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Lung Cancer Treatment

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Lung cancer is the second most common cancer in both men and women, after Prostate Cancer in the men and Breast Cancer in women. Lung Cancer is the cancer that begins in the lungs. It is so far the leading cause of cancer death in both men and women.

 

Lung cancer can usually occurs in people who are old, around the age of 65 to 70 yrs.

 

New Lung Cancer cases have been declining rapidly due to the fact that people have started quitting smoking, which plays a significant role in occurrence of Lung Cancer and cancer deaths due to Lung cancer have also decreased due to advancement in the medical science that has brought about early detection and treatment of Lung Cancer.

 

Cancer is a medical condition in which cells become abnormal and start growing uncontrollably, at an exponential rate. In other words, uncontrolled growth of the abnormal cells is referred to as Cancer.

 

Cancer may spread to lymph nodes and proximal and distant organs eventually. This occurrence of spread and invasion of other tissues and organs in the body is referred to as Metastasis.

 

Likewise, cancer of other organs may also metastasize to lungs.

 

Lung Cancer is classified into two main types namely Small Cell Lung Cancer (SCLC) and Non Small Cell Lung Cancer (NSCLC). It is most often seen in people who smoke. Non Small Cell Lung Cancer is more prevalent than Small cell Lung cancer. It is important to know the type of lung cancer since they have different characteristics and require different treatment modalities. 

 

Non Small Cell Lung Cancer (NSCLC) constitutes around 84% of all lung Cancers and SCLC make only around 13% of all Lung cancers.

 

Lung Cancer is the most common cause of cancer deaths in The United States of America, both in men and women. Cigarette smoking is the most common risk factor for Lung cancer.

 

It is usually caused by factors such as prolonged exposure to severe air pollution, smoking, second hand smoking, exposure to cancer causing agents and presence of family history. These causes often co-exist.

 

Lung cancer often goes undiagnosed in its early stage. Patient may present with one or more symptoms such as cough which does not cease, blood in sputum, shortness of breath, chest pain, wheezing, loss of appetite, unexplained weight loss and fatigue.

 

Treatment options for the lung cancer may be one or more of the following such as Lung Cancer Surgery, Chemotherapy, Targeted therapy, Radiation therapy and Immunotherapy as per the need of the patient.

 

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Lungs and their function

 

Q1 What is the normal structure and function of the lungs?

 

A1 Lungs are two spongy elastic organs located in your chest cavity. They are two in number: Right Lung and left Lung. Your lungs are divided into different sections referred to as lobes. Right Lung has 3 lobes and let lung has 2 lobes. 

 

The air you breathe in goes to your lungs through your wind pipe (Trachea). Trachea divides into right and left bronchi that go into your right and left lung respectively. They divide repeatedly to form smaller branches until they form bronchioles that end up in tiny balloon shaped air sacs referred to as Alveoli.

 

Alveoli are surrounded by tiny blood vessels called Capillaries with which they have gaseous exchange in which Carbon-Di-Oxide from your blood is removed into the alveoli and then exhaled out and Oxygen from the alveoli is exchanged into the blood which is then returned to the left side of your heart, so that it can pump oxygen rich blood throughout your body.

 

Types of Lung Cancer

 

Q2 What are the different types of Lung Cancer?

 

A2 Lung Cancer, the cancer that begins in the lungs.

Lung cancer is classified into two main types namely,

NSCLC (Non Small Cell Lung Cancer): The more prevalent type of Lung Cancer, constituting around 80 to 85 percent of all Lung Cancer cases. It is further classified into the following subtypes such as Adenocarcinoma, Squamous Cell carcinoma and Large Cell Carcinoma. These subtypes are classified based on the type fo cell affected. However, they all are grouped unter the category of NSCLC of their similarity in treatment and Prognoses.

SCLC (Small Cell Lung Cancer): Around 10 to 15 percent of all lung cancer cases comprise of SCLC. They are aggressive in nature. They spread rapidly and by the time they are diagnosed, they have already spread. They respond pretty well to the Chemotherapy and radiation Therapy.

 

Sign and Symptoms of Lung Cancer

 

Q3 What are the symptoms of Lung Cancer?

 

A3 Lung cancer patient may present with one or more of the following symptoms:

  • Cough

  • Chest pain

  • Coughing up blood (Hemoptysis)

  • Shortness of breath (Dyspnea)

  • Wheezing

  • Loss of appetite (Anorexia)

  • Fatigue

Causes of Lung Cancer

Q4 What are the causes of Lung Cancer?

