Abstract              Background: lung cancer is a fatal cancer. In countries like India the incidence and mortality rates show a rising trend. It is having poor prognosis. Clinical presentation of patients vary in almost all cases. Aim and Objective: To study clinical profile of patients with primary lung malignancies. Material and Methods: study was carried out in 58 indoor patients, who were having high index of clinical, radiological suspicion of carcinoma of lung. All patients were studied for history, clinical examination, routine blood investigations and selected patients underwent other diagnostic methods. Results and Discussion: Male urban to rural ratio was 1:2.8 while female urban to rural ratio was 1:6.5.Chest pain (91.37%), cough (74.13%), breathlessness (72.41%), Anorexia (53.44%), Weight loss (44.82%) and Haemoptysis (20.68%) were common presenting symptoms. Lymphadenopathy (37.93%), clubbing (24.13%), superior vena cava obstruction (18.96%) were common clinical features. Conclusion: Age of 50 yrs or more and male sex is a risk factors for lung cancer. squamous cell carcinoma was predominent in followed by adenocarcinoma. Chest pain is the commonest symptom. Tobacco smoking of 20 pack years or more is significantly associated with an increase in the incidence of lung cancer.

Key Words: lung cancer, chest pain.