There are no signs or symptoms common among all patients with lung cancer, regardless of stage.2 Most people with lung cancer are diagnosed when the cancer has spread to distant parts of the body (referred to as metastatic or advanced lung cancer)6, which helps illustrate how difficult it is to recognize the signs and symptoms of lung cancer, even end stage. At this late stage, the signs and symptoms may not be limited to only the lungs. For example, lymph nodes are part of a system of organs in the body that filters blood and other fluids, in part as a way to fight infection.7 Commonly if cancer has spread to the lymph nodes, those nodes grow larger than normal and may be seen or felt.7 However, lymph nodes may also grow larger during an infection, and an examination by a healthcare professional is needed for a proper diagnosis. Other signs and symptoms related to end stage lung cancer may involve spread and damage to the liver (resulting in swelling of the belly or yellowing of the skin or eyes), to the brain (headaches or weakness to a part of the body) or to bone (bone pain or weak bones).7