Metastatic tumors in the lungs are cancers that developed at other sites and spread through the bloodstream or lymphatic system to the lungs. Common tumors that spread to the lungs include:
In most cases, metastatic cancer to the lung is a sign that the cancer has spread into the bloodstream. Usually cancer will be present even in places not seen by CT scans. In these circumstances, removing the visible tumors with surgery is usually not beneficial. Chemotherapy is usually the treatment of choice.
Sometimes when the primary tumor has been removed and the cancer has spread to only limited areas of the lung, the lung tumors can be removed with surgery. However, the main tumor must be curable, the lung tumors must be able to be completely cut out, and the patient must be strong enough to go through the surgery and recovery.
There are other experimental treatments. One of these treatments uses local heat probes to destroy the area. Another drips chemotherapy directly into the artery that supplies blood to the part of the lung containing the tumor.
Support Groups
You can ease the stress of illness by joining a support group where members share common experiences and problems. For this condition, see cancer support group.
Outlook (Prognosis)
A cure is unlikely in most cases. It is rare for someone to live more than 5 years with metastatic cancer to the lungs.
Rarely, patients with certain types of cancer (sarcoma, renal cell carcinoma, bladder cancer, colon cancer, or melanoma) that has only spread a limited amount to the lung can be cured with surgery. Some types of cancer (particularly lymphoma or testicular cancer) that has spread to the lung can be cured with chemotherapy.
Possible Complications
Fluid around the heart (pericardial effusions), which can cause shortness of breath
Fluid between the lung and chest wall (pleural effusions), which can cause shortness of breath
Further spread of the cancer
Side effects of chemotherapy and radiation therapy
When to Contact a Medical Professional
Call your health care provider if you have a history of cancer and you develop:
Coughing up blood (bloody sputum)
Persistent cough
Shortness of breath
Unexplained weight loss
Prevention
Not all cancers can be prevented. However, many can be prevented by:
Review Date:
9/4/2008
Reviewed By:
Sean O. Stitham, MD, private practice in Internal Medicine, Seattle, Washington; and James R. Mason, MD, Oncologist, Director, Blood and Marrow Transplantation Program and Stem Cell Processing Lab, Scripps Clinic, Torrey Pines, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.