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Lung Cancernhschoices

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lung cancer
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   Date created : 08/11/2014  Lung cancer - information prescription Treating lung cancer   You will be cared for by a team of specialists who will work together to provide the best possible treatment. This team will contain all the specialists required to make a proper diagnosis, to stage your cancer and to plan the est treatment! # youwant to know more, ask your specialist aout this!The type o# treatment you will recei$e #or lung cancer depends on se$eral #actors, including: ã the type o# lung cancer you ha$e %non&small&cell or small&cell cancer' ã the si(e and position o# the cancer ã how #ar ad$anced your cancer is %the stage' ã your o$erall health Deciding what treatment is est #or you can e di##icult! )our cancer team will make recommendations, ut the #inal decision will e yours! The main treatment options include surgery, radiotherapy and chemotherapy! Depending on your type o# cancer and how ad$anced it is, you may recei$e a comination o# these treatments!  Your treatment plan )our treatment plan will depend on whether you ha$e non&small&cell lung cancer or small&cell lung cancer! Non-small-cell lung cancer # you ha$e non&small&cell lung cancer that is con#ined to one lung and you are in good general health, you*ll proaly ha$e surgery to remo$e the cancerous cells! This may e #ollowed y a course o# chemotherapy to destroy any cancer cells that may ha$e remained in the ody! # the cancer has not spread too #ar ut surgery is not possile %#or e+ample, i# your general health means you ha$e an increased risk o# de$eloping complications', radiotherapy to destroy the cancerous cells will usually e recommended! n some cases, this may e comined with chemotherapy %known as chemoradiotherapy'! # the cancer has spread too #ar #or surgery or radiotherapy to e e##ecti$e, chemotherapy is usuallyrecommended! # the cancer starts to grow again a#ter initial chemotherapy treatment, another course o# treatment may e recommended!  NHS hoices puts you in control of your healthcare -. hoices has een de$eloped to help you make choices aout your health, #rom li#estyle decisions aout things like smoking, drinking and e+ercise, through to the practical aspects o# #inding and using -. ser$ices when you need them!www!nhs!uk    1   Date created : 08/11/2014  n some cases, a treatment called iological or targeted therapy may e recommended as an alternati$e to chemotherapy, or a#ter chemotherapy! iological therapies are medications that can control or stop the growth o# cancer cells! Small-cell lung cancer .mall&cell lung cancer is usually treated with chemotherapy, either on its own or in comination with radiotherapy! This can help prolong li#e and relie$e symptoms!.urgery isn*t usually used to treat this type o# lung cancer! This is ecause o#ten the cancer has already spread to other areas o# the ody y the time it*s diagnosed! -owe$er, i# the cancer is #ound $ery early, surgery may e used! n these cases, chemotherapy or radiotherapy may e gi$en a#ter surgery to help reduce the risk o# the cancer returning! Surgery There are three types o# lung cancer surgery: ã Lobectomy  where one or more large parts o# the lung %called loes' are remo$ed! )our doctors will suggest this operation i# the cancer is ust in one section o# one lung! ã !neumonectomy  where the entire lung is remo$ed! This is used when the cancer is located in the middle o# the lung or has spread throughout the lung! ã edge resection or segmentectomy  where a small piece o# the lung is remo$ed! This procedure is only suitale #or a small numer o# patients as it is only used i# your doctors think your cancer is small and limited to one area o# the lung! This is usually $ery early&stagenon&small&cell lung cancer! eople are naturally concerned that they will not e ale to reathe i# some or all o# a lung is remo$ed, ut it is possile to reathe normally with one lung! -owe$er, i# you ha$e reathing prolems e#ore the operation, such as reathlessness, it is likely that these symptoms will continue a#ter surgery! Tests before surgery e#ore surgery can take place, you will need to ha$e a numer o# tests to check your general state o# health and your lung #unction! These may include: ã an electrocardiograph  %3' electrodes are used to monitor the electrical acti$ity o# your heart ã spirometry  you will reathe into a machine called a spirometer, which measures how muchair your lungs can reathe in and out NHS hoices puts you in control of your healthcare -. hoices has een de$eloped to help you make choices aout your health, #rom li#estyle decisions aout things like smoking, drinking and e+ercise, through to the practical aspects o# #inding and using -. ser$ices when you need them!www!nhs!uk  2   Date created : 08/11/2014  How it#s performed .urgery is usually per#ormed y making a cut %incision' in your chest or side, and remo$ing a section or all o# the a##ected lung! eary lymph nodes may also e remo$ed i# it is thought that thecancer may ha$e spread to them! n some cases, an alternati$e to this approach, called $ideo&assisted thoracoscopic surgery %56T.', may e suitale! 