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General Info about carcinoma of lung |
What are the causes of carcinoma of lung ? |
What are the symptoms of carcinoma of lung ? |
How can we diagnose carcinoma of lung ? |
How can carcinoma of lung be treated ? |
More information about carcinoma of lung |
Frequently asked questions about carcinoma of lung |
Glossary |
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| General Info about carcinoma of lung |
Lung cancer is the uncontrolled growth of abnormal cells in the lung. Majority of people who get lung cancer have been cigarette smokers, but not all people who smoke get lung cancer. And, some people who have never smoked get lung cancer. Normal lung tissue is made up of cells that are programmed by nature to create lungs of a certain shape and function.
Sometimes the instructions to a cell go haywire and that cell and its offspring reproduce wildly, without regard for the shape and function of a lung. That wild reproduction can form tumors that clog up the lung and make it stop functioning as it should. Because of the large size of the lungs, cancer may grow for many years, undetected, without causing suspicion. Lung cancer can spread outside the lungs without causing any symptoms. Adding to the confusion, the most common symptom of lung cancer, a persistent cough, can often be mistaken for a cold or bronchitis.
In men who die of lung cancer (squamous and undifferentiated), all of whom were smokers, the remainder of the epithelial lining shows changes that may be considered as preliminary stages to the development of lung cancer, including early invasion. There are few such changes in nonsmokers, but they increase rapidly with the amount of cigarette smoking.
-Oscar Auerbach, Arthur Purdy Stout, Edward Cuyler Hammond, Lawrence Garfinkel, 1964
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What are the causes of carcinoma of lung ? |
Lung cancer is not infectious and cannot be passed on to other
people.
Cigarette smoking is known to be the cause of majority of lung cancers. The risk of developing the disease increases with the number of cigarettes smoked, and starting to smoke at a young age. If a person stops smoking, the risk of lung cancer is greatly reduced that is his or her chances of developing the disease are similar to that of a non-smoker after 15 years.
Lung cancer has always been more common in men, particularly over the age of 40. In recent years more women have started smoking, the number of women developing the disease has increased considerably.
Inhaling other people's cigarette smoke, which is known as passive smoking, slightly increases the risk of lung disease and cancer, although the risk is still much less than if one is a smoker. In some families smokers may be more prone to developing lung cancer due to a genetic link.
Exposure to certain chemicals and substances such as asbestos, uranium, chromium and nickel has been linked to lung cancer, but these are very rare causes. Though air pollution has been suspected as a cause of lung cancer it has been difficult to prove.
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How can we diagnose carcinoma of lung ? |
One can begin by seeing their family doctor (general practitioner) who can examine and arrange for tests or x-rays to check for any abnormalities in the lungs.
Sputum cytology:
Samples of phlegm can be examined under a microscope for cancer cells.
CT Scan:
This special x-ray can detect very small lung lesion and its spread to adjacent organs.
Bronchoscopy:
In this test the inside of the lung airways is examined and cell samples (called biopsies) are taken. A thin, flexible tube called a bronchoscope is used, and the test is carried out using local anaesthesia. When a rigid bronchoscope is used general anaesthetic is given.
Before bronchoscopy one will be asked not to eat or drink anything for a few hours. Just before the test a mild sedative will be given to help relax and relieve any discomfort.Another medicine to reduce the secretions will also be given. This medicine can make one's mouth feel rather dry. Once comfortable a local anaesthetic will be sprayed onto the back of the throat and The bronchoscope is then gently passed through the nose or mouth and into the lung airways. The doctor can look through the bronchoscope to check for any abnormalities. Photographs and cell samples can be taken at the same time. The test may be slightly uncomfortable but it only takes a few minutes.
Lung biopsy:
A biopsy is a test in which tissue is removed from the suspected tumor and looked at under a microscope to see if cancer cells are present. This may be done by inserting a needle through the chest wall to take a sample of tissue from a known tumor, or it may involve surgery in which the doctor opens the chest wall to remove a part or all of the tumor. A biopsy is necessary for the doctor to confirm a cancer diagnosis and to identify the specific type of cancer. Special staining technique maybe used for this purpose.
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How can carcinoma of lung be treated ? |
Surgery, radiotherapy and chemotherapy may be used separately, or together, to treat cancer of the lung. Surgery is the primary therapy (a lobe or part of the lung is removed). Radiotherapy is used occasionally for a long term control of disease. Treatment should be decided by taking into consideration a number of factors including your general health, the type and size of the tumor, what it looks like under the microscope and whether it has spread beyond the lung.
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More information about carcinoma of lung |
The type of cells found in a tumor determines the kind of cancer. The two main types of lung cancer are small cell and nonsmall cell. The terms small cell and nonsmall cell refer to the type of cell a doctor can see under the microscope and not the size of the tumor.
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Frequently asked questions about carcinoma of lung |
Which specialist should I visit for the treatment of lung cancer?
You should see an Oncologist.
What is the risk for lung cancer in women who smoke?
Lung cancer is now the leading cause of cancer deaths among women. Cigarette smoking is the main culprit and responsible for 80% of these cancer deaths. Lung cancer has always been and continues to be more common in men than women but the difference is declining. Unfortunately statistics show that smoking rates among women are expected to surpass those among men by the year 2000.
Lung cancer is not the only smoking related cause of death in women. The World Health Organization states that at least 25% of women smokers will die of smoking-related disease such as cardiovascular disease and Chronic Obstructive Pulmonary Disease (COPD).
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Glossary |
Biopsy - A test in which a piece of tissue is removed either by surgery or through a needle and examined under a microscope to determine if the cells are cancerous and to identify the type of cancer.
Bronchoscopy - Endoscopy procedure of the bronchial passage of the lungs.
Chemotherapy - Treatment with anticancer drugs.
Radiation Therapy - Treatment using X-rays, radium, neutrons, or other types of cell-destroying radiation.
Side Effect - A secondary, unintended, and usually unpleasant effect, as from a drug or other treatment; for example, nausea is a side effect of some anticancer drugs.
Sputum Cytology - Examination under a microscope of cells coughed up from the lungs or breathing tubes.
Tumor - An abnormal mass of tissue that results from excessive cell division. Tumors perform no useful body function. They may be either benign (not cancer) or malignant (cancer).
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