Adenocarcinoma of the lung history and symptoms: Difference between revisions

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{{Adenocarcinoma of the lung}}
{{Adenocarcinoma of the lung}}
{{CMG}}; {{AE}} {{SC}}
{{CMG}}; {{AE}} {{SC}} {{Cherry}}
==Overview==
==Overview==
Common symptoms of adenocarcinoma of the lung include [[dyspnea]], [[hemoptysis]], chronic [[coughing]], [[chest pain]], [[cachexia]], [[dysphonia]], and [[paraneoplastic syndromes]].<ref name=canadian>Lung cancer. Canadian Cancer Society 2015. http://www.cancer.ca/en/cancer-information/cancer-type/lung/signs-and-symptoms/?region=ab Accessed on December 20, 2015</ref>
The common symptoms of adenocarcinoma of the lung include [[dyspnea]], [[hemoptysis]], chronic [[coughing]], [[chest pain]], [[cachexia]], [[dysphonia]], and symptoms arising from [[paraneoplastic syndromes]] such as [[Muscle weakness|weakness]], [[Lack of coordination of muscle movement|lack of coordination]], changes in [[mental function]], high blood pressure, [[Nausea and vomiting|nausea]] and [[Nausea and vomiting|vomiting]].


==Symptoms==
==History and Symptoms==
[[Symptom]]s that suggest lung cancer include:<ref name="Hamilton">{{cite journal | last =Hamilton | first =W | coauthors =  Peters TJ, Round A, Sharp D | title =What are the clinical features of lung cancer before the diagnosis is made? A population based case-control study | journal =Thorax | volume =60 | issue=12 | pages =1059–1065 | publisher = BMJ Publishing Group Ltd. | date =Dec 2005 | pmid =16227326 }}</ref>
*A positive history of smoking, family history of [[lung cancer]], [[radiation therapy]] to the chest, expsure to [[radon]] gas and [[asbestos]] is suggestive of adenocarcinoma of the [[lung]].
* [[Dyspnea]]  
* The most common symptoms of adenocarcinoma of the lung include [[dyspnea]], [[hemoptysis]], chronic [[coughing]], [[Wheeze|wheezing]], [[chest pain]], [[abdominal pain]], [[cachexia]], [[fatigue]] and loss of [[appetite]].<ref name="canadian">Lung cancer. Canadian Cancer Society 2015. http://www.cancer.ca/en/cancer-information/cancer-type/lung/signs-and-symptoms/?region=ab Accessed on December 20, 2015</ref>
===History===
Patients with adenocarcinoma of the lung may have a positive history of:
* [[Smoking]]  
* Exposure to second-hand smoke
* Family history of [[lung cancer]]
* Exposure to high levels of air pollution
* [[Radiation therapy]] to the chest
* Expsure to [[radon]] gas
* Exposure to [[asbestos]]
* Exposure to high levels of [[arsenic]] in drinking water
* Occupational exposure to [[Carcinogens|chemical carcinogens]]
* Previous [[Respiratory disease|lung disease]]
* Indoor burning of coal
* [[SLE]]
 
===Common Symptoms===
Common symptoms of adenocarcinoma of the lung include:<ref name="Hamilton">{{cite journal | last =Hamilton | first =W | coauthors =  Peters TJ, Round A, Sharp D | title =What are the clinical features of lung cancer before the diagnosis is made? A population based case-control study | journal =Thorax | volume =60 | issue=12 | pages =1059–1065 | publisher = BMJ Publishing Group Ltd. | date =Dec 2005 | pmid =16227326 }}</ref>
*Chronic [[coughing]]
*[[Dyspnea]]
* [[Hemoptysis]]  
* [[Hemoptysis]]  
* Chronic [[coughing]]
* [[Wheezing]]
* [[Wheezing]]
* [[Chest pain]]
* [[Chest pain]]
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* [[Dysphonia]]  
* [[Dysphonia]]  


'''Late Symptoms'''<ref name=canadian>Lung cancer. Canadian Cancer Society 2015. http://www.cancer.ca/en/cancer-information/cancer-type/lung/signs-and-symptoms/?region=ab Accessed on December 20, 2015</ref>
===Less Common Symptoms===
* [[Bone pain]]
Less common and late symptoms of adenocarcinoma of the lung include:<ref name="canadian" />  
*[[Bone pain]]
* [[Dysphagia]]
* [[Dysphagia]]
* [[Superior vena cava syndrome]]
* [[Superior vena cava syndrome]]
* [[Neurological changes]]
* [[Neurology|Neurological]] changes:
:* [[Weakness]]
:* [[Weakness]]
:* Numbness in extremities
:* Numbness in extremities
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:* [[Seizure]]
:* [[Seizure]]
* [[Lymphadenopathy]]
* [[Lymphadenopathy]]
 
