Non-Small Cell Lung Cancer (Stage 1) - Symptoms, Diagnosis, Stages and Treatment

Symptoms

Stage 1 non-small cell lung cancer (NSCLC) may be present in a sufferer without showing any signs or symptoms. It is usually diagnosed when a doctor orders a patient to take a chest X-ray which is often associated with another illness. Symptoms may include: a persistent cough (smoker's cough), shortness of breath, wheezing, and recurrent bronchitis or pneumonia. At this early stage, other symptoms are not usually present in a sufferer.

Diagnosis

Stage 1 NSCLC is localized (contained within the lungs) and has not spread to the lymph nodes or other organs in the body.

Stages

- 1 The cancer is localized within the lungs but has not yet spread to the lymph nodes.

- 1A (the tumor is 3 cm or less in diameter).

- 1B (the tumor is between 3-5 cm in diameter).

These stages may also be described with a system called TNM (T = tumor size, N = nodes, and M = metastasis [spread of cancer]). Example:

- 1A (T1N0M0) Meaning that the tumor is less than 3 cm (T1), with no nodes (N0), and no metastasis (M0).

- 1B (T2N0M0) Meaning that the tumor is greater than 3 cm (T2), with no nodes (N0), and no metastasis (M0).

Treatment

Surgery is usually considered as the primary option for Stage 1 lung cancer treatment where removal of the tumor may be done via various different techniques. These techniques may include: segmentectomy (removal of a small segment of the lung), lobectomy (removal of the lobe of the lung), or pneumonectomy (removal of the entire lung).

Video-assisted thoracoscopic surgery (VATS) may be used when either the location of the tumor is difficult to reach using traditional surgery, or when the general health of the patient is not at its best and considered that the patient would not be able to tolerate a full surgical procedure. VATS is also less intrusive on the patient than traditional surgery.

If the cancer is considered to be inoperable, radiation therapy may be used to treat it.

Stereotactic body radiosurgery (SBRS) is one treatment that may be considered. This is where the patient is first immobilized in a frame to stop any movement, then computer imaging techniques are used to identify precisely where the cancerous cells are. These cells are then in turn destroyed by being given high dosages of radiation.

Conventional radiation therapy's are not usually recommended with Stage 1A lung cancer, although with Stage 1B, adjuvant chemotherapy (chemotherapy used after surgery to kill off any remaining cancerous cells) may be offered.

Philip Albert Edmonds-Hunt is from the County of Oxfordshire in the United Kingdom. He has travelled most of Europe, and he has lived in Spain on more than one occasion. Philip has also travelled much of the USA and now lives and works as a Freelance Writer and English Teacher in Mexico. He is the owner of The Oxford Quill, a small but reliable business offering a range of services such as Professional Article Writing, Proofreading, and Website Design. If you would like to read more about lung cancer, check out: https://sites.google.com/site/theoxfordquill/how-to-treat-lung-cancer-caused-by-melanoma

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Continue Reading... Labels: Cancer, Diagnosis, NonSmall, Stage, Stages, Symptoms, Treatment

Non-Small Cell Lung Cancer - (Stages 0-4)

After non-small cell lung cancer (NSCLC) has been diagnosed in a patient it is given what is called a "stage." This describes both the size of the tumor, and to what extent the tumor has spread within the body. Once diagnosed, a more accurate prognosis (life expectancy) of a patient can be given. There are five main stages of NSCLC (0, 1, 2, 3, 4). Each of these stages is further divided into more specific sub-stages.

