Altered taste thresholds in lung cancer

Taste threshold levels for the four basic taste modalities were determined in 30 male lung cancer subjects and 30 male control subjects who had no history of malignant disease. Lung cancer patients demonstrated significant alteration in taste recognition for sour but not for bitter, sweet, or salt. There were, however, quantitative differences between cancer patients and control subjects in recognition thresholds for the sweet taste modality. Some of the lung cancer subjects had demonstrated greater sensitivity to the taste of bitter than the control subjects and others were less sensitive. These alterations may account in part for the reduction of intake and for the aviodance of certain food items by lung cancer subjects. Dietary histories should be taken on all cancer patients in order to individualize dietary management, thereby improving the nutritional intake.