 

A4 Lung cancer may be caused by:

  • Prolonged exposure to Severe Air Pollution

  • Smoking

  • Passive smoking where you do not smoke but get exposed to smoking due to proximity to people who smoke

  • Family History of Lung Cancer

  • Radon Gas

  • Exposure to carcinogens (Cancer Causing Agents)

  • Radiation to the lungs

Cigarette smoking is one of the major cause of Lung Cancer.

 

Risk Factors for Lung Cancer

 

Q5 What are the risk factors for Lung cancer?

 

A5 Risk factors of a disease are anything that makes you more vulnerable to develop that particular disease, here, lung cancer and they may fall into the following list as mentioned:

 

  • Smoking in any form

  • Family history of Lung Cancer

  • Exposure to carcinogens like Asbestos, Radon

    • ​Radon is a naturally occuring gas emitted from rocks and dust and is generally trapped in houses and buildings. It is not generally identified easily as it cannot be seen, smelled or tasted. It is a carcinogenic gas and is the second most leading cause of lung cancer. All the houses and buildings need to be checked for High radon levels and every effort should be made to reduce the levels as it is known to cause lung cancer in a substantial number of people.

  • Severe and prolonged Air Pollution

These risk factors often co exist.

 

Q6 How is smoking related to Lung cancer?

 

A6 Smoking is the most common risk factor for Lung cancer. In USA, smoking is found to be linked to 80 to 90 percent of Lung cancer deaths. Not only Cigaretter smoking, but usage of other Tobacco products such as Cigars and pipes are also equally responsible for making you susceptible to develo lung cancer. Tobacco contains a deadly mix of carcinogenic chemicals.

Smoking makes you 15 to 30 times more vulnerable to develop lung cancer in contrast to when you do not smoke.

 

Q7 Does quitting smoking lower my Lung cancer risk?

 

A7 Yes, certainly. Whenever you decide to quit smoking, you decrease your likelihood of developing lung cancer.

In fact, cigarette smoking is not just linked to Lung cancer, it may cause other cancers as well such as Cancer of the mouth, esophagus, throat, stomach, rectomy, liver, pancreas, rectomy, voice box, trachea, cervix and several other organs.

Its better to quit smoking, anytime, at any age.

Q8 What is second hand smoke?

 

A8 You do not smoke. However, you inhale the smoke while other people in your proximity are smoking. It is also a significant risk factor for lung cancer. Avoid passive smoking or second hand smoke. 

Second hand smoke may not only cause lung cancer but it is a risk factor for other medical conditions also such as SIDS (Sudden Infant death Syndrome), respiratory infections, ear infections, asthma exacerbation episodes, heart diease and stroke.

 

Lung Cancer Screening

 

Q9 Can Lung Cancer be screened and detected early?

 

A9 Screening for presence of cancer is carrying out a specific test to look for early changes in the body that indicate the presence of a particular disease or in this case, cancer, even before any symptom or sign appears.

 

In case of Lung Cancer, LDCT (Low Dose CT) is the proposed screening test, in contrast to earlier employed chest X rays. LDCT is found to be better in detecting early changes in the patients who are at high risk of developing Lung Cancer.

According to Americal Cancer Society Guidelines for Lung Cancer Screening for people who are at higher risk of developing Lung Cancer:

ACS recommends yearly Lung Cancer Screening with LDCT for people within the age group 55 to 74 yrs, with decent good health and meet the following conditions as well:

  1. Are current smokers or have quit smoking within past 15 years

  2. Have at least 30 pack year smoking history

  3. Current smokers who have received councelling for quitting smoking

  4. Have been informed by their doctor of the probable advantages, limits and disadvantages of screening with LDCT scans. 

  5. Have an accessible Healthcare facility that has ample experience in Lung Cancer Screening and Treatment.

Diagnosis of Lung Cancer

 

Q10 How do we diagnose Lung cancer?

 

A10 A number of tests are done in order to confirm the presence of Lung cancer. The earlier the cancer is detected, the more successful is the treatment and hence better prognosis.

 

They are:

  • First and foremost, History taking and physical examination

    • ​History taking is a kind of question answer session wherein your doctor will try to find out more about your chief complaints, your past medical history, possible presence of risk factors either currently or earlier, your family history for the presence of significant diseases, any coexisting health conditions. He will conduct your physically examination to look for any cues that suggest the presence or possibility of the presence of Lung Cancer.

