2013년 11월 1일 금요일

Ilona Warf's blog ::OncologySTAT: A RESOURCE FOR LATEST CANCER INFORMATION






Ilona Warf's blog ::OncologySTAT: A RESOURCE FOR LATEST CANCER INFORMATION










Two               Types               of               Lung               Cancer:               There               are               two               types               of               lung               cancer:
               Non-Small               Cell               Lung               Cancer               (NSCLC):               is               responsible               for               85-90%               of               all               lung               cancers               and               has               three               different               subtypes:
               1.

Squamous               Cell               Carcinoma:               found               in               the               middle               of               the               lungs,               this               type               of               cancer               is               linked               to               smoking               (25-30%)
               2.

Adenocarcinoma:               found               on               the               outer               part               of               the               lung,               people               with               this               particular               cancer               typically               have               a               better               prognosis               (40%)
               3.

Large               Cell               (undifferentiated)               Carcinoma:               grows               and               spreads               rapidly,               and               can               be               found               in               any               part               of               the               lung               -               making               it               hard               to               treat               (10-15%)
               Small               Cell               Lung               Cancer:               begins               in               the               center               of               the               chest               and               is               responsible               for               10-15%               of               all               lung               cancers.

Made               up               of               small               cancer               cells               that               multiply               rapidly               and               can               form               large               tumors               as               well               as               spread               to               other               organs               (including               the               bones,               brains               and               liver               as               well               as               the               lymph               nodes).

This               type               of               lung               cancer               is               found               mostly               in               smokers,               it               is               very               rare               that               a               non-smoker               would               have               small               cell               lung               cancer.

Because               small               cell               lung               cancer               spreads               quickly,               if               surgery               is               an               option               it               is               often               matched               with               other               treatments               to               kill               the               parts               of               the               disease               that               has               spread.
               Rare               forms               of               Lung               Cancer:
               (responsible               for               less               than               5%               of               all               lung               cancers)
               §               Carcinoid               tumors
               §               Adenoid               cystic               carcinomas
               §               Hamartomas
               §               Lymphomas
               §               Sarcomas
               Lung               cancer               is               a               cancer               that               starts               in               the               lungs.

Cancer               that               begins               in               another               organ               and               spreads               to               the               lungs               is               considered               the               original               type               of               cancer               (for               instance:               kidney               cancer               that               spreads               to               the               lung               is               kidney               cancer).
               Lung               Cancer               Statistics:
               §               It               is               estimated               there               will               be               over               two               hundred               and               nineteen               thousand               new               cases               of               lung               cancer               in               2009
               §               It               is               also               estimated               that               there               will               be               over               150,000               deaths               from               lung               cancer
               §               More               people               die               of               lung               cancer               than               colon,               breast               and               prostate               cancer               combined
               §               The               risk               for               smokers               is               higher               than               in               non-smokers
               §               The               average               lifetime               risk               that               a               man               will               get               lung               cancer               is               one               in               thirteen,               a               woman               is               one               in               sixteen
               Common               Symptoms               of               Lung               Cancer               Include:
               *this               is               not               a               complete               list               of               symptoms;               if               you               do               have               any               of               the               symptoms               on               this               list,               you               should               contact               your               doctor*
               §               Cough               that               does               not               go               away
               §               Chest               pain               that               worsens               when               one               takes               a               deep               breath,               coughs               or               laughs
               §               Hoarseness
               §               Weight               loss
               §               Loss               of               appetite
               §               Bloody               spit
               §               Shortness               of               breath
               §               Pneumonia               or               bronchitis               that               keeps               coming               back
               §               Wheezing
               Common               Symptoms               (if               the               cancer               has               spread)               Include:
               §               Bone               pain
               §               Numbness               of               arms               or               legs
               §               Headache
               §               Dizziness
               §               Seizure
               §               Jaundice
               §               Lumps               near               the               surface               of               your               body
               Smoking               is               the               most               common               risk               factor               related               to               lung               cancer,               with               nine               out               of               ten               cases               being               caused               by               smoking.

