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Lung Cancer Prevention Strategies

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Lung cancer can be prevented by smoking cessation, environmental measures, lifestyle modifications, and early detection and screening.

Written by

Dr. Suhaila

Medically reviewed by

Dr. Abdul Aziz Khan

Published At April 15, 2024
Reviewed AtApril 15, 2024

Introduction

Lung cancer is a significant public health concern, representing one of the most common causes of death globally. While treatment options are evolving and advancing, prevention remains valuable as prevention is better than cure. This article explores various preventive care aspects and how they affect lung cancer.

What Is Lung Cancer?

It is one of the leading causes of death worldwide. The second most common cancer in males. It starts when uncontrolled growth of cells is seen in the lungs. Symptoms seen with this are a bad cough that does not go away, shortness of breath, and severe chest pain. Symptoms do not usually start until the advanced stage. Hence, it goes undiagnosed.

There are two types of lung cancers:

  • Non-small Cell Carcinoma: This is more common.

  • Small Cell Carcinoma: Less common but has a high growth rate.

What Are the Risk Factors for Lung Cancer?

Among all risk factors, cigarette, cigar, and pipe smoking is the leading risk factor causing cancer. However, it can affect non-smokers, too. Occupational exposures to asbestos, radon, and other carcinogenic chemicals, air pollution, and genetic factors are all risk factors. HIV infection, environmental risk factors, and beta-carotene supplements in heavy smokers are also risk factors.

How Can Lung Cancer Be Prevented?

They can be divided into primary and secondary prevention measures.

Primary Prevention: This is before disease occurrence, and measures are taken to prevent it, mainly by reducing risk and promoting a healthy lifestyle. Preventive measures include:

1. Smoking Cessation: Heavy smokers, those who smoke a pack for more than 30 years, are at more risk. Current smokers are in more trouble compared to those who have already quit. The best way to prevent any cancer is to quit smoking.

    • Counseling: Ask, Advise, Assess, Assist, and Arrange protocol should be followed. Individual and group sessions should be taken.

    • Nicotine Replacement Therapy: Patches, gums, and lozenges help individuals who genuinely wish to quit smoking.

    • Prescription Medicines: Medications to reduce cravings and addiction and relieve withdrawal symptoms are given by healthcare providers.

2. Secondhand Smoking or Passive Smoking: This is also harmful and prone to cause cancer. Promote smoking-free environments, and lawmakers should implement policies demoting smoking and tobacco. These public health initiatives can significantly decrease the risk of lung cancer.

3. Radon: This is the second most common cause of lung cancer. Therefore, limiting exposure to it helps prevent disease. Radon is a gas that comes from uranium breakdown. Radon can seep into groundwater and enter homes by leaking into cracks in the house. Over time, radon can build up. Home-based radon kits should be used to check exposure, and a system should be installed to help seal the cracks in case the levels are high. Also, a water purification system should be incorporated.

4. Occupational Hazards: This includes uncontrolled exposure to carcinogenic chemicals like asbestos, arsenic, chromium, nickel, beryllium, cadmium, tar, and soot. Exposure to these should be avoided without implementing proper precautions.

5. Radiation Exposure: All forms of radiation exposure are carcinogenic. Radiation therapy, imaging, and Atomic bomb radiation are all sources of radiation. Atomic bomb radiation: Being exposed to radiation after an atomic bomb explosion increases the risk of lung cancer. Radiation therapy might be used to treat certain cancers and also have the risk of increasing cancer risk. The higher the radiation dose received, the higher the lung cancer risk. This risk is directly proportional to smoking. Limiting radiation exposure to the chest helps reduce risk.

6. Air Pollution Control: Small particles affect lung function and have been shown to increase the risk of cancer.

  • Using masks and other protective equipment helps reduce the intake of polluted air.

  • Air purifiers with high-efficiency particulate air (HEPA) remove pollutants and particles from the air.

  • Stay informed about the air quality in one’s area to avoid outdoor pollution. On days with poor air quality, it is better to stay indoors.

  • Using a sound ventilation system and reducing items releasing pollutants can significantly reduce indoor pollution.

7. Exercising and Maintaining a Healthy Weight: A balanced diet and consistent exercise also help reduce cancer risk. The goal should be to have a body mass index (BMI) of less than 25, as an increase in BMI has shown greater lung cancer risk. Limiting processed foods and high-fat diets also markedly reduces cancer risk. A diet rich in fruits and whole grains provides essential nutrients and antioxidants for good health. Certain vegetables like broccoli and cabbage have shown anticancer properties.

8.Reduce HIV Infection Risk: With its inflammation and immunosuppressive effects, it is known to increase cancer.

Secondary Prevention:

  • Early Detection: This includes methods for early disease diagnosis, far before symptoms appear. When an individual has many risk factors, they can be indicated for specific tests to detect disease. It is recommended that yearly scanning for such cases be done. Treatment success and improved outcomes are more likely when the disease is detected early. Low-dose computed tomography (CT) is used for this. There is significantly less radiation compared with traditional CT. Early detection helps in better treatment and better chances of survival.

  • Knowing Familial History: This helps with frequent checkups and early disease detection. If a parent or sibling has lung cancer, there is a double chance the individual also might have it. When clinicians report this history, they will recommend screening tests.

Conclusion

Lung cancer prevention includes reducing risk factors and early detection and screening when necessary. The risk factors are multiple and complex in interactions. The main focus lies on smoking and tobacco use cessation, changing lifestyle to incorporate fruits and vegetables, less processed and junk food, and reducing exposure to hazardous materials like radon, air pollutants, asbestos, etc. All policymakers, healthcare teams, and the general public must collaborate, raise awareness about prevention, and create supportive groups that help drive toward this cause. Through these efforts, substantial work can be done in reducing the lung cancer burden globally and improving the overall quality of life of the individual.

Dr. Abdul Aziz Khan
Dr. Abdul Aziz Khan

Medical oncology

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lung cancersmoking cessation
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