​​followed by

  • Imaging tests: These tests use different type of waves or energy such as X rays, Magnetic fields, sound waves, radioactive material to form the pictures of the inside of your body such as lungs in case of lung cancer. These tests could be

    • Chest X Ray

    • CT Scan (Computed Tomography)

    • MRI Scan (Magnetic Resonance Imaging)

    • PET scan (Positron Emission Tomography)

    • PET/CT Scan

  • Bone Scan: To know if the lung cancer has spread to the bones.

​Once the result of the above tests incline stongly towards the possibility of presence of Lung Cancer. Your specialist will confirm the diagnosis of lung Cancer by looking at the Lung cells in the laboratory. Lung cells can be procured from Lung secretions (mucus that you cough up) or the fluid that is removed from around the lungs by a procedure called Thoracentesis or through a sample of the suspicious tissue area which is extracted using needle or surgery, referred to as biopsy.

  • Sputum Cytology: Sputum sample is studied to look for presence of cancer cells. Sputum sample is collected for 3 consecutive days. Early morning sample is the best.

  • Bronchoscopy: This procedure is used to look for any tumor or blockages in the large airways and possibly take tissue sample for further study.

  • Needle Biopsy: As the name suggests, a hollow needle is used in this procedure to remove a small tissue sample from the suspicious area and studied to diagnose cancer.

  • Thoracentesis: Its a procedure that is carried out to diagnose the cause of pleural effusion (collection of the fluid in the pleural cavity, the space between the double layered membrane around lungs). Fluid is extracted from the pleural cavity and studied to look for its composition and find out the probable cause, which could be malignancy or lung cancer also. It is also done as treatment to remove excess fluid of pleural effusion which is causing discomfort to the patient and removal of fluid is going to relieve the symptoms.

Some other tests that are carried out to see if the Lung Cancer has spread beyond lungs, may be:

  • Endobronchial Ultrasound

  • Endoscopic Esophageal Ultrasound

  • Mediastinoscopy and Mediastinotomy

  • Thoracoscopy

Other tests which are of significance could be:

  • PFT (Pulmonary Function Tests)

  • Molecular tests looking for Gene Changes: The significance of these tests is that once the specific gene changes are identified in the cancer cells, its targeted therapy drug can be determined accordingly which will help treat the lung cancer effectively.

  • Blood Tests such as CBC (Complete Blood Count) and Blood chemistry (looking for abnormal hikes or falls in the levels of some chemicals in the blood signalling impaired function of certain tissues and organs such as liver, kidneys or bones).

 

Staging of Lung Cancer

 

Q11 What are the different stages of Lung cancer?

 

A11 After the diagnosis of Lung cancer is confirmed, its extent or spread is defined, this process is referred to as Staging the cancer. It tells more about how much cancer is present in the body and where it has spread. The significance of knowing about the stage of cancer is that it determines the severity of the cancer, strongly guides the choice of treatment for the patient as per stage of the cancer and also suggests the outcome of the cancer.

Each cancer patient is unique and calls for customized treatment protocol. However, patients with similar staging tend to have similar outcome and often call for similar treatment plan.

Stages range from Stage 0 to Stage IV. The smaller the number, the lesser the cancer has spread or has not spread.

The higher number indicates more spread of the cancer to distant site or so to say, the cancer is more advanced. Within each stage also, there are letter of alphabets representing further details of that cancer stage, the earlier letter in the series of alphabet suggest lower stage of the cancer.

3 factors are taken into account for staging the cancer, this system is referred to as TNM system

where

T stands for Tumor size and extent in nearby tissues or organs

N stands for spread into the nearby Lymph Nodes

M stands for Metastasis to distant organs or sites such as Bones, Brain, Liver or Adrenal Gland.

 

Stage 0: The tumor occupies only top layers of the cells lining the air passages. It has not invaded other deep tissues of the lung, lymph nodes or other distant sites or organs of the body. It is also known as CIS, Carcinoma in Situ, "In Situ" from Latin "in its place."

Stage I: This stage is further classified into IA1, IA2,IA3

IA1:This cancer is a Minimally Invasive Adenocarcinoma. The tumor is no more than 3 cm across and the part which encroached into deeper lung tissues is no more than 1/2 cm across. The cancer has not spread to the nearby lymph nodes or to the distant sites or organs in the body.

OR

The cancer is no more than 1cm across. It has not reached the membranes surrounding the lungs and has not affected main branches of Bronchi. The cancer has not spread to the nearby lymph nodes or to the distant sites or organs in the body.

