Types of Lung Cancer and Prognosis
Tuesday, September 18, 2018
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cancer and prognosis via lungevity.org |
The most important aspect of lung cancer management is staging staging is a way for doctors to determine the extent of the tumors growth and we look at three main factors when we
stage a patient for lung cancer the first factor is the tumor itself we look at how big it is and
measure it we look at where it's located whether it involves other structures in the chest the
second factor are the lymph nodes the lymph nodes that we're really interested in are called
mediastinal lymph nodes these are located in the central part of the chest usually when lung
cancer spreads to the lymph nodes from either the left or the right side they will go and
accumulate in the lymph nodes in the central part of the chest so these lymph nodes are of
great importance in the staging process the third aspect of staging is what we call systemic
disease or metastasis this means that the tumor has spread outside of that side of the chest and has gone to other parts of the body such as the brain adrenal glands or to the bones the way
See also: Types of Lung Cancer Tumors
that we stage radiographically or by films is with the use of CT scans the other way that
complements CT scanning is called a PET scan a PET scan is a special nuclear medicine study
where the doctor will inject a safe radioactive chemical that's attached to sugar molecules and
these molecules are taken up by the tumor cells the patient is then taken through a scanner
where the tumor cells will then glow and light up wherever the tumor cells are present this has been a great advance in staging of lung cancer nevertheless even if we see spread on a PET
scan we often like to confirm that with tissue diagnosis so we will often biopsy these lymph
nodes in the central part of the chest with an outpatient procedure if it's spread to other parts
of the body such as to other organs it's often important to confirm that with the tissue
diagnosis as well it should be understood though that staging which is classified from stages
one through four does not automatically determine your treatment and it's not automatically
a concrete prognosis for example we often take patients with stage 4 lung cancer to surgery
and they do quite well so just because you are Stage four does not mean you fit into this rigid box.
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