Lung cancer - Chronic
Definition
A heterogeneous group of epithelial carcinomas that originate from either the bronchial surface or bronchial mucus glands
Medical History
* Smoking
* Exposed to tobacco smoke
* Occupational Exposure
* Environmental Exposure
* Family history of Lung cancer
Findings
* Cough
* Weight loss
* Dyspnea - Chronic
* Chest pain
* Hemoptysis
* Bone pain
* Lymphadenopathy
* Fatigue
* Loss of appetite
* Wheezing
* Dysphagia - Chronic
* Hoarse
* Headache
Tests
Suspected lung cancer
* Plain chest X-ray: The chest x-ray often contains the first clue to lung carcinoma in asymptomatic patients .
* CT of chest
* Cytologic test, Sputum specimen: Sputum cytology may be most useful in patients who present with centrally located tumors or hemoptysis; further testing is recommended for nondiagnostic results .
* Transthoracic needle biopsy: Transthoracic needle aspiration (TTNA) is recommended in patients with a small peripheral lesion who require tissue diagnosis before further management; further testing is recommended for nondiagnostic results .
* Bronchoscopy: Bronchoscopic techniques are most useful in diagnosing centrally located tumors; further testing is recommended for nondiagnostic results .
* Fine needle biopsy
* Thoracentesis
Noninvasive staging of lung cancer
* CT of chest: A CT scan of the chest with contrast that includes the upper abdomen (liver and adrenal glands) is recommended to evaluate mediastinal metastases in patients with known or suspected lung cancer who are eligible for treatment
* Positron emission tomography: Positron emission tomography (PET) scanning is the most accurate noninvasive technique to evaluate mediastinal lymph nodes in lung cancer patients .
Invasive staging of lung cancer
* Mediastinoscopy: Mediastinoscopy is generally the method of choice for invasive mediastinal staging of lung cancer .
* Endoscopic ultrasound of upper gastrointestinal tract: Endoscopic ultrasound with fine needle aspiration is particularly useful for sampling inferior pulmonary ligament, esophageal, subcarinal, and aortopulmonary window nodes and may prevent the need for surgical staging .
* Thoracoscopy
* Bronchoscopy with transbronchial lung biopsy
Differential Diagnosis
* Non-small cell lung cancer
* Adenocarcinoma of lung
* Squamous cell carcinoma of lung
* Large cell carcinoma of lung
* Bronchioloalveolar carcinoma
* Small cell carcinoma of lung
* Secondary malignant neoplastic disease
* Carcinoid tumor of lung
* Solitary nodule of lung
* Granulomatous disorder
* Tuberculosis - Chronic
* Coccidioidomycosis
* Histoplasmosis
* Pulmonary cryptococcosis
* Allergic bronchopulmonary aspergillosis
* Hamartoma of lung
* Malignant mesothelioma of pleura
Treatment
Drug Therapy
Resectable/resected non-small cell lung cancer (NSCLC)
CISPLATIN
Locally and/or regionally advanced non-small cell lung cancer (NSCLC)
CISPLATIN
CISPLATIN - VINBLASTINE SULFATE
PACLITAXEL - CARBOPLATIN
Metastatic non-small cell lung cancer (NSCLC) - First line therapy
CISPLATIN - VINORELBINE TARTRATE
CARBOPLATIN - VINORELBINE TARTRATE
CISPLATIN - PACLITAXEL
CARBOPLATIN
CISPLATIN - DOCETAXEL
CARBOPLATIN - DOCETAXEL
CISPLATIN - GEMCITABINE HYDROCHLORIDE
CARBOPLATIN - GEMCITABINE HYDROCHLORIDE
CISPLATIN - IRINOTECAN HYDROCHLORIDE
CARBOPLATIN - IRINOTECAN HYDROCHLORIDE
CISPLATIN - PEMETREXED
CARBOPLATIN - PEMETREXED
Metastatic non-small cell lung cancer (NSCLC) - Second line therapy
DOCETAXEL
PEMETREXED
ERLOTINIB
Limited-stage small cell lung cancer (SCLC)
CISPLATIN - ETOPOSIDE
Extensive-stage small cell lung cancer (SCLC)
CISPLATIN - ETOPOSIDE
CARBOPLATIN - ETOPOSIDE
CISPLATIN - IRINOTECAN HYDROCHLORIDE
CYCLOPHOSPHAMIDE - DOXORUBICIN HYDROCHLORIDE - ETOPOSIDE
CYCLOPHOSPHAMIDE - ETOPOSIDE
Procedural Therapy
Lung cancer
* Lung excision
* External beam radiotherapy
I''m Charlotte Johnson,65 years old, Here in Edmonton, Canada. With the new herbal mix medicine I purchased from Dr James herbal mix medicine West Africa was my only way to get rid of my Alzheimer's, the herbal mix medicine effectively reversed my condition and alleviate all symptoms. I was initially very hesitant to discuss my Alzheimer but I just hope it can still help someone. I feel this will be very important information for all Alzheimer patients, because the most violent element in society today is ignorance. Be it any condition, a healthy diet and natural herbs and roots medicine from Dr. James is the road to fast recovery. I had suffered Alzheimer for many years, I fought for proper medical recommendation, care and all form of humane treatment with little improvement I went through many sleepless nights and periods of intense grief, as do most families. I was recommended by a friend to use Dr. James herbal mix medicine for my Alzheimer with high hope and assurance. I never doubted my friend but to contact Dr. James. And purchased His herbal mix medicine which was effective and I finally feel my Alzheimer is gone with no more symptoms. He also told me that he cures diseases such as Lungs diseases, kidney diseases, Warts, Bipolar disorder, Shingles, HPV, ALS, CANCER, NEPHROTIC SYNDROME, HIV / AIDS, Herpes virus, Ovarian Cancer, Pancreatic cancers, bladder cancer, prostate cancer, Glaucoma., Cataracts, Macular degeneration, Cardiovascular disease, Autism. Enlarged prostate, Osteoporosis. Alzheimer's disease, psoriasis, Tach Diseases, Lupus, Backache, dementia, skin cancer,.testicular Cancer, Leukemia, HEPATITIS A, B, C, Contact the great one on his email greatcureman@gmail.com
ReplyDeleteInfo @ drjamesherbalmix@gmail.com