IA2: The tumor is more than 1cm across but no more than 2cm across. It has not reached the membranes surrounding the lungs and has not affected main branches of Bronchi. The cancer has not spread to the nearby lymph nodes or to the distant sites or organs in the body.

IA3: The tumor is more than 2cm across but no more than 3cm across. It has not reached the membranes surrounding the lungs and has not affected main branches of Bronchi. The cancer has not spread to the nearby lymph nodes or to the distant sites or organs in the body.

IB: The tumor possess one or more of the following characteristics:

  • It is more than 3 cm but no more than 4 cm across.

  • It is in the main Bronchus but not within 2 cm of the carina (Carina is a place where the wind pipe splits into left and right main Bronchi) and it is not more than 4 cm across.

  • It has grown into the (Visceral pleura) membrane surrounding the lungs and is not more than 4 cm across.

  • It is partially blocking the airways and is no more than 4 cm across.

The cancer has not spread to the nearby lymph nodes or to the distant sites or organs in the body.

Stage II: Stage II is further subdivided into

Stage II A The cancer has one or more of the following characteristics:

  • It is more than 4 cm but no more than 5 cm across.

  • It is in the main Bronchus but not within 2 cm of the carina (Carina is a place where the wind pipe splits into left and right main Bronchi) and it is more than 4 cm but not more than 5cm across.

  • It has grown into the (Visceral Pleura) membrane surrounding the lungs and it is more than 4 cm but not more than 5cm across.

  • It is partially blocking the airways and it is more than 4 cm but not more than 5cm across.

The cancer has not spread to the nearby lymph nodes or to the distant sites or organs in the body.

Stage II B: The tumor is no more than 3cm across. It has not affected the membranes surrounding the lungs and has not grown into the main branches of the bronchi. It has invaded the lymph nodes within the lung and/or around the area where the bronchus enters the lung, these lymph nodes are referred to as Hilar Lymph Nodes. These lymph nodes are on the same side of the affected lung.

The cancer has not spread to the distant parts of the body.

OR

The tumor has one of more of the following characteristics:

  • The tumor is more than 3cm but not more than 5 cm across.

  • It is in the main Bronchus but not within 2 cm of the carina (Carina is a place where the wind pipe splits into left and right main Bronchi) and it is not more than 5cm across.

  • It has grown into the (Visceral Pleura) membrane surrounding the lungs and it is not more than 5cm across.

  • It is partially blocking the airways and it is not more than 5cm across.

  • The cancer has not spread to the nearby lymph nodes or to the distant sites or organs in the body.

It has invaded the lymph nodes within the lung and/or around the area where the bronchus enters the lung, these lymph nodes are referred to as Hilar Lymph Nodes. These lymph nodes are on the same side of the affected lung.

The cancer has not spread to the distant parts of the body.

OR

The tumor has one of more of the following characteristics:

  • The tumor is more than 5cm but not more than 7cm across.

  • It has invaded the chest wall, the inner membrane of the chest wall (Parietal pleura), the phrenic nerve, the membranous sac surrounding the heart (Parietal Pericardium).

  • There are 2 or more separate tumor nodules in the same lobe of the lung.

The cancer has not spread to the nearby lymph nodes or to the distant sites or organs in the body.

Stage III: Stage III is further subdivided into

Stage III A: The cancer is no more than 3cm across. It has not invaded membranes surrounding the lungs. It has not affected the main branches of Bronchi. The cancer has spread to the lymph nodes surrounding the carina (the place where trachea or windpipe divides into bronchi) and in the mediastinum (space between the lungs). These lymph nodes are on the same side as the primary lung tumor. Cancer has not spread to the distant organs or parts of the body.

OR

The tumor has one of more of the following characteristics:

  • The tumor is more than 3cm but not more than 5 cm across.

  • It is in the main Bronchus but not within 2 cm of the carina (Carina is a place where the wind pipe splits into left and right main Bronchi) and it is not more than 5cm across.

  • It has grown into the (Visceral Pleura) membrane surrounding the lungs and it is not more than 5cm across.

  • It is partially blocking the airways and it is not more than 5cm across.

​The cancer has spread to the lymph nodes surrounding the carina (the place where trachea or windpipe divides into bronchi) and in the mediastinum (space between the lungs). These lymph nodes are on the same side as the primary lung tumor. Cancer has not spread to the distant organs or parts of the body.