* Symptoms due to [[Paraneoplastic syndrome|paraneoplastic syndromes]]:<ref name="canadian" />  
'''Paraneoplastic Syndromes'''<ref name=canadian>Lung cancer. Canadian Cancer Society 2015. http://www.cancer.ca/en/cancer-information/cancer-type/lung/signs-and-symptoms/?region=ab Accessed on December 20, 2015</ref>
** [[Cancer|Cancer cells]] release substances that affect the functioning of various [[Organ (anatomy)|organs]], giving rise to a group of symptoms called [[Paraneoplastic syndrome|paraneoplastic syndromes]].  
* [[Paraneoplastic syndrome]] is a group of symptoms that occurs when substances released by [[cancer]] cells affect the normal function of other organs or tissues.  
** [[Small cell lung cancer]] is more frequently associated with [[Paraneoplastic syndrome|paraneoplastic syndromes]], as compared to [[non–small cell lung cancer]].  
* [[Small cell lung cancer]] causes paraneoplastic syndromes more often than [[non–small cell lung cancer]].
** [[Paraneoplastic syndrome|Paraneoplastic syndromes]] presenting with adenocarcinoma of the lung include:<ref name="pmid25114839">{{cite journal |vauthors=Kanaji N, Watanabe N, Kita N, Bandoh S, Tadokoro A, Ishii T, Dobashi H, Matsunaga T |title=Paraneoplastic syndromes associated with lung cancer |journal=World J Clin Oncol |volume=5 |issue=3 |pages=197–223 |date=August 2014 |pmid=25114839 |pmc=4127595 |doi=10.5306/wjco.v5.i3.197 |url=}}</ref><ref name="pmid20810794">{{cite journal |vauthors=Pelosof LC, Gerber DE |title=Paraneoplastic syndromes: an approach to diagnosis and treatment |journal=Mayo Clin. Proc. |volume=85 |issue=9 |pages=838–54 |date=September 2010 |pmid=20810794 |pmc=2931619 |doi=10.4065/mcp.2010.0099 |url=}}</ref>
* Paraneoplastic syndromes may present with adenocarcinoma of the lung include:
*** [[Hypercalcemia]] (more commonly seen in [[squamous cell lung cancer]])  
:* [[Hypercalcemia]] (more commonly seen in [[squamous cell lung cancer]])
*** [[Weakness]]  
::* [[Weakness]]
*** [[Ataxia|Lack of coordination]]
::* Lack of coordination
*** Changes in [[mental function]]
::* Changes in mental function
*** High [[blood pressure]]
::* High blood pressure
*** [[Nausea]]  
::* [[Nausea]]
*** [[Vomiting]]  
::* [[Vomiting]]
*** [[Hypertrophic osteoarthropathy]]:
:* [[Hypertrophic osteoarthropathy]]
**** Increased and sometimes painful growth of some bones, especially in the fingertips  
::* Increased and sometimes painful growth of some bones, especially fingertips
**** Finger [[clubbing]]  
::* Finger [[clubbing]]
**** Pain and swelling of bones and [[Joint|joints]]
::* Pain and swelling of bones and joints


==References==
==References==

Latest revision as of 14:37, 6 March 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shanshan Cen, M.D. [2] Sudarshana Datta, MD [3]

Overview

The common symptoms of adenocarcinoma of the lung include dyspnea, hemoptysis, chronic coughing, chest pain, cachexia, dysphonia, and symptoms arising from paraneoplastic syndromes such as weakness, lack of coordination, changes in mental function, high blood pressure, nausea and vomiting.

History and Symptoms

History

Patients with adenocarcinoma of the lung may have a positive history of:

Common Symptoms

Common symptoms of adenocarcinoma of the lung include:[2]

Less Common Symptoms

Less common and late symptoms of adenocarcinoma of the lung include:[1]

References

  1. 1.0 1.1 1.2 Lung cancer. Canadian Cancer Society 2015. http://www.cancer.ca/en/cancer-information/cancer-type/lung/signs-and-symptoms/?region=ab Accessed on December 20, 2015
  2. Hamilton, W (Dec 2005). "What are the clinical features of lung cancer before the diagnosis is made? A population based case-control study". Thorax. BMJ Publishing Group Ltd. 60 (12): 1059–1065. PMID 16227326. Unknown parameter |coauthors= ignored (help)
  3. Kanaji N, Watanabe N, Kita N, Bandoh S, Tadokoro A, Ishii T, Dobashi H, Matsunaga T (August 2014). "Paraneoplastic syndromes associated with lung cancer". World J Clin Oncol. 5 (3): 197–223. doi:10.5306/wjco.v5.i3.197. PMC 4127595. PMID 25114839.
  4. Pelosof LC, Gerber DE (September 2010). "Paraneoplastic syndromes: an approach to diagnosis and treatment". Mayo Clin. Proc. 85 (9): 838–54. doi:10.4065/mcp.2010.0099. PMC 2931619. PMID 20810794.


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