(Stages 0-4)

- 0 The cancer has not spread past the inner lining of the lungs; also known as carcinoma in situ (CIS).
- 1 The cancer is localized within the lungs but has not yet spread to the lymph nodes.
- 1A (the tumor is 3 cm or less in diameter).
- 1B (the tumor is greater than 3 cm in diameter).
- 2 The cancer has either spread outside the lungs to the nearby lymph nodes, or has NOT yet spread to the lymph nodes, but is localized in a certain area of the main bronchus (tubes that allow air to pass between the trachea and the lungs). The tumor may also be located in an area where it has invaded the lining of the lungs, or the wall of the chest.
- 2A (the tumor is 3 cm or less and has spread to the lymph nodes).
- 2B (the tumor is greater that 3 cm and has spread to the lymph nodes. It may also be present in the main bronchus region, has invaded the lining of the lungs, or wall of the chest.
- 3 The cancer has spread to the nearby tissue of the lungs.
- 3A (the tumor is lager in size and has spread to the lymph nodes. At this stage multi-tumors of any size may have spread away from the main tumor area).
- 3B (tumors of any size that have spread to distant lymph nodes and have invaded other organs such as the esophagus, the heart, or tumors with malignant pleural effusion [an abnormal amount of fluid in the space between the tissue that lines the inside of the lungs]).
- 4 The cancer has reached its most dangerous stage by having spread to other organs of the body, including another lobe of the lung.

Doctors may often describe NSCLC with a system called TNM. This system is used to further classify lung cancer within its sub-stages. Each letter stands for a different degree (stage) of the disease.

T - (the size of the tumor).
N - (indicates which lymph nodes have been invaded).
M - (defines whether the cancer has metastasized).

Philip Albert Edmonds-Hunt is from the County of Oxfordshire in the United Kingdom. He has travelled most of Europe, and he has lived in Spain on more than one occasion. Philip has also travelled much of the USA and now lives and works as a Freelance Writer and English Teacher in Mexico. He is the owner of The Oxford Quill, a small but reliable business offering a range of services such as Professional Article Writing, Proofreading, and Website Design. If you would like to read more about lung cancer, check out: https://sites.google.com/site/theoxfordquill/how-to-treat-lung-cancer-caused-by-melanoma

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Continue Reading... Labels: Cancer, NonSmall, Stages

The Four Stages of (Non Small-Cell) Lung Cancer

Assessing a case of lung cancer via staging is a crucial part of the diagnosis in any case. Applying a 'stage' can be seen as a label for how far the cancer in question has spread from its original location. With most cancers, the later the stage, the worse the chances are of survival and eventual recovery.

Each stage is defined by a list of parameters. These parameters normally concern the size of the cancerous growths, as well as the presence of cancerous cells elsewhere in the body- staging is such a crucial part of the initial diagnosis because it is a deciding factor in choosing the appropriate treatment for a particular patient, which in turn will have a significant impact on the probability of survival.

The stage of a lung cancer diagnosis is assessed using the following guidelines (NB: As per the title, the following four stages are only applicable to non small-cell cancer types):

Stage 1 is itself divided into two classifications, but both of these are used to identify cancers that have not spread to the lymph nodes. "Stage 1A" refers to cancers no larger than 3cm in size, whereas "Stage 1B" concerns cancers larger than 3cm, or cancers that are growing into the main airway of the lung in question.

Again, there are two different types for stage 2. "Stage 2A" concerns cancers 3cm or less in size, but that have spread to the lymph nodes. "Stage 2B" refers to cancers that are either larger than 3cm and have spread to the lymph nodes, or larger than 3cm and have not spread to the lymph nodes, but have instead spread to the surrounding sites such as the chest wall, the diaphragm or the covering of the heart muscle.

Once more there are two types of stage 3 cancer. "Stage 3A" fulfils the following parameters:

The cancer is any size and has spread to the lymph nodes, but has not spread to the other side of the chest. Or the cancer has spread into the tissues surrounding the original site, such as the chest wall, the covering of the lung or the middle of the chest.

In "Stage 3B" the cancer has spread to the lymph nodes on either side of the chest, or higher than the level of the patient's collar bone. One of the other major organs such as the gullet, heart, trachea or an artery.

In stage 4, the cancer which originated in the lung has spread to another major organ such as the brain, heart or liver.

The Royal Brompton Hospital is one of the world's leading heart and lung centres, renowned for its expertise in the diagnosis and treatment of lung cancer. If you're looking for more information about the early symptoms of lung cancer visit us today.

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Continue Reading... Labels: Cancer, SmallCell, Stages