OR

The tumor has one of more of the following characteristics:

  • The tumor is more than 5cm but not more than 7cm across.

  • It has invaded the chest wall, the inner membrane of the chest wall (Parietal pleura), the phrenic nerve, the membranous sac surrounding the heart (Parietal Pericardium).

  • There are 2 or more separate tumor nodules in the same lobe of the lung.

It has invaded the lymph nodes within the lung and/or around the area where the bronchus enters the lung, these lymph nodes are referred to as Hilar Lymph Nodes. These lymph nodes are on the same side of the affected lung.

The cancer has not spread to the distant parts of the body.

OR

The tumor has one or more of the following characteristics:

  • It is bigger than 7 cm across.

  • It has invaded the space between the lungs, heart, aorta (the blood vessel), windpipe (Trachea), foodpipe (esophagus), diaphragm(muscular sheet separating the chest and abdominal cavity,carina (the site where the windpipe trachea divides into left and right bronchi) or the backbone (vertebral coloumn).

  • Two or more separate tumor nodules are present in different lobes of the same lung.

It may or may not have invaded the lymph nodes within the lung and/or around the area where the bronchus enters the lung, these lymph nodes are referred to as Hilar Lymph Nodes. These lymph nodes are on the same side of the affected lung.

The cancer has not spread to the distant parts of the body.

Stage III B: The cancer is no more than 3 cm across. It has not invaded the membranes surrounding the lungs or the main branches of the bronchi. The cancer has invaded the lymph nodes near the collar bones on either side of the body, and/ or has invaded the hilar or mediastinal lymph nodes on the other side of the body, away from the side of the tumor.

The cancer has not spread to the distant parts of the body.

OR

The tumor has one of more of the following characteristics:

  • The tumor is more than 3 cm but not more than 5 cm across.

  • It is in the main Bronchus but not within 2 cm of the carina (Carina is a place where the wind pipe splits into left and right main Bronchi) and it is not more than 5cm across.

  • It has grown into the (Visceral Pleura) membrane surrounding the lungs and it is not more than 5cm across.

  • It is partially blocking the airways and it is not more than 5cm across.

The cancer has invaded the lymph nodes near the collar bones on either side of the body, and/ or has invaded the hilar or mediastinal lymph nodes on the other side of the body, away from the side of the tumor.

The cancer has not spread to the distant parts of the body.

OR

The tumor has one of more of the following characteristics:

  • The tumor is more than 5cm but not more than 7cm across.

  • It has invaded the chest wall, the inner membrane of the chest wall (Parietal pleura), the phrenic nerve, the membranous sac surrounding the heart (Parietal Pericardium).

  • There are 2 or more separate tumor nodules in the same lobe of the lung.

​The cancer has spread to the lymph nodes surrounding the carina (the place where trachea or windpipe divides into bronchi) and in the mediastinum (space between the lungs). These lymph nodes are on the same side as the primary lung tumor. Cancer has not spread to the distant organs or parts of the body.

OR
 

The tumor has one or more of the following characteristics:

  • It is bigger than 7 cm across.

  • It has invaded the space between the lungs (Mediastinum), heart, aorta (the blood vessel), windpipe (Trachea), foodpipe (esophagus), diaphragm(muscular sheet separating the chest and abdominal cavity, carina (the site where the windpipe, trachea divides into left and right bronchi) or the backbone (vertebral coloumn).

  • Two or more separate tumor nodules are present in different lobes of the same lung.

 

​The cancer has spread to the lymph nodes surrounding the carina (the place where trachea or windpipe divides into bronchi) and in the mediastinum (space between the lungs). These lymph nodes are on the same side as the primary lung tumor. Cancer has not spread to the distant organs or parts of the body.

Stage III C: 

The tumor has one of more of the following characteristics:

  • The tumor is more than 5cm but not more than 7cm across.

  • It has invaded the chest wall, the inner membrane of the chest wall (Parietal pleura), the phrenic nerve, the membranous sac surrounding the heart (Parietal Pericardium).

  • There are 2 or more separate tumor nodules in the same lobe of the lung.

The cancer has invaded the lymph nodes near the collar bones on either side of the body, and/ or has invaded the hilar or mediastinal lymph nodes on the other side of the body, away from the side of the tumor.

The cancer has not spread to the distant parts of the body.

OR

The tumor has one or more of the following characteristics:

  • It is bigger than 7 cm across.