Smoking,               in               this               case,               includes               cigarettes,               pipes               and               cigars.

A               person               exposed               to               secondhand               smoke               has               a               twenty               to               thirty               percent               increase               in               their               chances               of               developing               lung               cancer               in               the               future.

Smoking,               however,               is               not               the               only               risk               factor               of               lung               cancer...
               Other               Risk               Factors               Include:
               §               Marijuana
               §               DNA               and               Gene               changes
               §               Air               Pollution
               §               History               of               lung               cancer               (whether               it               is               personal               or               a               family               member)
               §               Arsenic
               §               Diets               or               vitamins
               §               Asbestos
               §               Radon
               §               Radiation               to               the               chest
               The               American               Cancer               Society               provides               a               list               of               questions               to               ask               your               doctor               if               you               have               been               diagnosed               with               lung               cancer.
               TREATMENTS
               There               are               various               types               of               treatments               one               could               undergo,               depending               on               the               type               of               lung               cancer               they               have:
               Surgery:
               (for               Small               Cell               Lung               Cancer               and               Non-Small               Cell               Lung               Cancer)
               §               1               in               20               cases               of               small               cell               lung               cancer               can               be               treated               entirely               by               surgery               (the               majority               of               cases,               however,               involve               additional               treatment)
               §               Tests               are               done               prior               to               ensure               enough               lung               tissue               will               remain               after               surgery
               §               Lymph               nodes               are               removed               for               to               check               for               spreading
               §               Operations               require               a               hospital               stay               of               about               a               week
               Operations:
               1.

pneumonectomy:               an               operation               in               which               the               entire               lung               is               removed
               2.

lobectomy:               only               a               part               of               the               lung               is               removed
               3.

segmentectomy               or               wedge               resection:               part               of               a               section               of               the               lung               is               removed
               4.

Video-Assisted               Thoracic               Surgery:
               Less               invasive,               this               surgery               is               used               during               the               early               stages               of               lung               cancers               (for               3-4               centimeter               tumors)               involves               a               thin               video               camera               to               be               placed               in               a               tiny               hole               in               the               chest,               to               allow               the               surgeon               to               see               the               chest               cavity.

Other               holes               (usually               two)               are               created,               and               large               instruments               pull               the               tumor               through               these               holes.

The               advantages               include               less               pain               and               a               shorter               hospital               stay.
               Side               Effects               of               Surgery:
               §               Excessive               bleeding
               §               Infections
               §               Pneumonia
               §               Limited               activity
               Radiation               Therapy:
               Radiation               Therapy               for               Small               Cell               Lung               Cancer
               Given               five               days               a               week,               for               a               few               weeks,               radiation               therapy               uses               energy               rays               to               kill               cancer               cells,               and               usually               coincides               with               chemotherapy               (or               after               chemotherapy               to               kill               any               cancer               cells               that               might               remain).

This               therapy               is               painless               and               the               treatment               is               brief               (set-up               time               is               commonly               longer               than               the               actual               procedure)
               Three               Dimensional               Conformal               Radiation               Therapy               (3D-CRT)
               This               type               of               radiation               therapy               uses               computer               programs               to               locate               the               tumor,               thus               aiming               the               radiation               beams               at               the               tumor,               from               different               places,               making               it               less               likely               to               damage               healthy               tissue.
               Intensity               Modulated               Radiation               Therapy               (IMRT)
               This               type               of               radiation               therapy               involves               a               machine,               which               moves               around               the               patient               to               deliver               radiation               to               the               tumor               from               different               angles               at               different               intensities.

This               type               of               therapy               is               typically               used               when               tumors               are               located               near               sensitive               body               parts,               like               the               spinal               cord.
               Radiation               Therapy               for               Non-Small               Cell               Lung               Cancer
               There               are               two               types               of               radiation               therapy               for               non-Small               Cell               Lung               Cancer:
               1.

