Lung Cancer Treatment

Lung cancer

Lung cancer is a leading cause of cancer-related death in the United States. Many lung cancers are preventable. Inhaling cancer-causing substances such as tobacco smoke may lead to lung tissue changes shortly after exposure — so-called precancerous changes. Nevertheless, cancer typically develops over a period of many years. If detected early enough, it can often be successfully treated.

Pre-treatment evaluation

Before treatment, the doctor will usually perform a biopsy to determine whether cancer is present and, if so, what type. Doctors use medical imaging to determine the stage of the tumor. Treatment options (and their expected results) depend on the stage of the tumor. The imaging usually includes chest X-ray and chest computed tomography (CT). It may also include a PET/CT scan and MRI of the brain. You may undergo pulmonary and cardiac functional tests to determine if you can tolerate surgery. Blood tests will determine if you can tolerate chemotherapy, targeted therapy, and/or immunotherapy.

Treatment options overview

Tumor genomic testing is now standard of care for many lung tumors. These tests help your doctor select the most appropriate treatment for your condition. Your doctor may treat early-stage lung cancer with standard treatments such as surgery or radiation therapy.
Surgery is the primary treatment for patients with early-stage cancer who are in good general health. The goal of surgery is to totally remove all the tumor cells and thereby provide a cure. Unfortunately, lung cancers tend to develop in smokers over age 50 who often have other serious conditions that increase the risk of surgery.
Radiation therapy (radiotherapy) uses high-energy x-rays to destroy cancer cells and to ease symptoms. Doctors use it: As primary treatment Before surgery to shrink the tumor After surgery to eliminate any cancer cells that remain in the treated area To treat lung cancer that has spread to the brain or other areas of the body or to ease symptoms

What happens during radiation therapy?

Radiation therapy delivers focused high-energy x-rays (photons), gamma rays, or atomic particles. It affects cells that are rapidly dividing—such as cancer cells—much more than those that are not. Most cancers, including lung tumors, are made of cells that divide more rapidly than those in normal lung tissue. This means the tumor may be eliminated without damaging surrounding normal tissues. Radiotherapy acts by attacking the DNA within tumor cells, making it impossible for them to grow and create more cancer cells. Normal body cells may also be damaged, but they are able to repair themselves and function properly once again. The key is to give daily doses of radiation large enough to kill a high percentage of the rapidly dividing cancer cells, while minimizing damage to the more slowly dividing normal tissue cells in the same area.
Open chat