  • It has invaded the space between the lungs (Mediastinum), heart, Aorta (the blood vessel), windpipe (Trachea), foodpipe (Esophagus), diaphragm(muscular sheet separating the chest and abdominal cavity, carina (the site where the windpipe, trachea divides into left and right bronchi) or the backbone (vertebral coloumn).

  • Two or more separate tumor nodules are present in different lobes of the same lung.

 

The cancer has invaded the lymph nodes near the collar bones on either side of the body, and/ or has invaded the hilar or mediastinal lymph nodes on the other side of the body, away from the side of the tumor.

The cancer has not spread to the distant parts of the body.

 

Stage IV: Stage IV is further divided into

Stage IV A Any size tumor, may or may not have invaded nearby structures. It may or may not have invaded nearby lymph nodes. Besides this, any of the following exists:

  • The cancer has invaded other lung.

  • Cancer cells are present in the fluid around the lungs.

  • Cancer cells are present in the fluid around the heart.

​OR

Any size tumor, may or may not have invaded nearby structures. It may or may not have invaded nearby lymph nodes. It has spread outside chest as one tumor like in distant lymph nodes and/or in organs such as brain, bones, liver.

 

Stage IV B Any size tumor, may or may not have invaded nearby structures. It may or may not have invaded nearby lymph nodes. It has spread outside chest as more than one tumor like in distant lymph nodes and/or in organs such as brain, bones, liver.

 

Treatment of Lung Cancer

 

Q12 What is the treatment of Lung Cancer?

 

A12 Lung Cancer can be treated effectively in the following ways:

Lung Cancer Surgery: Lung Cancer Surgery is done usually with an aim to remove the cancerous tissue in the lung along with surrounding healthy tissue to some extent. The removed cancerous tissue should have "Negative Margins" which implies that when the removed canerous tissue is examined by the pathologist its margins should be of healthy tissue, not the cancerous tissue. This ensures that all of the cancer has been removed, nothing is left behind.

 

Types of Lung Cancer Surgery

 

Lobectomy: Affected lobe of the lung is removed. Lung is divided into various sections. Each section is referred to as a lobe. Right lung has three lobes whereas left lung has two lobes. When the entire lobe of the lung is removed in surgery, such surgery is referred to as Lobectomy.

It is one of the most common type of surgery performed for lung cancer. It is usually recommended when cancer is occupying a single lobe of the lung.

When two lobes are removed, the surgery is referred to as Bilobectomy.

Pneumectomy: Entire lung is taken out. This type of lung cancer surgery is recommended when the cancer is occupying central region of the lung and involve both lobes in the left lung or all three lobes in the right lung.

You lung specialist will carry out certain investigations such as PFT Pulmonary Function Test, or Lung Function Test, before deciding on your eligibility for the surgery. He will evaluate the function of your lung to see if one lung is removed through the surgery, will you be able to breathe with one lung in place. If yes, then he will carry out the surgery and remove the whole lung affected by cancer.

There are certain lung cancer surgeries which involve removal of only a section of the lung. It is applicable only in patients who have early stage of cancer and the cancer is still confined to a small region of the lung. This type of surgery does not help if the cancer may be present in other areas of the lung too. The lung cancer surgery in which only a section of the lung is removed, may fall into the following categories:

Wedge Resection: Removal of small wedge shaped part of the lung tissue from the lung lobe.

Segmentectomy: It is also removal of a part of the lung tissue from the lung lobe, however, the tissue removed is larger than that in wedge resection.

Sleeve Resection: Though uncommon, this type of lung cancer surgery is recommended when the cacner occupies a central region of the lung along with either of the two main airways (Bronchi). This surgery involves removal of the affected part of the airway and cancer affected lung tissue from the lung lobe.

 

The best surgery option or treatment option for you will be determined by your specialist after taking into consideration various factors such as the stage of the cancer, type of the cancer, patient preferences, general health of the patient and advantages and disadvantages of each treatment option to give the most benefit to the patient.

 

Chemotherapy: Usually given when the cancer spreads beyond lungs. This involves using anti cancer drugs that hampers the growth of the cancer cells.

Radiation Therapy: High energy X rays are used in radiation therapy. Radiation therapy may be given either alone or alongwith some other type of cancer treatment such as chemotherapy. It works by destroying the cancer cells and shrinking the tumor. 3D CRT (# Dimensional Conformal Radiation Therapy), IGRT (Image Guided Radiation Therapy), IMRT (Intensity Modulated Radiation Therapy) are the different types of radiation therapy.