External               Beam               Radiation               Therapy:
               Uses               radiation               from               outside               of               the               body               and               focuses               it               on               the               cancer.

This               radiation               is               commonly               used               on               the               primary               lung               cancer               or               when               it               spreads               to               the               organs.

Types               of               external               beam               radiation               include:
               Three               Dimensional               Conformal               Radiation               Therapy               (3D-CRT)
               This               type               of               radiation               therapy               uses               computer               programs               to               locate               the               tumor,               thus               aiming               the               radiation               beams               at               the               tumor,               from               different               places,               making               it               less               likely               to               damage               healthy               tissue.
               Intensity               Modulated               Radiation               Therapy               (IMRT)
               This               type               of               radiation               therapy               involves               a               machine,               which               moves               around               the               patient               to               deliver               radiation               to               the               tumor               from               different               angles               at               different               intensities.

This               type               of               therapy               is               typically               used               when               tumors               are               located               near               sensitive               body               parts,               like               the               spinal               cord.
               Stereotactic               Radiation               Therapy
               Treats               early               stages               of               lung               cancer               and               is               focused               on               giving               large               doses               of               radiation               one               or               two               days               a               week.

The               person               is               put               in               a               body               frame,               designed               for               them,               to               help               lead               to               successful               radiation.
               2.

Brachytherapy               (Internal               Radiation               Therapy):
               Involves               placing               a               small               dose               of               radioactive               material               in               the               cancer,               to               shrink               the               tumors               and               relieve               symptoms.

It               could               also               be               part               of               a               larger               treatment               to               cure               the               cancer.
               Side               Effects               of               Radiation               Therapy:
               §               Skin               problems               (like               a               sunburn,               where               the               radiation               enters               the               body)
               §               Nausea               and               vomiting
               §               Fatigue
               §               If               the               radiation               therapy               happened               in               the               chest:               trouble               breathing               or               swallowing
               §               If               the               radiation               therapy               happened               in               the               brain:               headaches,               memory               loss,               trouble               thinking,               loss               of               sex               drive
               Chemotherapy:
               (for               Small               Cell               Lung               Cancer               and               Non-Small               Cell               Lung               Cancer)
               Anti-cancer               drugs               (like:               cisplatin,               etoposide,               carboplatin               and               irinotecan;               the               choice               of               drugs               depends               on               the               growth               of               the               cancer)               are               injected               or               swallowed               and               enter               the               bloodstream,               which               makes               this               the               preferred               treatment               when               the               cancer               has               spread.
               Chemotherapy:
               §               Is               the               most               common               treatment               for               Small               Cell               Lung               Cancer
               §               Could               be               the               main               treatment,               or               an               addition               to               another               treatment
               §               Is               given               in               cycles               so               the               body               has               time               to               recuperate
               Side               Effects               of               Chemotherapy:
               §               Hair               loss
               §               Mouth               sores
               §               Loss               of               appetite
               §               Nausea               and               vomiting
               §               Increased               chance               of               infections
               §               Easy               bruising               and               bleeding
               §               Fatigue               or               weakness
               §               Sensitivity               to               cold               or               heat
               §               Pain,               burning               or               tingling               sensations
               Other               Treatments               for               Non-Small               Cell               Lung               Cancer:
               Radio               Frequency               Ablation               (RFA)
               §               For               small               lung               tumors               located               at               the               outer               lung
               §               Heats               the               tumor               and               uses               an               electric               current               to               destroy               the               cancer               cells
               §               An               outpatient               procedure,               using               medicine               or               local               anesthesia
               §               Can               cause               partial               collapse               of,               or               bleeding               into               the               lung
               Photodynamic               Therapy               (PDT)
               §               Used               to               treat               cancers               where               surgery               would               not               work               (i.e.:               near               airways)
               §               A               light-activated               drug,               called               Photofrin,               is               injected               and               collects               cancer               cells
               §               A               light               at               the               end               of               a               bronchoscope               is               passed               down,               causing               the               cells               to               die
               §               The               cells               will               be               removed               a               few               days               later
               §               Can               cause               sensitivity               to               the               light               and               skin               reactions
               The               following               drugs               are               newer               treatments,               used               on               non-small               cell               lung               cancer               patients               either               along               with               chemotherapy               or               when               chemotherapy               has               stopped               working.
               Bevacizumab:               infused               into               the               vein               every               two               to               three               weeks,               this               drug               targets               the               proteins               that               help               create               new               blood               vessels               (which               nourish               tumors).

