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Lung Cancer
Lung cancer is the leading cause of cancer deaths in Michigan.
Data show that about 90% of lung cancers are associated with smoking. Other factors, such as secondhand smoke and exposure to radon, also put people at higher risk of developing lung cancer.
Lung cancer screening reduces deaths from lung cancer by helping catch the cancer earlier.
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Lung Cancer Risk Factors
- Smoking — Cigarette smoking is the number one risk factor for lung cancer. Other tobacco products such as cigars or pipes also increase the risk for lung cancer.
- Secondhand Smoke — Smoke from other people’s cigarettes, pipes or cigars also causes lung cancer.
- Radon — Radon is the second leading cause of lung cancer. Radon is a naturally occurring gas that forms in rocks, soil and water. When it gets into buildings through cracks or holes, it can get trapped and concentrations can build up in the air inside. People who live or work in these homes and buildings breathe in high radon levels.
- Other Substances — Examples of substances found at some workplaces that increase risk include: asbestos; arsenic; diesel exhaust; and some forms of silica and chromium.
- Personal or Family History of Lung Cancer — If you are a lung cancer survivor, there is a risk that you may develop another lung cancer, especially if you smoke. Your risk of lung cancer may be higher if your parents, brothers or sisters, or children have had lung cancer.
- Radiation Therapy to the Chest — Cancer survivors who had radiation therapy to the chest are at higher risk of lung cancer.
- Diet — People who smoke and take beta-carotene supplements have increased risk of lung cancer. Also, arsenic and radon in drinking water (primarily from private wells) can increase a person's risk of lung cancer.
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Lung Cancer Symptoms
If you are 50-80 years old and eligible for lung cancer screening, screening should occur prior to symptoms beginning. Most people with lung cancer don’t have symptoms until the cancer is advanced. Symptoms of lung cancer can include:
- Coughing that gets worse or doesn't go away.
- Chest pain.
- Shortness of breath.
- Wheezing.
- Coughing up blood.
- Feeling very tired all the time.
- Weight loss with no known cause.
Other changes that can sometimes occur with lung cancer may include repeated bouts of pneumonia and swollen or enlarged lymph nodes (glands) inside the chest in the area between the lungs.
These signs and symptoms can happen with other illnesses, too. If you have some of these signs and symptoms, talk to your doctor, who can help find the cause.
Source: Symptoms of Lung Cancer | CDC
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Lung Cancer Control Program (LCCP)
The Lung Cancer Control Program (LCCP) is working to increase the rate of lung cancer screening in Michigan. Lung cancer screening has been proven to reduce lung cancer deaths. The program promotes policy and health systems change as a way to help ensure all eligible people receive lung cancer screening. This includes determination of eligibility for lung cancer screening and also referrals to both lung cancer screening and tobacco dependence treatment services.
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Cancer Facts and Data Dashboards
- Lung Cancer Data Dashboard
- Michigan Cancer Atlas
- Visit the Cancer Epidemiology webpage for more information.
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Lung Cancer Screening Recommendations
The United States Preventive Services Task Force (USPSTF) recommends yearly lung cancer screening with low-dose computed tomography (LDCT) for those who are:
- Adults, aged 50 to 80 years.
- Smokers with a 20-pack-year smoking history.
- Note: This is determined by the average number of packs smoked per day multiplied by the number of years a person has smoked. You can calculate pack years using the tool at ShouldIScreen.com.
- Current smokers or smokers who have quit within the past 15 years.
Take action: Upon reading these recommendations, talk with your health care provider if you believe you are eligible for screening.
Source: Screening for Lung Cancer | Lung Cancer | CDC
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Patient Resources
- Lung Cancer Guide (American Cancer Society)
- Lung Cancer Screening (Centers for Disease Control and Prevention)
- Lung Cancer Screening Locator Tool (American College of Radiology)
- Lung Cancer Information (National Cancer Institute)
- "Cancer Doesn't Wait, Neither Should You" — A video by the Centers for Disease Control and Prevention (CDC) emphasizing the importance of regularly getting screened for cancer.
- Michigan Tobacco Quitlink — 1-800-QUIT NOW (784-8669). Take your first steps toward becoming tobacco-free.
- Cancer Resources for Michigan Communities (Michigan Department of Health and Human Services)
- Finding and Using a Radon Test Kit (Michigan Department of Environment, Great Lakes, and Energy)
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Provider Resources
- George Washington University Cancer Center:
- Lung Cancer Screening Coding:
- Lung Cancer Screening Locator Tool (American College of Radiology)
- Michigan Tobacco Quitlink — 1-800-Quit Now (784-8669). Help your patients become tobacco-free.
- Lung Cancer, Health Professional Version (National Cancer Institute)
- The National Lung Cancer Roundtable (NLCRT) is committed to its mission of creating lung cancer survivors.
- The NLCRT, along with partners, hosted a seven-part Lung Cancer Screening Webinar Series in 2021 focusing on the new lung cancer screening eligibility criteria from the U.S. Preventive Services Task Force. For more information, visit ACR Webinar.
- U.S. Preventive Services Task Force Final Recommendation Statement — Lung Cancer: Screening
- Radon:
- Reducing the Risk From Radon: Information and Interventions (Conference of Radiation Control Program Directors, Inc.)
- Finding and Using a Radon Test Kit (Michigan Department of Environment, Great Lakes, and Energy)