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Can quitting smoking at 60 improve lung cancer treatment?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am writing this on behalf of my aunt, who is 60 years old and was diagnosed with endometrial cancer about eight months ago. Recent scans have shown a new nodule in her right lung, which the pulmonologist suspects could be a secondary spread of the cancer.

She has been smoking nearly a pack a day for the last 30 years, but she is finally willing to quit. She would like to know if stopping now, at her age, will make any significant difference in how her body responds to her ongoing treatment.

Currently, she is taking Letrozole 2.5 mg daily, and her last PET scan indicated moderate metabolic activity in the uterine region and mild uptake in the lung nodule. Her pulmonologist has referred her to an oncologist, but the appointment is three weeks away, and she is becoming increasingly anxious in the meantime. Her oxygen saturation drops to around 94 percent during mild activity, which her chest doctor has said is concerning.

Can quitting smoking at 60 help a lung cancer patient respond better to treatment? We want to do everything possible to support her right now.

Please guide me.

Answered by Dr. Amandeep Singh Arneja

Education:

MD RESPIRATORY MEDICINE

Professional Bio:

I am Dr. Amandeep Singh Arneja, a dedicated Chest Physician and Senior Resident in Pulmonary Medicine at Jawaharlal Nehru Medical College (JNMC), Wardha, with extensive training in the management of complex respiratory and critical care conditions. I completed my M.B.B.S. from Universal College of Medical Sciences, Tribhuvan University (2016) and M.D. in Respiratory Medicine from Shri Shankaracharya Institute of Medical Sciences, Bhilai (2025), where I gained hands-on expertise in managing ICU patients, performing advanced diagnostic and therapeutic procedures, and conducting research in pulmonary diseases. My areas of expertise include: Management of asthma, COPD, tuberculosis, and interstitial lung disease Critical care management (ICU care, mechanical ventilation) Pulmonary function testing (spirometry, DLCO) Interventional procedures (thoracentesis, ICD insertion, bronchoscopy) Sleep medicine and polysomnography Research, academic writing, and clinical presentations I hold certifications in Good Clinical Practice and Biomedical Research. I am a proud member of the National College of Chest Physicians (NCCP). Alongside my pulmonary expertise, I have also completed a CPCDM Fellowship in Diabetes from RSSDI, enabling me to provide holistic care for patients with respiratory diseases complicated by diabetes. Currently, I am also pursuing a Fellowship in Critical Care Medicine, which further enhances my ability to manage critically ill patients with respiratory and systemic illnesses. With multiple research publications, conference presentations (NAPCON, SSIMSCON), and a strong academic background, I strive to combine evidence-based medicine with compassionate patient care. My mission is to provide comprehensive, high-quality care to patients suffering from respiratory and lifestyle-related diseases.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I have read your query and understand your concern.

I understand how stressful this phase must be for both of you, especially while waiting for the oncology consultation. I will answer your concern directly.

Yes, stopping smoking now, even at the age of 60, will definitely make a meaningful difference. The body starts improving within days of quitting. Oxygen levels begin to improve, airway irritation reduces, and the lungs function more efficiently. Even in long-term smokers, I have seen patients feel less breathless and maintain better oxygen levels within a few weeks of stopping.

In your aunt’s situation, where her oxygen saturation is already dropping to around 94 % with mild activity, quitting smoking now can help prevent further decline and may improve her ability to tolerate exertion.

This becomes especially important if chemotherapy or any systemic treatment is planned, because better lung reserve reduces the chances of treatment-related complications.

Smoking also interferes with how well cancer treatments work and increases the risk of infections and delayed recovery. By stopping now, she is giving herself the best possible chance to respond better to ongoing and future treatment.

Even if the lung nodule turns out to be a spread from the primary cancer, improving her lung health at this stage is one of the most effective steps she can take immediately. It is not too late, and the benefits are real and clinically significant.

Hope I have addressed all of your queries and concerns. Do follow up whenever needed.

Thank you.

