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April 11, 2006

Should Lung Cancer Patients Quit Smoking?

We all know that smoking leads to a variety of deadly diseases and the best protection against diseases such as lung cancer and COPD is to stop smoking. We know that by quitting smoking you can add years to your life but does it still help once a patient is diagnosed with lung cancer? A recent laboratory study published in the Proceedings of the National Academy of Sciences is now suggesting that nicotine can actually interfere with chemotherapy in lung cancer patients and lessen its effectiveness in fighting the disease. I want to emphasize that this study was performed on cells in a laboratory and we don’t yet know the human significance. This is important to point out, because the study suggests that nicotine, in any form, including nicotine replacement products, can reduce the efficacy of chemotherapy treatment.

While there’s no doubt that quitting smoking is a good thing, many people have achieved success by using nicotine replacement products, so we obviously want to encourage people to quit any way they can. However, this preliminary research has brought into question whether or not lung cancer patients, or all cancer patients, should use nicotine replacement products to quit. This is a very important issue and one that requires additional research, including human clinical trials, since there are so many differences between a living, breathing human and a dish full of cells in a laboratory.

This situation is particularly complicated because people who use nicotine patches or gum instead of cigarettes avoid taking in a variety of other poisons. This complicates the picture of just how harmful nicotine is in those forms -- especially since the patches and gums help people quit smoking, in the first place. So, it’s possible that the value of smoking cessation may outweigh the theoretical risk of blunting the effect of chemotherapy. In any case, we will continue to monitor the situation closely should new developments occur.

And, as always, if you’re still smoking, I urge you to quit. Many people are now enjoying smoke-free lives through the help they received from the American Lung Association’s Freedom from Smoking online program or by speaking with one of our stop-smoking experts at our HelpLine at 1-800-LUNGUSA. If you’d like to learn more about chemotherapy, the National Cancer Institute has some valuable information on their website at the National Cancer Institute.

Posted by lungblogposter at April 11, 2006 11:09 AM

Comments

My sister has just been told she has Hoskgins Lymophoma and she smokes she will soon be starting treatment, will smoking cause her treament problems like it does with lung cancer?
She is 70 healthy until now, and has smoked for about 52 years..
Thank you

Posted by: Darlene at April 13, 2006 10:03 AM

I lost an aunt with lung cancer. She was a chain smoker and would not quit despite pleadings from her and my families over the decades. My late wife's body was ravaged by lung cancer and she never smoked any part of her 71 years. Smoking does not do the human body any good, it can have a detrimental effect on the body in many ways. Not only the smoker, but, also the inhaler of second hand smoke. Today is a good time to quit!

Posted by: Del Jackson at April 13, 2006 12:09 PM

my dad died of lung cancer at the age of 70 in sept 00 i finally succeeded in quitting after 30 years 4 months ago i went to the country today and for the first time since i was a young boy i could smell freshly tilled soil cut grass and wildflowers i thought of my poor dad at that moment and realized that smoking stole him from me and i was not going to let cigarettes rob me of another moment quit while you can if not for you for those that love you

Posted by: john whittington at April 13, 2006 03:32 PM

My Mother had lung cancer surgery in December - she is 75 and has smoked for 60 years. I am now accepting the fact that she can not quit smoking.
All I can hope for is that we can make all of our lives happy and as healthy as possible.

Posted by: doodle at April 13, 2006 07:59 PM

My brother was a heavy smoker and died one month ago, just two weeks after being diagnosed with lung cancer. He was 53 years old. When we learned that he had cancer, I wondered if he'd quit smoking, but he never really had to make that decision.

Thank God I quit last August. After seeing the agonizing death that my brother suffered, I really don't think I could light up again.

Posted by: Lora at April 14, 2006 02:38 PM

I am a survivor of Non-small cell large cell CA of the lung; stage IIIa . I was diagnosed in February of 2005. I quit smoking 4 months before I found out I had cancer. I had no symptoms just found out via a routine chest x-ray. Have I started back smoking? NO, and I won't either! I realize I have cancer due to the fact I made poor choices regarding smoking for 30 years; Cancer was my reward........! I want to spend the rest of my life enjoying my family and also speaking out about making the choice not to smoke; and quitting if you do! I do feel that my chances for surviving will be greater if I do not start smoking again! It's a death sentence!

Posted by: Deb at April 15, 2006 03:11 PM

My mother died at the age of 65 in 1999. She had lung cancer. She died a horrible death, it spread thru her whole body. She found out she had cancer in 1998, had surgery, but it came back. She smoked since she was about 15 years old. She quit smoking about 1 month before she died. She did it for her children. The doctor told her she had anywhere from 6 months to 1 year and she lasted 2 months. The doctor told her if she'd quit smoking it would prolong her death. I guess it's hard to quit a habit you've had for years. But, it seems like when you know it is killing you, you would want to quit. I started smoking after mom died, now I have COPD. I have been quit smoking now for 4 weeks and hopefully I won't start back. If I just keep it in my mind what mom went thru, I don't think I ever will pick them back up, plus, think about how hard it was for me to breath. Even breathing treatments at that time wasn't really helping me. It's sad to watch a loved one pass away like that. I hope I never have to see anything like that again.

