Lung cancer patients generally do not have any special signs in the early stages, but as the disease progresses and cancer cells metastasize and spread, patients will develop some corresponding special signs, mainly the following eleven signs: 1. Localized wheezing usually occurs during the inspiratory phase and does not disappear after coughing. 2. Hoarseness occurs when lymph node metastasis compresses or invades the recurrent laryngeal nerve. 3. Superior vena cava syndrome Tumors compress or invade the superior vena cava, venous return is blocked, resulting in edema of the head, face, neck and upper limbs, varicose veins and edema in the upper chest, accompanied by symptoms such as dizziness, chest tightness and shortness of breath. 4. When the cancer at the apex of the lung compresses or invades the cervical sympathetic ganglion, the eyeball on the affected side will sink, the upper eyelid will droop, the pupil will constrict, the palpebral fissure will narrow, the skin temperature of the upper chest on the affected side will increase, and there will be no sweating. 5. Shoulder and arm pain When apex cancer compresses or invades the brachial plexus, radiating burning pain will occur in the shoulder and upper limb on that side. 6. Phrenic nerve paralysis: shortness of breath and chest tightness when the phrenic nerve is invaded 7. Dysphagia is caused by enlarged mediastinal lymph nodes compressing the esophagus, which can cause dyspnea due to tracheal compression. 8. Pericardial invasion When the pericardium is invaded, pericardial effusion, shortness of breath, arrhythmia, heart failure, etc. will occur. 9. Pleural metastasis may cause chest pain, cancerous pleural effusion, etc. 10. Lung cancer metastasis The common sites of hematogenous metastasis of lung cancer are bones, liver, brain, kidney, adrenal gland, subcutaneous tissue, etc. In addition, intramural metastasis of lung cancer is also common. Clinically, there are corresponding symptoms and signs depending on the different sites of metastasis. 11. Common extrapulmonary signs include pain or hypertrophy of joints in the limbs, clubbing of fingers, multiple neuritis, myasthenia gravis, Cushing's disease, male breast hyperplasia, hypercalcemia, mental disorders, etc. |
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