Thoracic (Lung) Cancer

Lung cancer is the leading cause of cancer death in Hawaiʻi, the United States and around the world. In fact, the rate of new lung cancer cases among Asian Americans and Pacific Islanders in Hawaiʻi is significantly higher than nationally, according to the American Lung Association.

In its early stages, lung cancer usually has no symptoms. Only after the tumor begins to grow will a person begin to exhibit signs that something is wrong, such as a nagging cough that continues to get worse or constant chest pain.

Other symptoms can include:

• Shortness of breath
• Wheezing
• Recurring lung infections (e.g., pneumonia or bronchitis)
• Bloody or rust-colored sputum (spittle)
• Hoarseness
• Fever for unknown reason

While smoking is the leading cause of lung cancer, other risk factors may increase a person’s chances of developing the disease, including second-hand smoke, radon or asbestos exposure, air pollution, and personal or family history of lung cancer.

Lung cancer can be treated effectively when caught in its early stages. Only a doctor can tell whether symptoms are caused by cancer or by another problem. Consult your primary care physician for a diagnosis.

At the Hawaiʻi Pacific Health Cancer Centers, we pride ourselves on our multidisciplinary approach. This focuses on conversations with patients about care goals to ensure they share in the decision-making process.

We also believe in thinking critically and selecting appropriate patients for a biopsy.

When we determine procedures are needed, we have cutting-edge technology available at our medical centers, including the Da Vinci robotic surgical system and Ion robotic navigation platform.

Low-dose computed tomography (LDCT) is an effective way to screen for lung cancer. The exam takes about 15 minutes, and you don't have to fast or take any medications.

Lung cancer screening is not appropriate for everyone. The United States Preventive Services Task Force recommends annual screening with LDCT for adults who:

• Are between 50 and 80 years old.
• Show no signs or symptoms of lung cancer.
• Have smoked within the last 15 years.
• Have smoked 20 pack-years* or more. 

*A pack-year is used to describe how many cigarettes a patient has smoked in their lifetime. One pack year = smoking one pack per day for one year. 1 pack = 20 cigarettes. 

Patients who meet the criteria should see their physician to discuss their eligibility, as well as the benefits and risks of screening before scheduling an appointment.