Where is the back pain point for lung cancer?
Disease description:
I have been feeling unwell lately, experiencing frequent coughing and getting tired easily. I heard that lung cancer might cause back pain, and I'm very concerned. Where are the specific back pain points associated with lung cancer? Could my current condition be a precursor to lung cancer?
Doctor's answer (1)
Dr. Qi Zhirong
The back pain associated with lung cancer is not localized to a fixed position; its specific location depends on the growth and metastasis of the tumor.
When lung cancer reaches an advanced stage or spreads, patients may experience back pain, which is usually caused by the tumor pressing on or invading the thoracic spine, ribs, or other structures in the back. Back pain caused by lung cancer can occur anywhere in the back but is more commonly found in the upper to middle back or around the shoulder blades.
The pain may be dull, sharp, or constant, and can worsen with breathing, coughing, or physical activity.
Back pain can be caused by multiple factors, mainly including the following:
1. Involvement of the pleura: When lung cancer invades the pleura, patients may feel a persistent aching or pulling pain across the back. The pleura is a thin membrane covering the lung surface and inner chest wall, rich in nerve endings, thus producing significant pain when invaded by tumors.
2. Bone metastasis: Bone metastasis commonly occurs in the late stages of lung cancer, especially in bones such as the ribs, shoulder blades, and lumbar spine. Pain develops in the corresponding area where the tumor has metastasized. This type of pain is typically constant and may intensify as the disease progresses.
If persistent back pain occurs, especially when accompanied by symptoms such as shortness of breath, coughing, or weight loss, it is recommended to seek immediate medical evaluation.
