Cancer Next StepDecision Navigation

Supporting guide · Lung cancer

What Type of Lung Cancer Do I Have?

Lung cancer is not one single disease. Understanding your cancer type helps explain why certain tests and treatments may be discussed.

This page helps you orient to your diagnosis. It is not a treatment recommendation.

Direct answer

Your lung cancer type comes mainly from pathology and biopsy results.

Knowing your type helps your care team understand:

  • how your cancer may behave;
  • which treatments may be discussed;
  • whether additional testing may be useful.

Your cancer type is one important piece of the decision — not the only one.

The useful next step is not memorizing every subtype. It is confirming your type and asking how it shapes the conversation ahead.

The two main types of lung cancer

Start with the map patients hear most often. Your report may use these names, or a more specific subtype under one of them.

The most common type of lung cancer

Non-Small Cell Lung Cancer (NSCLC)

Most lung cancers are NSCLC.

NSCLC includes several subtypes, such as:

  • Adenocarcinoma
  • Squamous cell carcinoma
  • Other less common types

Why it matters

Treatment discussions may depend on:

  • cancer stage;
  • biomarker results;
  • whether surgery is possible;
  • your overall health.

Questions about subtype and biomarkers belong in your doctor checklist below — not as homework before you know your report.

A different type of lung cancer

Small Cell Lung Cancer (SCLC)

SCLC often behaves differently from NSCLC.

Doctors consider:

  • where the cancer is located;
  • whether it has spread;
  • how it responds to treatment.

Why it matters

SCLC treatment decisions may differ from NSCLC. Your doctor will consider the overall situation — not the cancer type alone.

If your report says small cell, ask what the treatment goal is in your situation and which options should be discussed now.

Why does my cancer type matter?

Cancer type helps guide treatment discussions. It does not choose a treatment by itself.

Your cancer type can influence:

Which treatments are considered

Different cancer types may lead doctors to discuss different approaches — for example surgery, radiation, or systemic treatments — and in what order.

Compare treatment options

Whether biomarker testing matters

Some lung cancers — especially many NSCLC cases — may be tested for specific characteristics that can affect which options are discussed.

Biomarker testing decision

Which clinical trials may apply

Some trials are designed for specific cancer types or characteristics. Knowing your type helps you ask whether research options belong in the conversation.

Clinical trial decision

Type answers: “What kind of cancer is this?”

Other information — stage, biomarkers, health, and goals — answers: “Which plan fits me now?”

Questions patients often ask

Open a question only if it matches what you are wondering.

Is one type of lung cancer better than another?

Cancer types behave differently.

The important question is not: “Which type is better?”

It is: “What does my cancer type mean for my treatment options?”

Does my cancer type determine my treatment?

Not by itself. Doctors also consider:

  • stage;
  • biomarkers;
  • previous treatments;
  • overall health;
  • personal goals.
Can my cancer type change over time?

The original cancer type usually remains part of your medical record.

However, cancer characteristics can change, especially after treatment. Your doctor may consider whether new information is needed.

Why do I need biomarker testing if my cancer type is already known?

Cancer type and biomarkers answer different questions.

Cancer type: “What kind of cancer is this?”

Biomarkers: “What characteristics might affect treatment choices?”

Both may be important.

Why did my friend with lung cancer get different treatment?

Different treatment plans may happen because cancers differ in:

  • type;
  • stage;
  • biomarkers;
  • previous treatments;
  • personal health.

A treatment that fits one person may not fit another.

Understanding your pathology report

Your pathology report contains important information about your cancer.

You do not need to understand every medical term.

Start by looking for these:

  1. Cancer type

    NSCLC · SCLC

    Ask: “Which main type do I have?”

  2. Subtype

    Adenocarcinoma · Squamous cell carcinoma

    Ask: “What subtype is listed — and does it change anything we discuss?”

  3. Biomarker information

    May appear as molecular / genomic / biomarker results — or as “pending” / “not performed”

    Ask: “Has biomarker testing been performed for my decision?”

  4. Other important details

    Findings your doctor says affect staging or treatment timing

    Ask: “Which findings on this report change the next decision?”

Bring the report (or a photo/PDF) to your appointment. Confirming a few terms is enough to start a clearer conversation.

Questions to take to your doctor

Take to your appointment

Questions to take to your doctor

Before you leave, confirm:

  • What type of lung cancer do I have — and what subtype?
  • Can you explain the key lines on my pathology report?
  • How does my cancer type affect the options we should discuss?
  • Are there tests that could provide more information before we decide?
Understand my diagnosis
  • What type of lung cancer do I have?
  • What subtype is it?
  • Can you explain my pathology report?
Understand treatment impact
  • How does my cancer type affect treatment options?
  • Are there tests that could provide more information?
  • What decisions will this information help us make?
Plan my next step
  • What should I learn about next?
  • Which decisions should I prepare for?
Sources & review

This guide helps patients understand lung cancer type as part of decision preparation. It does not replace medical advice.

  • National Cancer Institute (NCI)
  • NCCN Guidelines for Patients: Non-Small Cell Lung Cancer
  • American Cancer Society (ACS)
  • American Society of Clinical Oncology (ASCO)