Lung Cancer

Lung Cancer is a type of cancer that begins in the lungs, which are part of the respiratory system.

It occurs when cells in the lungs grow uncontrollably, forming a tumor. There are two main types of lung cancer:

  • Non-Small Cell Lung Cancer (NSCLC)
    This is the most common type, accounting for about 85% of cases. It includes subtypes like adenocarcinoma, squamous cell carcinoma, and large cell carcinoma.
  • Small Cell Lung Cancer (SCLC)
    This type is less common but more aggressive and tends to spread quickly.

Symptoms of lung cancer can include a persistent cough, chest pain, shortness of breath, wheezing, coughing up blood, and unexplained weight loss. Risk factors include smoking (the leading cause), exposure to secondhand smoke, exposure to radon gas, asbestos, and other carcinogens, and a family history of lung cancer. Early detection and treatment are crucial for improving survival rates. Common treatments include surgery, radiation therapy, chemotherapy, targeted therapy, and immunotherapy.

Lung cancer screening can save lives by finding cancer before it’s deadly. Your breath is sacred. Help keep tobacco sacred for our ancestors and for future generations.

Lung Cancer Facts

  • Lung cancer is the leading cause of cancer death in both men and women.
  • It is the most common cancer diagnosed in Native people.
  • Native Americans have higher rates of lung cancer incidence compared to non-Hispanic white people.
  • Approximately 1 in 16 men and 1 in 17 women will be diagnosed with lung cancer in their lifetimes.

Screening Guidelines

  • Screening Tests: Low-dose computerized tomography scan (LDCT)
  • Screening Age: 50-80 (only recommended for some current or former heavy smokers)
  • Frequency: Annually (if you meet criteria of have a history of heavy smoking, especially if they currently smoke or have quit within the past 15 years)

Native people should always talk to a doctor or nurse about their individual risk and the best screening schedule for them, and also seek support to quit smoking if they currently smoke.

Lung Cancer Signs & Symptoms

Use the Lung Cancer Signs & Symptoms resource to learn about the warning signs of lung disease, and to help you understand when you should get screened. Talk to your doctor right away if you experience any of these symptoms.

Lung Cancer Awareness Campaign (November):
Sacred Breath

More than ever, younger American Indian/Alaska Native (AI/AN) people are being diagnosed with lung cancer compared to the Non-Hispanic White population, and our communities smoke commercial tobacco at higher rates than any other racial/ ethnic group in the United States.

Join the American Indian Cancer Foundation (AICAF) and other Tribal and Urban Indian Clinics to raise awareness of the Sacred Breath campaign during National Lung Cancer Awareness Month in November.

Our people know lung cancer is the leading cause of cancer-related death for Native people. AICAF remains committed to eliminating the cancer burdens of Indigenous people through improved access to prevention, early detection, treatment, and survivor support.

AICAF encourages our relatives to engage in healthy lung practices (like getting screened or participating in traditional activities and movement) and keeping traditional tobacco sacred by eliminating the use of commercial tobacco. Talk to your healthcare provider about your lung health, your family history, and when screening is right for you.

Everyone plays a role in raising lung cancer awareness in their communities because early intervention can be life-saving. Join us to discuss healing through art and culture, breathwork, and traditional tobacco. Together, we can improve lung health for our relatives and future generations!

Ways to Get Involved in
Sacred Breath

Honor

Cherish relatives impacted by a lung cancer diagnosis. Listen to their stories, learn from their wisdom, and celebrate their sacred lives. Encourage a relative diagnosed with lung cancer or a cancer caregiver to attend a local cancer support circle.

Spread the Word

Share what you have learned by using the hashtag #SacredBreath so we can see how you are raising awareness! Tell your friends, family, and coworkers about our campaign and ask them to share posts from our social media toolkit to get your network involved.

Get Screened

Talk to your health care provider to discuss your screening options or schedule your next lung cancer screening. Talk to your loved ones about the importance of prevention, early detection, and getting screened. Early detection improves the likelihood of favorable health outcomes. Find more information on when to get screened for lung cancer on our website. Sign the Sacred Breath Screening Pledge now and use this as an opportunity to discuss your screening options with your health care provider.

Learn

Engage with us the entire month of November as we provide new resources, toolkits, and webinars. Stay informed about lung health and share our educational materials with your loved ones!

Join the AICAF Community

Like the American Indian Cancer Foundation on Facebook and Instagram, follow us on Twitter, and sign up for our newsletter.

Elnora Thompson

Breast Cancer

The first thing Elnora Thompson thought when she was diagnosed with breast cancer was, “Let’s get in there and get it out.” Elnora is a member of the of the Eastern Band of Cherokee Indians and resides in Cherokee, North Carolina. Health screenings, including mammograms and paps, were always stressed by Elnora’s mother. There was a history of breast cancer in her family, two of her mother’s sisters had been diagnosed. 

Elnora knew her breast cancer risk and made healthy changes in her life: she quit smoking in 2000, started running, and always got an annual mammogram. 

In 2011, at the age of 64, Elnora had a suspicious mammogram that required follow-up with a biopsy. The results were negative but required another mammogram in 6 months; this time, the next mammogram and biopsy came back cancerous. She was diagnosed with Invasive Duct Carcinoma Stage 1. “I didn’t have time for breast cancer”, Elnora declared. Although she was optimistic about her diagnosis, she still didn’t tell anyone. The IHS Women’s Wellness Program reached out to Elnora and encouraged her to tell her son. In doing so, he became her biggest support system. The breast cancer diagnosis led to a PET scan, which found 2 other primary cancer sites in her thyroid and lungs, that showed no symptoms. Elnora endured three different cancer surgeries in one year. 

