What is metastatic lung cancer?
Metastatic lung cancer is lung cancer that has spread from the lungs to other parts of the body, such as the brain, liver, bones, or adrenal glands.
Our approach to lung cancer care
At the Mass General Brigham Cancer Institute, you receive care from an experienced team dedicated to diagnosing and treating lung cancer. Together, they develop a personalized treatment plan based on the type and stage of cancer, genetic and molecular findings, and your overall health and goals.
Where does lung cancer spread?
The most common places where lung cancer spreads are:
- Other places in the same lung
- The other lung
- Liver
- Brain
- Bones
- Adrenal glands
Where your lung cancer spreads helps your medical team determine the diagnosis of your lung cancer. When the cancer has metastasized only locally to the lungs (other places in the lung, the other lung, or nearby lymph nodes) your diagnosis may be increased to stage 3. If the cancer has metastasized to other parts of the body that’s likely when your team may change your diagnosis to stage 4 lung cancer.
Metastatic lung cancer symptoms
The symptoms of metastatic lung cancer include all the usual symptoms of lung cancer:
- Persistent cough
- Hoarseness
- Weakness
- Recurring infections
- Chest pain
Because metastatic lung cancer is in the later stages of cancer development, you may also experience more advanced symptoms like:
- Bone pain
- Headaches
- Unintentional weight loss
Metastatic lung cancer diagnosis
Receiving a metastatic lung cancer diagnosis can be scary. It's normal to experience strong feelings of sadness, frustration, fear, or anger. But know that you're not alone. If you're struggling in the wake of a metastatic lung cancer diagnosis, we offer supportive care services that can help you navigate the news.
Your care team for metastatic lung cancer
When you're diagnosed with metastatic lung cancer, you'll work with a multidisciplinary team that includes doctors and nurses. Your treatment options will vary depending on the size and location of your lung cancer and where else the cancer has spread. In general, you can expect to work with a team that may include:
- Medical and radiation oncologists
- Thoracic surgeons
- Radiologists
- Pulmonologists (lung specialists)
- Palliative care specialists
- Social workers
- Psychiatric oncologists
Your care team will help you manage and treat your lung cancer and ensure the right kinds of support are in place to help you through this challenging time.
Questions to ask your lung cancer care team
It's normal to feel overwhelmed if you've been diagnosed with metastatic lung cancer. Asking the following questions can help you understand your situation and what to expect as you begin treatment:
- How far has the cancer spread? What organs has it reached?
- What are the different treatment options for my situation?
- Are there any targeted therapies available for my cancer?
- Are there any clinical trials or experimental treatments available for me?
- What side effects can I expect from my treatment?
- What is the goal of treatment?
- What lifestyle changes can help support my treatment?
Common treatment options for metastatic lung cancer
Whether you’ve been receiving ongoing treatment for your lung cancer or are just starting treatment, your medical care team will respond with the most effective treatment available. This could include:
FAQs about metastatic lung cancer
What is the life expectancy of metastatic lung cancer?
Every case is different and dependent upon factors such as where the cancer has spread, and overall age and health. Your oncologist will be able to answer any questions you may have about your prognosis.
Is metastatic lung cancer always stage 4?
Yes, metastatic lung cancer is always stage 4.
Is metastatic lung cancer always stage 4?
Yes, metastatic lung cancer is always stage 4.
Does chemo work for stage 4 lung cancer?
Chemotherapy for lung cancer generally can't cure stage 4 lung cancer. However, it can be an important part of palliative care (treatments aimed at reducing symptoms and improving the quality of life in patients whose metastatic lung cancer can't be cured).
Learn more about how lung cancer is treated.