Depends where the cancer is
Something like pancreatic cancer will grow causing no problems with the body, then it grows so big it presses on a bile duct and causes issues, scans show the tumour being so far along.
Many tumours won’t cause any problems until they grow to a size where they start squeezing the stuff around them. For example my grandmother had kidney cancer but it wasn’t interfering with her kidney function but it causes havoc everytime it grew enough to put pressure on her liver. Without symptoms people don’t go see the doctor and things progress, hence why pancreatic cancer has such a terrible mortality rate.
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