 

Each patient is unique and so is his/her treatment. You may be prescribed single treatment modality or a combination of several treatment modality at once or one after the other as per your requirement. The treatment of cancer can be curative that aims to eradicate the cancer and/or palliative which aims to pacify your symptoms of cancer or the side effects of the undergoing treatment.

 

Q13 Who is the doctor for the treatment of Lung Cancer?

 

A13 A multi disciplinary team of specialists take care of your treatment for Lung cancer.

Surgical Oncologist is the specialist who specializes in cancer related surgery. Thoracic surgeon usually performs Lung Cancer Surgery. 

Medical oncologist is the doctor who has the necessary qualification, training and experience in diagnosing and treated cancer in patients through Chemotherapy, Hormonal Therapy, Biological Therapy and Targeted Therapy.

Radiation Oncologist is a doctor who specializes in the treatment of cancer using radiation therapy.

 

 

Lung Cancer Treatment in India|HealthcaretripIndia

 

 

  • High quality advanced cancer treatment at the most affordable cost

  • No waiting period

  • State of the art world class cancer hospitals with complete cancer care under one roof.

  • Most Advanced Equipment, High End Cutting Edge Technology and the latest Internationally Accepted Treatment Protocols are adopted. Latest diagnostic techniques are available such as Advanced Bronchoscopic Imaging, High resolution CT scan

  • Multidisciplinary integrated approach- Team of experts from various disciplines such as Radiation Oncologist, Medical Oncologist, Surgical Oncologist, specialist of the concerned specialty, all work in coordination taking consolidated review of your condition, right from the screening, diagnosis, treatment and rehabilitation to bring out the best clinical outcome for the patient. Professional standards are adhered to.

  • Organ Specific Expertise

  • Globally trained, highly experienced Medical, Surgical and Radiation Oncology Team of doctors 

  • Great ambience.

  • Compassionate staff to look after.

  • Hospitals accredited with international organizations such as JCI(Joint commission International) for quality standards.

  • Language no barrier. English speaking people and if required, translators are available for your convenience.

  • Most economical accommodation available at a walking distance from the hospital. Wide range of options starting from guest house, service apartments to five star hotels, best suited to your budget and choice.

  • Good flight connectivity.

 

Read here

Medical Tourism in India FAQs

 

Best Lung Cancer Doctors in India|HealthcaretripIndia

 

Top Surgical Oncologists in Delhi and Delhi NCR|Lung Cancer Treatment in India

Dr Harit Chaturvedi

MBBS,MS, MCh (Surgical Oncology)

Chairman, Max Institute of Cancer Care

Max Super Speciality Hospital, Saket, New Delhi

Cancer Care/Oncology/Surgical Oncology/Thoracic Oncology

Dr Vedant Kabra

MBBS, MS (General Surgery), DNB (General Surgery), MRCS (UK)

Senior Residency Training Program, Surgical Oncology

Head of Department of Surgical Oncology

Manipal Hospitals, Dwarka, Delhi

Cancer Care/Oncology/Surgical Oncology/Thoracic Oncology

Dr Dinesh Chandra Katiyar

MBBS, MS, MCh (Surgical Oncology)

Senior Consultant, Dept. of Surgical Oncology

Venkateshwar Hospital, New Delhi

Cancer Care/Oncology/Surgical Oncology/Thoracic Oncology

Dr Durgatosh Pandey

MBBS, MS (General Surgery), MCh( Surgical Oncology), DNB (General Surgery)

Senior Consultant|Cancer Surgeon|Surgical Oncologist

Max Super Speciality Hospital, Saket, New Delhi

Cancer Care/Oncology/Surgical Oncology/Thoracic Oncology

Dr Sandeep Mehta

MBBS, MS, MCh (Surgical Oncologist)

Assistant Director, Dept. of Surgical Oncology

BLK Super Speciality Hospital, New Delhi

Cancer Care/Oncology/Surgical Oncology/Thoracic Oncology
 

Top Medical Oncologists in Delhi and Delhi NCR|Lung Cancer Treatment in India

 

Dr Ashok Kumar Vaid 

MBBS, MD (General Medicine), DM (Medical Oncology)

Chairman, Medical Oncology, Cancer Institute

Medanta Medicity Hospital, Gurugram, Delhi-NCR

Cancer Care/Oncology/Medical Oncology

Dr Hari Goyal

MBBS, MD (Internal Medicine), DM (Oncology)

PDCR (Professional Diploma in Clinical Research)

