Factsheet. Available from: https://seer.cancer.gov/statfacts/html/lungb.html 12. Cancer Research Institute. What Makes Immunotherapy a Promising Treatment for Lung Cancer? Available from: https://www.cancerresearch.org/we-are-cri/home/cancer-types/lung-cancer
Myth Only people who smoke get lung cancer Fact Approximately 15% of lung cancer cases occur in people who have never smoked.1 Other factors that may contribute include environmental exposure and second-hand smoke.2
Myth All lung cancer patients have a cough Fact Although a lot (>65%) of people diagnosed with lung cancer have a cough at diagnosis, many do not present with a cough, and some have no symptoms at all.3,4
Myth Lung cancer is a modern disease and did not exist before cigarettes Fact Lung cancer was first recognised in 1761, long before cigarettes existed. Although it was relatively rare, it caused those affected a number of health issues.5
Myth Lung cancer only affects the lungs Fact Lung cancer can spread around the body in a process called metastasis. In lung cancer, tumours often spread to the brain and can cause loss of vital functions e.g. vision.6
Myth Only men get lung cancer Fact Although lung cancer does affect more men than women (1 in 14 risk), a number of women still get lung cancer (1 in 17 risk).7,8
Myth All lung cancer is the same Fact There is not just one type of lung cancer - there are two main types; non-small cell lung cancer and small cell lung cancer, with many more subtypes.9
Myth You can’t live without two lungs so surgical removal of lung cancer is not possible Fact Actually, with removal of part or all of one lung is an option for localised lung cancer.10
Myth Lung cancer only affects the elderly Fact Lung cancer is more common in older people but about a third (31%) of new cases and deaths (28%) occur in those aged under 65.11
Myth Once lung cancer spreads it becomes untreatable Fact Once lung cancer spreads it is harder to treat, but while not typically curable it can be treated, and new options (targeted and immunotherapies) can prolong survival.10-12