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Dame Esther Rantzen has revealed that her lung cancer has progressed to stage four, after previously announcing in January that she had been diagnosed with the disease. The Childline founder and broadcaster told The Mirror that “nobody knows” if the new medication she is trying is working and a scan “will reveal one way or another”. Earlier in the year, Rantzen, 82, said she had “decided not to keep this secret any more because I find it difficult to skulk around various hospitals wearing an unconvincing disguise” and was “remaining optimistic”. Stage four is when cancer has spread from where it started to another body organ, according to Cancer Research UK, and is also called secondary or metastatic cancer. More than 43,000 people are diagnosed with lung cancer every year in the UK, according to the NHS, making it one of the most common forms of cancer – yet the disease is often shrouded in myths and misconceptions. So, what do you need to know? Here are some important facts about lung cancer… 1. Lung cancer can affect people of any age According to John Costello, a pulmonologist at the Mayo Clinic: “Lung cancer is certainly more common in older people – the average age of diagnosis is 70 years.” This does not mean it only ever affects older age groups, however. Lisa Jacques, lead specialist cancer nurse at Perci Health, says: “Most people develop lung cancer in their 60s and 70s, after many years of smoking, but occasionally people get lung cancer at a much younger age, even in their 20s and 30s.” 2. Lung cancer is not always caused by smoking Although smoking can certainly increase your chances of developing lung cancer, it is not the only cause. “Smoking is the cause of most lung cancers and the biggest risk factor, but about 10% of people who get lung cancer have never smoked,” explains Jacques. Costello adds: “There are some lung cancers which are genetic and may not be smoking-related, and some others are caused by exposures to substances like asbestos, radon gas and passive smoking” – although he says these are “relatively uncommon”. 3. Stopping smoking can help protect you Costello says: “Some of the damage and inflammation caused by smoking can be reversible, but in particular, emphysema is architectural destruction of the lung which causes extreme breathlessness and cannot be reversed.” So quitting smoking might reduce your risk and is always worthwhile for your health – but not starting the habit at all is much better. Speak to your GP if you would like support with quitting. 4. Lung cancer is not always deadly A diagnosis of lung cancer does not always mean certain death, but it is still serious. “Lung cancer has a 65% survival rate for five years in people with localised disease,” says Costello. “If it has spread around the body at the time of diagnosis, the survival rate is only 8%.” However, he says there are “new techniques in screening for lung cancer, such as CT scans in smokers over 50 years with a serious tobacco background”. These “may pick up very small early tumours, which can be removed with up to an 80-90% five-year survival rate”. So if you have concerns about a persistent cough, which is one of the key warning signs, see your GP and get it checked out as soon as possible. 5. Men are more likely to get it but women still need to be aware According to Cancer Research UK, men are more likely to get the disease than women (52% of lung cancer cases are men, compared to 48% of women). However, these margins are small, and women absolutely do need to be aware of lung cancer as well. “Lung cancer has been an increasing problem in women since they caught up with men in terms of smoking habit, and they are therefore at risk if they smoke, and some of the non-smoking related lung cancers are more common in women,” says Costello. Jacques adds: “It is the third most common cancer in the UK, and in women it is the second most common cancer type.” So, whether you smoke or not, look out for the symptoms of lung cancer – like a cough lasting longer than two or three weeks, recurring chest infections, breathlessness or aches and pains when breathing – and see your GP if you have any concerns. Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Camilla receives ‘beautiful’ compliment after meeting children at historic library 7 foods that could help you get better sleep Household energy bills set to fall from July: 7 ways to help keep bills as low as possible

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Former Scotland striker Kenny Miller believes the national team have strong options up front as they approach their latest qualifiers amid the absence of Che Adams. Adams has been a key player in recent times but Lyndon Dykes started up front in Scotland’s 2-0 win over Spain after the Southampton forward suffered an injury in the opening Euro 2024 qualifying win against Cyprus. Dykes has scored eight goals for Scotland and Miller feels there are other serious alternatives for Steve Clarke ahead of Saturday’s clash with Norway in Oslo and the visit of Georgia three days later. Miller told the PA news agency: “Lyndon was crucial to the team making it to the last Euros, sometimes on his own and sometimes with Che. “I think Lyndon had it nailed, Lyndon had the jersey to himself but Che came in and did very well when he was injured. “It’s good Steve has the options up front. “Jacob Brown has been a support act but we have Kevin Nisbet and Lawrence Shankland who have had good seasons, particularly Lawrence at Hearts. So there’s a lot of options.” Miller, who scored 18 goals for his country, added about the Hearts forward: “I think he’s a really well-rounded striker with a really good level of goals. “He’s had a wonderful season – 28 goals is a wonderful return for a striker outwith the Old Firm. “But not just that, I think his all-round game is pretty good. “He seems to have accepted the responsibility of the captain’s armband in Craig Gordon’s absence really, really well. “It’s a big responsibility, one that’s not affected him in a negative way. If anything it has affected him in a positive way.” Scotland have a guaranteed play-off place as a fall-back option but Miller is confident they can finish in the top two of Group A following their flying start. Clarke took the squad on a training camp to Spain last week to prepare for the double-header and further foment the spirit among the players. Miller, who was speaking after taking part in a McDonald’s Fun Football session with children in Glasgow, said: “People talk about this club atmosphere but what it means is that the team has been doing well and everyone wants to be part of it and everyone is looking forward to going away. “The group do look like they have got this spirit and togetherness but it comes from what they have created on the pitch. “It’s been really good performances and really good results, none more so than the last game against Spain where the lads were excellent and really deserved the win. “And what it has done is put us in a really strong position going into these qualifiers. “That means we can potentially forget about this play-off position and get there automatically, which I do believe we can. “I don’t want to put too much pressure on but I do believe we will.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Ruthless Australia gear up for Ashes by being crowned Test world champions Southern Vipers romp to successful Charlotte Edwards Cup defence The hamstring just snapped – Kevin De Bruyne reveals long-running injury battle

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