Junior Registrar, Tata Memorial Centre, Mumbai

Chief, Medical Oncology

Artemis Hospital, Gurugram, Delhi-NCR

Cancer Care/Oncology/Medical Oncology

 

Top Radiation Oncologists in Delhi and Delhi NCR|Lung Cancer Treatment in India

Dr Tejinder Kataria

MBBS,MD (Radiotherapy),DNB (Radiotherapy)

CCST (Clinical Oncology), British Institute of Radiology (UK)

FIMSA, International Medical Science Academy

Commonwealth Scholar, British Council 

Chairperson, Radiation Oncology

Medanta,The Medicity,Gurgaon, Delhi, NCR

Cancer Care/Oncology/Radiation Oncology

Dr AK Anand

MBBS, MD (Radiotherapy)

Senior Director, Radiation Oncology

Max Super Specialty Hospital, Saket, Delhi

Cancer Care/Oncology/Radiation Oncology

 

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Hospitals

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  • Gurgaon,Delhi-NCR

    One of India's largest multi-super specialty institutes founded by Dr Naresh Trehan, the eminent cardiac surgeon.   The institutes expands over an area of 43 acres and has a rese

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  • Gurgaon,Delhi-NCR

    Artemis Hospitals, established in 2007, is the first hospital in Gurgaon (Delhi NCR) to be accredited by Joint Commission International (JCI) (in 2013) and NABH. Spread across 9 acres, 520 bedded, sta

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  • Saket, New Delhi

    Max healthcare is a leading group of super specialty hospitals in India with over 8 hospitals in Delhi, 1500 physicians, 3000 support staff and 800 beds.World class infrastructure,services in more tha

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  • Delhi-NCR

    Largest group of hospitals in India along with presence in Dubai, Mauritius and Sri lanka, Fortis Healthcare Limited provides healthcare delivery services with 36 healthcare facilities, arou

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  • Noida, Delhi-NCR

    NABH accredited, 1200 bedded flagship hospital of the Jaypee Group, is a tertiary care multi specialty hospital with the state of the art infrastructure, over 400 highly skilled globally trained docto

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  • Bangalore

    NABH accredited Multi Specialty Cancer Hospital in Bangalore, Cytecare Cancer Hospitals is Cytecare's flagship hospital which ensures comprehensive cancer care for its patients.  &

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  • New Delhi

    The pioneer of integrated healthcare, operates chain of 64 Super specialty hospitals with capacity of over 10,000 beds,over 7000 doctors and over 56 different specialties to cater to patient's nee

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  • Gurgaon;Bangalore

    Columbia Asia, a multi-national healthcare provider operating chain of 12 multi-disciplinary tertiary care hospitals in India, has set a benchmark in the field of transplantation (Kidney,Intestine,Liv

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  • Mumbai,India

    JCI accredited tertiary care multi super specialty hospital with latest technology, multi disciplinary capabilities, state of the art infrastructure, world class facilities and outstanding patient car

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  • Bangalore

    500 specialists across various domains, 275 oncologists across 23 cancer centres, 2 tertiary care hospitals and 6 infertility centres. HealthCare Global Enterprises Ltd., is a healthcare organiza

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  • Kozhikode(Calicut), Kerala, India

    NABH accredited 800 bedded multispeciality tertiary care hospital established in 1987, with state of the art infrastructure and equipped with most advanced technology. Since the time of its inception

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  • Delhi,India

    Asia's largest healthcare group "Apollo Hospital Group" expanded its footprint that comes under the banner of Apollo Spectra hospitals. Multi specialty group of hospitals that follo

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  • New Delhi, India

    Fully dedicated 150 bedded Super Speciality Tertiary Care Children's hospital exclusively built keeping all the nuances of child healthcare in mind. Rainbow Group, the nation's leading childre

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  • New Delhi

    325 beds, 100 critical care beds, 34 specialties, 10 Modular OTs. NABH and NABL accredited leading Multi Super Specialty hospital in India.   Venkateshwar Hospitals is a group of Healthcare

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International Patient Experiences

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    Mrs Elizabeth (Nigeria)

    15 Jun , 2016

    Breast cancer treatment, Age 54 Yrs

    I was diagnosed with breast cancer 6 months ago. HealthcaretripIndia team was very proactive and gave me prompt response. I was impressed by their efficiency. They got me the medical opinion from one of the best cancer hospital in India in the shortest span of time. The opinion that I got was detailed and in depth involving the integrated opinion of a team of specialists. Beginning from my first i

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