So, You Thought Only Smokers Got Lung Cancer? Think Again!
- Ayomide Ogunrinde
- Dec 15, 2024
- 3 min read
Updated: Jan 3

Alright, let’s talk about ALK-positive lung cancer, aka the cancer that likes to laugh in the face of stereotypes. You thought lung cancer was just for chain-smoking grandpas or people who’ve been puffing away since the days of disco? Nope! ALK-positive lung cancer shows up to the party and says, “I see your cigarettes, and I raise you a mutated gene!”
In a plot twist worthy of a soap opera, this type of lung cancer primarily affects young, healthy, never-smoked-a-day-in-their-life people. Yep, that person running marathons, drinking kale smoothies, and doing yoga at sunrise? They, too could have ALK-positive lung cancer. It’s the kind of cancer that doesn’t care if you’ve been treating your body like a temple—and most of the time its victims have no idea they’re hosting it’s mutiny until it’s too late to treat.
What Exactly is ALK-Positive Lung Cancer?
ALK stands for anaplastic lymphoma kinase, which is a fancy way of saying there’s a gene in your body that can go rogue, throw on a leather jacket, and start causing trouble. When this gene decides to mutate, it leads to cancer. And this isn’t the “you should’ve quit smoking” kind—this is the “I got dealt a weird genetic hand” kind.
ALK-positive lung cancer tends to show up in younger people (yes, people in their 20s and 30s!), and more often than not, they’ve never smoked a single cigarette. Which means the stereotype of the frail, coughing, elderly person with a cigarette dangling from their lips doesn’t apply here. No one expects the kale-and-quinoa crowd to be dealing with lung cancer, but here we are.
Symptoms? They Might Surprise You.
The symptoms for ALK-positive lung cancer are sneakier than your neighbor’s cat. It’s not like you’re hacking up a lung and saying, “Yup, that’s definitely cancer.” Here’s what to watch out for:
A lingering cough that won’t go away (and no, it’s not just allergies). Note: I dismissed my cough as just a phlemy annoyance.
Shortness of breath (walking up the stairs shouldn’t feel like climbing Everest)
Unexplained weight loss (the one-time weight loss isn’t welcome)
Fatigue (no, it’s not just because Netflix dropped a new season of your favorite show). It’s the kind of fatigue that begs you to sleep for hours, not just a short “nap-itizer”.
Chest pain (definitely not just indigestion from that burrito). Note: it’s the kind that sent me to the ER “just to be sure it wasn’t my heart making all that weird noise.”
If any of these symptoms hang around longer than a boil on your backside, get it checked out.
Why Early Detection is Key
Here’s the deal: catching ALK-positive lung cancer early is a game-changer. Early detection gives you more options for treatment (and more time to binge-watch whatever show you’re into). Since ALK-positive cancer doesn’t always show up with a “HEY, I’M HERE” sign, you need to pay attention to those subtle symptoms.
Doctors can do some fancy tests to detect it, including genetic testing, because, unlike traditional lung cancer, ALK-positive is driven by a gene mutation, not a bad habit. The sooner you know, the better your odds are at kicking its butt with targeted therapies that are designed to seek and destroy this specific mutation, like a guided missile. (And trust me, targeted therapy is WAY cooler than it sounds.)
The Takeaway: Listen to Your Body, Even If You’re “Healthy”
So, if you’re young, healthy, a non-smoker, and think lung cancer could never happen to you—surprise! ALK-positive lung cancer doesn’t play by the rules. It’s important to get those weird symptoms checked out, even if you feel invincible. After all, there’s nothing more badass than catching cancer early and giving it the boot before it overstays its welcome.
Stay healthy, stay vigilant!
love to all…
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