Side               Effects               Include               bleeding,               high               blood               pressure,               loss               of               appetite,               risk               of               blood               clots               and               a               delay               in               wound               healing.
               Erlotinib               (Tarceva):               is               a               pill               taken               daily,               that               blocks               the               epidermal               growth               factor               receptor               (EGFR               -               which               signals               cells               to               grow               and               divide)               and               helps               to               keep               lung               tumors               under               control.

It               is               commonly               used               after               chemotherapy               has               stopped               working.

Side               Effects               Include               an               acne-like               rash               on               the               face               and               chest,               diarrhea,               loss               of               appetite               and               fatigue.
               Cetuximab               (Erbitux):               is               given               once               a               week               to               patients               with               advanced               lung               cancer,               to               target               EGFR,               it               is               often               added               to               standard               chemotherapy.

Side               Effects               Include               an               acne-like               rash,               headache,               fatigue,               fever               and               diarrhea.

Another               rare               side               effect               is               an               allergic               reaction               to               the               drug               during               the               first               infusion               (there               is               medicine               one               can               take               prior               to               treatment               to               help               prevent               it).
               OTHER               METHODS
               (for               both               Small               Cell               Lung               Cancer               and               Non-Small               Cell               Lung               Cancer)
               While               the               decision               is               ultimately               yours,               you               should               always               discuss               these               methods               with               your               doctor.

Your               doctor               can               help               you               find               methods               for               your               particular               case,               tell               you               what               to               avoid               and               provide               support.
               Clinical               Trials:
               Clinical               trials               are               controlled               research               which               studies               those               who               volunteer               for               them               in               an               attempt               to               use               new               treatments               or               procedures.

These               trials               are               not               right               for               everyone,               yet               they               help               doctor's               learn               more               about               newer               cancer               treatments.

There               are               requirements               that               a               person               must               meet               in               order               to               be               a               part               of               the               trial.
               To               Find               a               Clinical               Trial:
               §               Ask               your               doctor               about               hospitals               or               clinics               performing               trials
               §               Call               (800)-303-5691               or               go               online               to               clinicaltrials.cancer.org
               §               Call               (800)-422-6237               or               go               online               to               www.cancer.gov/clinicaltrials
               For               more               information               on               clinical               trials,               click               here
               Complementary               Methods:
               Refer               to               methods               that               one               can               practice               along               with               medical               care.

They               are               not               cures               for               cancer;               they               simply               help               you               feel               better,               as               a               way               to               get               rid               of               stress,               relieve               pain               or               nausea.

These               include:               aromatherapy,               massage               therapy,               meditation               or               yoga.

Some               therapies               have               been               tested               and               found               to               help,               while               others               have               been               found               to               be               harmful               therefore,               it               is               always               important               to               discuss               these               methods               with               your               doctor.
               Alternative               Treatments:
               Refer               to               methods               that               are               used               instead               of               regular               medical               treatments.

While               some               work,               most               alternative               treatments               have               been               found               to               be               harmful               and               ineffective,               and               by               using               them               the               patient               holds               off               on               their               treatment,               allowing               the               cancer               time               to               grow.