Medically reviewed by iCliniq medical review team
Published At April 14, 2026
Reviewed At April 15, 2026

Education:

MD RESPIRATORY MEDICINE

Professional Bio:

I am Dr. Amandeep Singh Arneja, a dedicated Chest Physician and Senior Resident in Pulmonary Medicine at Jawaharlal Nehru Medical College (JNMC), Wardha, with extensive training in the management of complex respiratory and critical care conditions. I completed my M.B.B.S. from Universal College of Medical Sciences, Tribhuvan University (2016) and M.D. in Respiratory Medicine from Shri Shankaracharya Institute of Medical Sciences, Bhilai (2025), where I gained hands-on expertise in managing ICU patients, performing advanced diagnostic and therapeutic procedures, and conducting research in pulmonary diseases. My areas of expertise include: Management of asthma, COPD, tuberculosis, and interstitial lung disease Critical care management (ICU care, mechanical ventilation) Pulmonary function testing (spirometry, DLCO) Interventional procedures (thoracentesis, ICD insertion, bronchoscopy) Sleep medicine and polysomnography Research, academic writing, and clinical presentations I hold certifications in Good Clinical Practice and Biomedical Research. I am a proud member of the National College of Chest Physicians (NCCP). Alongside my pulmonary expertise, I have also completed a CPCDM Fellowship in Diabetes from RSSDI, enabling me to provide holistic care for patients with respiratory diseases complicated by diabetes. Currently, I am also pursuing a Fellowship in Critical Care Medicine, which further enhances my ability to manage critically ill patients with respiratory and systemic illnesses. With multiple research publications, conference presentations (NAPCON, SSIMSCON), and a strong academic background, I strive to combine evidence-based medicine with compassionate patient care. My mission is to provide comprehensive, high-quality care to patients suffering from respiratory and lifestyle-related diseases.

This doctor is not available for online consultations on the platform anymore.

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Quitting Smoking and Lung Cancer Companion

How it works

1🫁

Suspicious nodules
on CT

2📡

Why a PET scan
comes next

3💨

The FEV1
number

4🧪

The CEA
number

5🚭

Quitting smoking
now

Putting it together

A PET scan, an FEV1, and a CEA are pieces of a puzzle, not a verdict. The next visit is when the team puts the pieces together. The Prep for visit tab helps you write down the questions that fit your situation.

Education:

MD RESPIRATORY MEDICINE

Professional Bio:

I am Dr. Amandeep Singh Arneja, a dedicated Chest Physician and Senior Resident in Pulmonary Medicine at Jawaharlal Nehru Medical College (JNMC), Wardha, with extensive training in the management of complex respiratory and critical care conditions. I completed my M.B.B.S. from Universal College of Medical Sciences, Tribhuvan University (2016) and M.D. in Respiratory Medicine from Shri Shankaracharya Institute of Medical Sciences, Bhilai (2025), where I gained hands-on expertise in managing ICU patients, performing advanced diagnostic and therapeutic procedures, and conducting research in pulmonary diseases. My areas of expertise include: Management of asthma, COPD, tuberculosis, and interstitial lung disease Critical care management (ICU care, mechanical ventilation) Pulmonary function testing (spirometry, DLCO) Interventional procedures (thoracentesis, ICD insertion, bronchoscopy) Sleep medicine and polysomnography Research, academic writing, and clinical presentations I hold certifications in Good Clinical Practice and Biomedical Research. I am a proud member of the National College of Chest Physicians (NCCP). Alongside my pulmonary expertise, I have also completed a CPCDM Fellowship in Diabetes from RSSDI, enabling me to provide holistic care for patients with respiratory diseases complicated by diabetes. Currently, I am also pursuing a Fellowship in Critical Care Medicine, which further enhances my ability to manage critically ill patients with respiratory and systemic illnesses. With multiple research publications, conference presentations (NAPCON, SSIMSCON), and a strong academic background, I strive to combine evidence-based medicine with compassionate patient care. My mission is to provide comprehensive, high-quality care to patients suffering from respiratory and lifestyle-related diseases.

This doctor is not available for online consultations on the platform anymore.

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