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Cancer of the lungs, oesophagus, and chest. Expert care at KD Cancer Centre

Thoracic cancer in India: What you should know

Lung cancer is the leading cause of cancer death in Indian men. Despite this, many patients are diagnosed at an advanced stage because early lung cancer causes no symptoms. In India, tobacco smoking (bidi, cigarette) and increasingly, exposure to air pollution and indoor cooking smoke from biomass fuels, are major risk factors affecting non-smokers too, especially women.

Types of thoracic cancer

Lung cancer

Abnormal cell growth in the lungs.

Two main types

Lung cancer in non-smokers: A growing concern in India

If you have a persistent cough, breathlessness, or unexplained weight loss, please see a doctor, even if you have never smoked.

Oesophageal cancer

Affects the food pipe, carrying food and liquids to the stomach. Risk factors include tobacco, alcohol, chronic acid reflux (GERD), and hot beverages.

Thymoma and mediastinal tumours

Rare cancers affecting the thymus gland and surrounding tissues in the chest.

Pleural cancer (Mesothelioma)

Affects the lining of the lungs. Asbestos exposure may affect construction and industrial workers.

Warning signs: When to see a doctor

See a doctor immediately if you have any of these symptoms lasting more than 2 weeks

Lung cancer often has NO symptoms until it is advanced. High-risk individuals (smokers aged 50+) should discuss low-dose CT lung screening with their doctor.

Surgical treatments

  • Lobectomy: Removal of one or more lobes of the lung. The most common surgical approach for lung cancer
  • Segmentectomy and wedge resection: Lung-preserving surgeries for early-stage cancer
  • Chest wall resection and reconstruction
  • Pleurectomy and decortication: For mesothelioma
  • Oesophagectomy: Removal of all or part of the oesophagus

Minimally invasive and robotic surgery

Comprehensive Cancer Management

Personalised / targeted therapy for lung cancer

Indian and Asian patients with lung cancer, especially non-smokers, have a higher rate of certain gene mutations (such as EGFR) that can be targeted with specific oral medications (tyrosine kinase inhibitors). These drugs can be highly effective with fewer side effects than traditional chemotherapy. Molecular testing of the tumour sample is an important part of treatment planning at KD Cancer Centre.

FAQS

Can non-smokers develop lung cancer?

Yes. In India, many lung cancer cases occur in non-smokers due to air pollution, indoor smoke, second-hand smoke, and genetic factors.

What are the warning signs of thoracic cancer?

Common symptoms include persistent cough, breathlessness, chest pain, unexplained weight loss, difficulty swallowing, and hoarseness.

Who should get screened for lung cancer?

People at high risk, especially smokers or ex-smokers aged 50 years and above, should consult a doctor about low-dose CT screening.

Is thoracic cancer treatable?

Yes. Many thoracic cancers are treatable, especially when detected early. Outcomes depend on the stage and type of cancer.

What treatment options are available?

Treatment may include surgery, chemotherapy, radiation therapy, targeted therapy, and immunotherapy, often used in combination.

Why is early diagnosis important?

Early detection increases the chances of successful treatment, reduces complications, and improves overall survival and quality of life.