56T. is a type o# keyhole surgery, where small incisions are made in the chest! 6 small #ire&optic camera is inserted into one o# the incisions, so the surgeon can see images o# the inside o# your chest on a monitor! $fter the operation )ou will proaly e ale to go home #i$e to 10 days a#ter your operation! -owe$er, it can take many weeks to reco$er #ully #rom a lung operation!  6#ter your operation, you will e encouraged to start mo$ing aout as soon as possile! 3$en i# youha$e to stay in ed, you will need to keep doing regular leg mo$ements to help your circulation andpre$ent lood clots #rom #orming! 6 physiotherapist will show you reathing e+ercises to help pre$ent complications!7hen you go home, you will need to e+ercise gently to uild up your strength and #itness! 7alking and swimming are good #orms o# e+ercise that are suitale #or most people a#ter treatment #or lung cancer! Talk to your care team aout which types o# e+ercise are suitale #or you! omplications  6s with all surgery, lung surgery carries a risk o# complications! These are estimated to occur in one out o# e$ery #i$e cases! These complications can usually e treated using medication or additional surgery, which may mean you need to stay longer in hospital!omplications o# lung surgery can include: ã in#lammation or in#ection o# the lung %pneumonia' ã %o To& http://www!nhs!uk/conditions/neumonia/ages/ ntroduction!asp+ ã e+cessi$e leeding ã a lood clot in the leg %deep $ein thromosis', which could potentially tra$el up to the lung %pulmonary emolism' ã %o To& http://www!nhs!uk/conditions/Deep&$ein&thromosis/ages/ ntroduction!asp+  ã %o To& http://www!nhs!uk/conditions/pulmonary&emolism/ages/ ntroduction!asp+  NHS hoices puts you in control of your healthcare -. hoices has een de$eloped to help you make choices aout your health, #rom li#estyle decisions aout things like smoking, drinking and e+ercise, through to the practical aspects o# #inding and using -. ser$ices when you need them!www!nhs!uk    3   Date created : 08/11/2014  'adiotherapy adiotherapy is a type o# treatment that uses pulses o# radiation to destroy cancer cells! There are a numer o# ways it can e used to treat people with lung cancer! 6n intensi$e course o# radiotherapy, known as radical radiotherapy, can e used to try to cure non&small&cell lung cancer i# the person is not healthy enough #or surgery! 9or $ery small tumours, a special type o# radiotherapy called stereotactic radiotherapy may e used instead o# surgery!adiotherapy can also e used to control the symptoms and slow the spread o# cancer when a cure is not possile %this is known as palliati$e radiotherapy'! 6 type o# radiotherapy known as prophylactic cranial irradiation % ' is also sometimes used during the treatment o# small&cell lung cancer!  in$ol$es treating the whole rain with a low doseo# radiation! t is used as a pre$entati$e measure ecause there is a risk that small&cell lung cancer will spread to your rain!The three main ways that radiotherapy can e gi$en are descried elow: ã onventional e(ternal beam radiotherapy  a machine is used to direct eams o# radiation at a##ected parts o# your ody! ã Stereotactic radiotherapy  a more accurate type o# e+ternal eam radiotherapy where se$eral high&energy eams are used to deli$er a higher dose o# radiation to the tumour, while sparing the surrounding healthy tissue as much as possile! ã )nternal radiotherapy  a catheter %thin tue' is inserted into your lung! 6 small piece o# radioacti$e material is placed inside the catheter and positioned against the site o# the tumour e#ore eing remo$ed a#ter a #ew minutes! 9or lung cancer, e+ternal eam radiotherapy is used more o#ten than internal radiotherapy, particularly i# it is thought that a cure is possile! .tereotactic radiotherapy may e used to treat tumours that are $ery small, as it is more e##ecti$e than standard radiotherapy alone in these circumstances! nternal radiotherapy only tends to e used as a palliati$e treatment where the cancer is locking or partly locking your airway! ourses of treatment  6 course o# radiotherapy treatment can e planned in se$eral di##erent ways!adical radiotherapy is usually gi$en #i$e days a week, with a reak at weekends! 3ach session o# radiotherapy lasts 10&1 minutes and the course usually lasts etween #our and se$en weeks! NHS hoices puts you in control of your healthcare -. hoices has een de$eloped to help you make choices aout your health, #rom li#estyle decisions aout things like smoking, drinking and e+ercise, through to the practical aspects o# #inding and using -. ser$ices when you need them!www!nhs!uk  4
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