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There are many symptoms to determine whether you have lung cancer or not one is shortness of breath or difficulty breathing. Some others are coughing up blood, chest pain, loss of appetite, weight loss and general fatigue. Some types of lung cancer appears to not have any noticeable symptoms but you could still have it and you don't notice it till it spreads or it goes so bad that you just notice it.
Lung cancer is sometimes found through regular x-rays. But the main way to treat the cancer is through bronchodcopy which deals with a long tube going down your throat letting the doctors take samples of it and just to take a look at it...
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