Lung Cancer Types And Treatments
Lung cancer develops in the cells that line the bronchi (airways), leading from the trachea (windpipe) to the lungs. Large cell carcinoma is the least common.
STEPS TO DIAGNOSIS
A chest X-ray will usually show whether cancer is present, but other tests will confirm the diagnosis and give the more detailed information that is required before any decision can be made about treatment. A sample of sputum will be analyzed in the cytology lab. A test called a bronchoscopy may be performed under local anesthetic to allow a doctor to look inside the lung and do a biopsy (take a tissue sample).
Alternatively, the doctor may perform a mediastinoscopy, which involves inserting a small telescope via an incision in the neck to look at the chest and lymph nodes and take samples.
SURGERY
The treatment plan will be based on the type of cancer and whether it has spread beyond the lung. An operation to remove the tumor may be the best option for non-small cell cancer. This may involve removing all or part of an affected lung. In some treatment trials, radiotherapy and/or chemotherapy may be used together with surgery in various combined treatments. Surgery is rarely the right treatment for small cell cancer, since it is unlikely that the cancer will be confined to the lung and so it would be impossible to remove all the cancer with an operation.
RADIATION
This can be very useful for relieving pain and in situations where a tumor is causing other problems, such as blocking an important blood vessel or causing a lung to collapse. It is also being used in new ways in clinical trials, such as giving it in several daily doses for people with non-small cell cancer or combined with chemotherapy for some people with small cell cancer.
CHEMOTHERAPY
Anti-cancer drugs that destroy the tumor cells or inhibit them from multiplying are the best option for treating small cell lung cancer. In many patients, combination chemotherapy is recommended over therapy with a single agent.
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