Lung Cancer

What is lung cancer?

Lung cancer is a disease in which certain cells in the lungs grow and multiply uncontrollably, forming a mass called a tumor.

There are two main types of lung cancer:
• Non-small cell lung cancer (most common, about 80% of cases).
• Small cell lung cancer (less common, but more aggressive).

Prevalence in Belgium

Lung cancer is one of the most common cancers in Belgium.
About 9,000 new cases are diagnosed each year.
It is the leading cause of cancer-related death in the country.

The main risk factor is smoking, but others exist: exposure to radon, air pollution, passive smoking, family history.

Symptoms

  • Persistent or changing cough
  • Coughing up blood
  • Chest pain or shortness of breath
  • Hoarseness
  • Unexplained weight loss, fatigue
  • Recurrent lung infections (bronchitis, pneumonia)
     

Having these symptoms does not necessarily mean cancer, but it’s important to see a doctor if they persist.

Medical Management of Lung Cancer

1. Screening

Routine screening for lung cancer is not yet widespread in Belgium.
Studies are underway to offer targeted screening to high-risk individuals (e.g., heavy smokers).

2. Diagnosis

Diagnosis is based on:

  • Medical imaging: chest CT scan, PET scan, MRI
  • Bronchoscopy (allows direct visualization and tissue sampling)
  • Biopsy: confirms cancer by analyzing cells

3. Treatment

Treatment depends on the cancer type, stage, and overall health.
It may include:

  • Surgery: removal of the tumor when possible
  • Radiotherapy: using radiation to destroy cancer cells
  • Chemotherapy: drugs that kill cancer cells
  • Targeted therapy: acts on specific genetic mutations of the tumor
  • Immunotherapy: stimulates the immune system to fight cancer

4. Follow-up

Regular follow-up is essential:

  • Clinical and imaging check-ups
  • Management of side effects
  • Psychological, nutritional, and respiratory support

Frequently Asked Questions (FAQ) over lung cancer