Stage 1 Lung Cancer: Difference Between Stage 1A and 1B

oncare team
Updated on Jan 17, 2026 15:17 IST

By Raveena M Prakash

Being diagnosed with stage 1 lung cancer can be a spine-chilling moment in any normal person’s life, especially when the doctor mentions it’s stage 1A or stage 1B. However, both of these will be classified under early-stage lung cancer. There are some important differences that can affect the treatment decisions and outlook of cancer patients.

In this blog, we’ll delve more into the difference between Stage 1A and 1B and their symptoms, treatments, and risk of recurrence in patients.

What is Stage 1 Lung Cancer?

Stage 1 cancer is early-stage lung cancer. In this stage, the disease is considered localized, while stage 1 can be detected early through performing imaging and screening tests. Stage 1 is often considered as highly treatable, especially when treated with effective treatments. 

In this stage, 

  • The cancer is only present in the lung
  • It has not spread to lymph nodes
  • It has not spread to distant organs 

Stage 1 lung cancer is divided into stages 1A and 1B, mainly based on the size of the tumor and certain features of how deeply it has grown into the lung tissue.

Understanding Stage 1A Lung Cancer

Tumor size

The stage 1 Lung cancer involves a small tumor, which is typically localized in the lungs and is found to be 3 centimeters or less in diameter.

Stage 1A is further divided into sub-stages such as 1A-1, 1A-2, and 1A-3 based on the very precise size measurements.

Spread

In this stage, the cancer is confined to the lung, no lymph nodes are involved, and no invasion into nearby structures inside the lungs.

Symptoms

Many people with stage 1A lung cancer have no specific symptoms. In some cases, when symptoms starts to appears, they may include:

  • Mild cough
  • Shortness of breath
  • Chest discomfort

In many cases, stage 1A cancer is often discovered incidentally during any scans done for other reasons.

Treatment option

The common treatment options used for this stage cancer, include:

  • Surgery: In some cases, doctors perform surgeries to remove the tumor, because this surgery is mostly known as primary treatment. 
  • Radiation therapy: These treatments are used when the surgery is not an option to cure the condition.
  • Targeted therapy or immunotherapy: In some cases, targeted therapies and immunotherapies are used in some selective cases based on the genetics.

In this stage, the tumor is small in size and localized, and treatment success rates are comparatively high.

Understanding Stage 1B Lung Cancer

Tumor size 

Stage 1B lung cancer typically involves larger tumors, more than 3 cm but 4 cm or less. The tumor may also show features suggesting a higher risk of recurrence when compared to stage A.

Spread

In this stage 1B, it is still confined to the lung with no lymph involvement and no distant spread in the lungs. However, the increased size means that the cancer has more time to spread and grow, which can slightly increase the risk of future spread. 

Symptoms

In this stage, symptoms will appear more noticeable than in Stage 1A, including:

  • Chronic cough
  • Persistent pain
  • Chest pain
  • Fatigue

Some patients are still asymptomatic, especially when the tumor is found in the early cancer screening.

Treatment option

The treatment options for stage 1B lung cancer mainly include:

  • Surgery: In stage 1B cancer cases, surgery is considered as the main treatment.
  • Adjuvant chemotherapy: These treatments are used in some selected cases, when it reduces the risk of cancer recurrence.
  • Radiation therapy: In some cases, doctors opt these treatments for patients who cannot undergo surgery, because of some reasons.

Many doctors might recommend additional cancer treatments more often in stage 1B than in stage 1A.

Key differences between Stage 1A and 1B

Here are some of the key differences between Stage 1A and 1B lung cancer, including:

Characteristics

Stage 1A

Stage 1B

Tumor size

Less than 3 cms

More than 3 to 4 cm

Lymph node spread

No

No

Distant spread

No

No

Symptoms

Often no specific signs

More likely to appear

Treatment intensity

Surgery alone

Surgery with additional therapies

Risk of recurrence

Lower

Slightly higher

Importance of Early detection

Early diagnosis plays a key role in detecting lung cancer at stage 1. Performing low-dose CT scans is recommended for people in high-risk group categories, including long-term smokers and people with a family history of lung cancer. These might have helped to detect lung cancer before the symptoms started to appear in patients.

Many lung cancer specialists suggest that the earlier it gets detected, the more treatment options are available for the patients.

Consult Today

Stage 1 lung cancer represents an opportunity for an effective, especially curative, cancer treatment. While stages 1A and 1B might share many similarities, the major difference in the tumor size can influence the treatment and further follow-up care. Understanding these differences can allow the patients to know more about the treatments and move ahead with effective treatment outcomes with greater confidence.

At Oncare, we offer premium quality cancer treatments, including advanced cancer surgeries, at an affordable price range with an experienced cancer specialist consultation.

If you or any loved ones of yours are diagnosed with cancer, then visit Oncare Cancer Hospital and book an appointment with our experienced cancer specialist today. Get an estimated cost of your cancer treatment today!

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