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.
Article Source: http://EzineArticles.com/7223728
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