Elnora’s running club, Cherokee Runners, offered support and walked with Elnora in her first Relay for Life. The Cherokee Cancer Support Group was also a strong support system that reached out to Elnora and offered financial support during treatment and emotional support that contributed to her healing. Today, Elnora is cancer-free and volunteers with the Cherokee Cancer Support Group. The advice she shares with other American Indian and Alaskan Native Women is, “Get your screenings, my cancer was found early because I did screenings on time. I am also thankful for breast cancer because it helped find other cancers in my body.” 

Thank you, Elnora Thompson, for sharing your breast cancer survivor story to encourage others to get screened.

Joni Buffalo

Cervical Cancer

Joni Buffalohead (Bdewakanton Dakota of the Sisseton-Wahpeton Oyate) has been getting regular Pap tests since she was a teenager. Following her second pregnancy at 30 years old, she received an abnormal Pap result. She returned to the doctor for follow-up care after giving birth to twin boys where she received the devastating news that she would need to have a full hysterectomy. 

Joni shared with us a lot of the thoughts and feelings she had 20 years ago when she had her surgery. 

Choosing to have her uterus removed was a difficult decision, especially since Joni and her husband had not yet decided if they were finished having children. Although the procedure would prevent future pregnancies, Joni elected to have the hysterectomy since she had already birthed a daughter and twin boys. Being unable to have children brought up a lot of difficult emotions for her. In the years since the procedure, Joni has found out that she may have had other options at the time. 

Joni encourages other women to develop a strong relationship with their provider and have an active voice in their cervical cancer treatments. One regret that she has is that she did not educate herself more about cervical cancer treatments. Now that she has three adult children, she wishes that she would have had the opportunity to have more kids. 

Joni’s diagnosis occurred during a time where not much was known about the links between HPV and cervical cancer. At first, Joni questioned who had first contracted HPV and spread it to whom. Questions of infidelity crept into her mind until she learned that HPV is extremely common in men and women and that HPV incidence might have occurred years prior to her marriage. In fact, 80-90% of people come into contact with HPV at some point in their life. Instead of unfairly blaming her husband, she made steps to protect their future generations from HPV-related cancers. She had honest conversations with her children about the importance of caring for your body: “I’ve been open with my children since early on. I taught my daughter to go to the OB-GYN regularly and my sons and daughter made the choice to get the HPV vaccine themselves.” 

At the start of her cervical cancer journey, Joni made a promise to herself: “if I survive this, I will lead a more courageous life.” Today, she sings lead in a Native blues band Bluedog. Bluedog’s music gives voice to the struggles of Native people and celebrates the resilience of our people. With the knowledge that Native women experience higher rates of cervical cancer than white women, Joni now uses her voice to advocate for cervical cancer education and regular screening. She urges other women to get screened regularly and to use your voice for those who have gone through a cervical cancer journey: “if you go through it, please be an advocate. With your support, another woman might not have to.” 

Thank you, Joni Buffalohead for sharing your story.

Lugene Flores

Cervical Cancer

Lugene Flores (Oglala Lakota) is a fierce advocate for Pap tests after ignoring results had a huge impact on her life. After the birth of her son at 24 years old, she received an abnormal Pap test result at a routine care appointment. Instead of following up with her doctor, she switched from clinic to clinic for ten years, scared of what the abnormal result might mean. She didn’t face it until frequent heavy, painful periods started in her mid-30s. 

With steady encouragement and support from her husband, Lugene made the decision to address the decade long history of abnormal Pap results. She went to the doctor for a biopsy and found stage 2 cervical cancer in her uterus. Lugene initially went in for surgery to remove her cervix and uterus, but they found that cancer had rapidly spread. They needed to remove her ovaries and fallopian tubes as well. Today, Lugene is healthy and works as a patient advocate, educating young Native women on the importance of Pap tests. 

“I was just too scared,” Lugene recalls, “I never thought there was a possibility that I could have cancer. I thought maybe it could have been an STD and I was too embarrassed to find out if that’s why it was abnormal.” 

Lugene is sharing her story with the American Indian Cancer Foundation to reach other women out there who have had abnormal Pap results and are afraid. She says that for women who are scared, it’s important to talk about the possibilities with their healthcare provider. Otherwise, circumstances can get worse. She cautions: “Just because you ignore an abnormal test result, it doesn’t mean it’s not there. I ignored it for 11 years and it was still there – getting worse. It’s best to catch it early. The earlier you catch any disease, the better you are to fight it.” 

Lugene feels she wouldn’t have been afraid to follow up on her abnormal result if she had had the right education beforehand. She advocates for stronger cervical cancer screening education for women. “It’s important for these young ladies to know how essential Pap tests are. It can save their lives. If they get an abnormal result, they need to have the education in place, in advance.” 

For women to be more knowledgeable about their Pap test experience, she advises, “They need to connect with their healthcare provider and ask what’s next, what does that mean, and what is that test? You will find out that the test result is really nothing scary by asking about it. Ask your doctor, ‘How long does it take me to get the results of this test? What does abnormal mean? What are some reasonings that paps come back abnormal?’” Lugene encourages women to be their own advocate if the doctor is not being proactive or supportive enough. 

Lugene has seen how the cancer burden has affected American Indians and urges men and women of all ages to prioritize screening. “In our Native communities, cancer runs pretty high. I watched a good friend’s mother die from cancer. I watched her waste away and I don’t want to see people die like that. I hope our people start listening and stop being scared of the unknown. We have to remember that we have to be here for our younger generations.” 

Thank you, Lugene Flores for sharing your story.