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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Overweight, Smoking And Alcohol Addiction, Have Tightness In Upper-middle Chest. Family History Of Lung Cancer. Chances Of Me Having Cancer?

I am a 38 year old woman, about 140 pounds overweight . I have abused alcohol for a few years. A few years ago, I smoked two or three cigarettes per month. My grandmother had lung cancer (she never smoked), diagnosed at age 75 or so. My mother (her daughter) has frequent bronchitis . Today, I woke up with tightness in the upper-middle chest , on both sides. I am worried about lung cancer. Is this probable?
Mon, 16 Jul 2012
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  User's Response
Hello.

Not all who smoke get lung cancer. Similarly, not all cancer patients are smokers. The risk increases when your smoking index crosses 200 (It is defined as number of cigarettes per day multiplied by number of years smoked). You seem to have smoked little, so the risk is very low.

The chest tightness is usually due to bronchitis, acid reflux, sometimes angina (unlikely in your case). You are overweight and you take alcohol. If you are also snoring at night, this may indicate sleep apnoea!

For the moment, get a X-ray chest done which should rule out cancer adequately and close the topic. Reduce weight and stop smoking/ alcohol abuse.

-Dr. Tushar
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Overweight, Smoking And Alcohol Addiction, Have Tightness In Upper-middle Chest. Family History Of Lung Cancer. Chances Of Me Having Cancer?

Hello. Not all who smoke get lung cancer. Similarly, not all cancer patients are smokers. The risk increases when your smoking index crosses 200 (It is defined as number of cigarettes per day multiplied by number of years smoked). You seem to have smoked little, so the risk is very low. The chest tightness is usually due to bronchitis, acid reflux, sometimes angina (unlikely in your case). You are overweight and you take alcohol. If you are also snoring at night, this may indicate sleep apnoea! For the moment, get a X-ray chest done which should rule out cancer adequately and close the topic. Reduce weight and stop smoking/ alcohol abuse. -Dr. Tushar