Posted by: Trish at April 24, 2006 09:27 PM

I was diagnosed on Feb1st of 2006.I had a lobe of my lung removed on Feb.28th.I also am a smoker.Seems like no good news for us.If only we had known the effects of tobacco many years ago!
Believe

Posted by: Believe at June 11, 2006 07:56 PM

As a person who smoked 40 years, admitted to the hospital and never smoked again... I will say that the person with lung cancer who choses to continue to smoke is self treating and nothing further can be done.
To me, that person has chosen a cigarette over chemo treatments.
To continue smoking with lung cancer AND be treated for the disease is ludicrous. Other than keeping the patient comfortable, why waste the treatment on a person who continues to self destruct?

Posted by: Sharon O'Hara at July 28, 2006 01:24 PM

My father is going to undergo a thoracotomy and either segmentectomy or lobectomy on Tuesday, the 15th. He is 61 and 2 packs a day for 42 years. He quit four weeks ago and is using the inhaler NRT. I too was a smoker and have smoked for 20-something years. I quit the day he quit. You never think it can happen to you or that "you have to die from something." I am hoping and praying that I don't have to watch my father die from this insidious disease and also that I've quit in time.

Posted by: Sydney at August 11, 2006 04:14 PM

I quit 4 years ago. But have had to bury both parents due to smoking related illnesses.


stop smoking help

Posted by: kile at August 21, 2006 10:12 AM

We buried my father today at the age of 78. He was diagnosed with lung cancer in October 2006. He went through 28 radiation treatments, and 4 chemotherapies. He was too sick to do the rest of treatments. He quit smoking 10 years ago, but unfortunately my mother did not. He sat in second hand smoke daily - even during radiation. His last day was just heart breaking. Watching him gasp for air - trying to talk to us and not being able. I have never smoked. I have watched my mother decieve herself time and again over smoking. Please don't do that to yourself! If you cannot quit please don't smoke around others who do not.

Posted by: Pam Noll at January 3, 2007 08:04 PM

I think that using nicotine replacement products if you have a serious ailment already, needs the advice of your medical professional. The smoke from burning tobacco contains over 4,500 chemicals and a sudden change to person's intake, and who already has a health challenge needs careful management in my opinion.

Posted by: Steven Harold - Hypnotherapist at February 2, 2007 05:57 AM

My mother just had a lobectomy about a month ago. She is 72 and has been a smoker for 50 years. I found out she has smoked a cigarette recently. I suspect more than one. Does anyone know the effect cigarettes can have on a person that recently had a lobectomy?

Posted by: Becky at March 17, 2007 10:37 PM

my brother age 51 just died this past mother's day on may 13, 2007. yes he was a heavy smoker and on top of that worked in a plastic's company ((double whammy). he had a lingering cough and thought it was prolly bronchitis, but it wasn't. he was diagnosed with lung cancer in early 2006. he thought he would beat this thing and as his family he hid the seriousness of his condition to spare us. i later found out after his passing, that in oct 2006 he was diagnosed with stage III squamous cell cancer. i am sadden by death and am concern about my own mortaltiy. my mother is a smoker of 57 years and smokes non-filtered cigarettes...worst of all when we travel and or visit with her, she is smoking and I fear that my children and or me will get this deadly illness by her secondary smoke. i am almost to the point of refusing to come around her. i feel for all lung cancer patients and their families. it is no easier for some long time smokers to quit smoking as it is for many of us to quit eating pork, drinking strong drinks and or soda pop, etc. i do believe however, we must have compassion for those who are living with cancer and any other disease that could ultimately take their lives. if i could, i surely would eraticate all illnesses from the face of this earth..take care

Posted by: sadden at May 15, 2007 12:27 PM

I really appreciate your thoughts. I have found that dealing with quit smokingcan be so stressful it can really make you crazy. Just reading how other people deal with their quit smoking issues helps me deal with mine. And i've been struggling with smoking for years and I just like to read posts like yours to get some inspiration every once in a while. Keep it up. Thanks!

crizzia on stop smoking

Posted by: crizzia on Stop Smoking Program at August 7, 2007 08:26 AM

I really, really appreciate what your wrote.

Posted by: Chan at September 12, 2007 12:16 AM

thanks for your awesome note!

Posted by: Chan at October 17, 2007 02:03 AM

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