Tumors can be benign or malignant; when we speak of "cancer," we are referring to those tumors that are malignant. Benign tumors usually can be removed and do not spread to other parts of the body. Malignant tumors, on the other hand, grow aggressively and invade other tissues of the body, allowing entry of tumor cells into the bloodstream or lymphatic system and then to other sites in the body. This process of spread is termed metastasis; the areas of tumor
growth at these distant sites are called
metastases. Since lung cancer tends to spread or metastasize very early after
it forms, it is a very life-threatening cancer and one of the most difficult
cancers to treat. While lung cancer can spread to any organ in the body,
certain locations -- particularly the adrenal glands, liver, brain, and bones
-- are the most common sites for lung cancer metastasis.
The lung also is a very common site for metastasis
from tumors in other parts of the body. Tumor metastases are made up of the
same type of cells as the original (primary) tumor. For example, if prostate
cancer spreads via the bloodstream to the lungs, it is metastatic prostate
cancer in the lung and is not lung cancer.
The principal function of the lungs is to exchange
gases between the air we breathe and the blood. Through the lung, carbon
dioxide is removed from the bloodstream and oxygen from inspired air enters the
bloodstream. The right lung has three lobes, while the left lung is divided
into two lobes and a small structure called the lingula that is the equivalent
of the middle lobe on the right. The major airways entering the lungs are the
bronchi, which arise from the trachea. The bronchi branch into progressively
smaller airways called bronchioles that end in tiny sacs known as alveoli where
gas exchange occurs. The lungs and chest wall are covered with a thin layer of
tissue called the pleura.
Lung cancers can arise in any part of the lung,
but 90%-95% of cancers of the lung are thought to arise from the epithelial
cells, the cells lining the larger and smaller airways (bronchi and
bronchioles); for this reason, lung cancers are sometimes called bronchogenic
cancers or bronchogenic carcinomas. (Carcinoma is another term for cancer.)
Cancers also can arise from the pleura (called mesotheliomas) or rarely from
supporting tissues within the lungs, for example, the blood vessels . The etiology, or the root cause of lung cancer, is
not always evident. Although tobacco smoking is the primary etiological factor,
scientists agree that many lung cancers have no single cause, but are instead
the result of a combination of several causes that may include exposure to
radon, asbestos, environmental tobacco smoke, and exposures to other hazardous
materials. Don't just assume that your lung cancer was caused by smoking alone.
Lung cancer is also a significant health problem among patients who have never
smoked.
You could have been exposed to carcinogens decades
ago, and many people with lung cancer cannot easily remember these exposures.
Even if you are or have been a smoker, or if you have never smoked, you may be
entitled to compensation. Call us at 1-800-258-1054 to determine if and where
you came into contact with hazardous materials that could have increased your
risk for lung cancer.
Smoking can be the cause of lung cancer but it
also can be the enabler. Smoking weakens the lungs and reduces their capacity
to get rid of toxins. These weakened lungs become much more susceptible and
vulnerable to attack by carcinogens. For example, someone who is a smoker is 11
times more likely to get lung cancer relative to a non-smoker but close to 60
times more likely to get lung cancer if exposed to asbestos AND is a smoker.
OTHER CAUSES OF LUNG CANCER
Radon. A gaseous decay product of radium-226 and
uranium-238, radon can damage the respiratory epithelium (the cells that line
the lungs) through alpha particle emissions (a form of radiation). Uranium
miners face an increased risk of lung cancer, probably due to radon radiation.
Many members of the armed forces came into contact with depleted uranium and
radon during military service, as did employees of defense contractors. See our
pages on radon as a cause of lung cancer, and uranium as a cause of lung
cancer.
Secondhand smoke. Also referred to as
environmental tobacco smoke (ETS), secondhand smoke has been identified as a
significant risk factor for lung cancer in the case of never smokers. Experts
estimate that 15 to 35 percent of lung cancer cases among never smokers are
associated with ETS. More on secondhand smoke as a cause of lung cancer.
Between smoking and secondhand smoke, the Centers for Disease Control estimate
that 87% of US lung cancer cases are caused by tobacco. Never-smokers can get
lung cancer, too.
Asbestos. Asbestos is a known cause of lung cancer
and other types of cancer. The asbestos fibers can become airborne and get in
your lungs. Often the cancer doesn’t show up until decades after exposure.
Asbestos is also a cause of lung cancer. If you have lung cancer and were
exposed to asbestos, even decades ago, you may be eligible for compensation. Pesticides, especially the mixture called Agent
Orange. Agent Orange was sprayed from airplanes during the Vietnam War and
became airborne, entering the lungs of ground troops. The Department of
Veterans Affairs has acknowledged that Agent Orange is carcinogenic and
provides benefits for qualified cancer patients with a history of exposure. See
our page on Agent Orange as a cause of lung cancer.
Heavy metals. These include cadmium, chromium, and
arsenic. Heavy metals are in many products and waste streams. Arsenic has been
identified as a causative factor for lung cancer when it contaminates drinking
water, as seen in areas of Chile and Taiwan. The United States lowered
permissible arsenic levels in drinking water several years ago due to health
concerns. See our page on heavy metals as a cause of lung cancer.
Air pollutants present, for instance, in smoke
from burning coal and vapors from cooking oil have been associated with lung
cancer. There are hundreds of chemical constituents in smoke and combustion
products. Even the experts don’t know all of the carcinogenic ones, but it is
clear that there is a connection. See our page on hydrocarbons as a cause of
lung cancer.
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