How to Diagnose & Treat Lung Cancer?


Lung Cancer is malignant tumour that starts in the cells of the lung and can spread, or metastasize, to other parts of the body. In India, lung cancer constitutes 6.9 per cent of all new cancer cases and 9.3 per cent of all cancer related deaths in both sexes; it is the commonest cancer and cause of cancer related to mortality in men. Adenocarcinoma of the lung is a common histological image seen under microscope.


Symptoms of Lung Cancer:

Earlier signs and symptoms:
·         Cough with blood or rusty-coloured phlegm
·         fatigue
·         unexplained weight loss,
·         recurrent respiratory infections,
·         hoarseness,
·         Wheezing and shortness of breath.
·         Pain in the chest area is a symptom in about one fourth of people with lung cancer. The pain is dull, aching, and persistent.
·         Shortness of breath.
·         Repeated respiratory infections, such as bronchitis or pneumonia, can be a sign of lung cancer.
·         Later: build-up of fluid around the lungs (pleural effusion),bone pain, jaundice, neurological changes ,numbness in a limb ,dizziness, seizure and enlarged lymph nodes in the neck or above the collarbone.

Causes of Lung Cancer:
·         Smoking causes lung cancer by damaging the cells that line the lungs.
·         Exposure to second-hand smoke
·         Exposure to radon gas
·         Exposure to asbestos and other carcinogens
·         Family history of lung cancer

·         Types of lung cancer

Some Diagnostic tests for diagnosing Lung Cancer include:
·         X-ray
·         Computed tomography (CT) scan
·         Positron emission tomography (PET) scan
·         Sputum tests
·         Endoscopic procedures
·         Ultrasound
·         Lung Biopsy


There are two general types of Lung Cancer include:
Small cell lung cancer: Small cell lung cancer occurs almost exclusively in heavy smokers.

Staging of lung cancer:
Stage I – Tumours are 3 cm or less in diameter and are completely within the lung (no evidence of spread to the pleura, other lung, lymph nodes or organs outside the chest).
Stage II – Tumours have spread to the bronchial or hilar lymph nodes.
Stage III – Tumours have spread to mediastinal lymph nodes.
Stage IV – Tumours have spread to the pleura, other lung or organs outside of the chest.

Life expectancy and prognosis of lung cancer:
Lung Cancer can spread to other parts such as the brain, bones and other organs.
The overall 5-year survival rate for both stages of small cell lung cancer   is only about 6 percent. Without treatment, the average life expectancy for extensive disease is 2 to 4 months, and with treatment is 6 to 12 months.
The five-year survival rate for people diagnosed with late-stage lung cancer that has spread to other areas of the body is 4 percent.

Treatment of Lung Cancer:
Surgery:
1) Wedge resection to remove a small section of lung that contains the tumour along with a margin of healthy tissue
2) Segmental resection to remove a larger portion of lung, but not an entire lobe
3) Lobectomy to remove the entire lobe of one lung
4) Pneumonectomy to remove an entire lung
Chemotherapy
Chemotherapy uses drugs to kill cancer cells. One or more chemotherapy drugs may be given through a vein in your arm (intravenously) or taken orally. Chemotherapy is often used after surgery to kill any cancer cells that may remain. It may also be used before surgery to shrink cancers and make them easier to remove.  
Radiation therapy
Radiation therapy uses high-powered energy beams from sources such as X-rays and protons to kill cancer cells. We can use beam radiation or brachytherapy. Radiation therapy can be used after
Targeted drug therapy:
Targeted therapies are newer cancer treatments that work by targeting specific abnormalities in cancer cells. Targeted therapy drugs are often used in combination with chemotherapy drugs.

For more information on lung cancer you can contact Wockhardt Hospital.
Wockhardt Hospitals, a chain of tertiary care super-specialty hospitals has more than 25 years of experience in the creation and management of Super Specialty Hospitals in India.
At Wockhardt Hospital we believe that diagnosis and management of a cancer patient does not end with the treatment of cancer, and hence it follows a well-designed patient counselling services and support system and forms part of goals in our oncology department. Our oncology team at Wockhardt Hospital uses cutting edge technology & latest pharmaceuticals to provide complete treatment of cancer.

At Wockhardt Hospitals our esteemed and dedicated team of oncologist team, provides both inpatient and outpatient services for patients diagnosed with cancer. This care is delivered by a multidisciplinary team of oncologists working together. Our oncologists at Wockhardt hospital along with expertise in this vast field and supported with advanced technology, assist in providing the best quality patient care to our cancer patients in administration of chemotherapy and radiation oncology.
The Department of Surgical Oncology is the only surgical oncology department for cancer treatment in aims to provide holistic, all round surgical care for solid tumours comprising of Head & Neck Cancers, Breast Cancer and Cancers of the female reproductive organs. Our qualified surgeons all have specialized fellowship training and work in a multidisciplinary setting with other specialists to provide the latest treatments and innovations in surgical cancer care.
Our centres at Wockhardt Hospital also provide the nutrition support and other therapies to manage the side effects of cancer treatment.

Latest surgical techniques through minimal invasive surgery, stem cell transplantation and latest chemotherapy adjuvants form part of the care in the oncology speciality at our units in Wockhardt Hospital. Wockhardt Hospital specializes in treatments for all haematological disorders such as different types of anaemia, haematological malignancies, bleeding and thrombotic disorders and Bone marrow and stem cell transplantation.

Wockhardt Hospitals have been regarded as centers of excellence in medical science with facilities in North Mumbai (Mira road), South Mumbai (Mumbai Central), Navi Mumbai (Vashi), Nagpur, Nasik, Rajkot and Surat. Wockhardt Hospitals is having state-of-the-art infrastructure whose prime objective is patient safety first and quality of care at the core of its strategy. The guiding philosophy is to serve and enrich the Quality of Life of patients and to make life win.

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