There               are               certain               ways               to               spot               a               bad               treatment.
               If               The               Treatment:
               1.

promises               to               cure               all               cancers               (or               the               majority               of               them)
               2.

is               only               given               by               certain               people
               3.

requires               that               you               not               use               other,               standard               medical               treatments
               4.

requires               the               patient               travelling               to               another               country
               5.

is               given               by               professionals               who               attack               the               medical               community
               AFTER               TREATMENT
               §               Keep               follow-up               appointments               (usually               every               2               to               3               months               for               the               first               year)               so               doctors               can               examine               you,               check               for               symptoms               of               side               effects               and               recurrence,               as               well               as               giving               you               the               opportunity               to               tell               the               doctor               how               you               are.
               §               You               might               want               to               consider               making               lifestyle               changes,               most               notably               with               your               diet               and               exercise,               as               well               as               joining               a               support               group               to               help               your               emotional               health,               after               going               through               a               difficult               time.
               CONCLUSION
               Because               the               stage               of               lung               cancer               the               patient               has               affects               the               treatments               listed               above,               The               American               Cancer               Society               provides               a               helpful               list               which               summarizes               which               treatments               are               most               effective               at               which               stage,               whether               you               are               diagnosed               with               small               cell               lung               cancer               or               non-small               cell               lung               cancer.
               Official               Site;               "How               Is               Non-small               Cell               Lung               Cancer               Treated?"               American               Cancer               Society
               Official               Site;               "What               Causes               Non-small               Cell               Lung               Cancer?"               American               Cancer               Society
               Official               Site;               "How               Is               Non-small               Cell               Lung               Cancer               Found?"               American               Cancer               Society
               Official               Site;               "How               Many               People               Get               Non-small               Cell               Lung               Cancer?"               American               Cancer               Society
               Official               Site;               "Clinical               Trials."               American               Cancer               Society
               Official               Site;               "Complementary               and               Alternative               Therapies."               American               Cancer               Society
               Official               Site;               "How               Is               Small               Cell               Lung               Cancer               Treated?"               American               Cancer               Society
               All               information               found               at               www.cancer.org




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    There               is               growing               debate               over               whether               certain               people               should               get               screened               for               lung               cancer.

    Society               is               under               the               impression               that               lung               cancer               only               affects               those               that               smoke,               however               that               is               not               the               only               case.

    While               yes,               it               does               mainly               affect               smokers,               it               can               also               show               up               to               those               who               have               never               touched               a               cigarette               in               their               life.

    Here               is               a               guide               to               getting               screened               for               lung               cancer,               for               those               who               feel               they               should               receive               one.

    One               way               to               determine               if               you               are               at               risk               for               lung               cancer               is               for               your               doctor               to               do               a               CT               Scan,               where               they               do               complete               scanning               of               your               lungs.

    While               catching               it               earlier               on               may               be               helpful               to               some               people               if               they               are               diagnosed               with               non-small               cell               lung               cancer,               it               may               not               be               of               much               help               or               hope               to               those               who               have               small               cell               lung               cancer.

    Treatment               is               not               often               helpful               for               those               with               small               cell               lung               cancer.
                   Some               of               the               risks               involved               with               getting               a               CT               Scan               are               as               follows.

    The               scan               can               spot               abnormalities               in               about               20               to               60               percent               of               smokers               and               former               smokers,               but               most               of               the               time               these               are               scars,               or               inflammation               in               non-cancerous               conditions,               so               it               may               cause               unnecessary               alarm.

    If               spots               or               larger               nodules               are               found,               then               more               tests               will               be               required               to               determine               if               lung               cancer               is               present.

    This               can               lead               to               biopsies               and               surgeries,               which               have               risks               all               their               own.
                   Another               risk               is               that               there               is               a               small               amount               of               radiation.

    Lungs               have               a               greater               chance               of               developing               radiation-induced               cancer.

    So               there               is               one               more               factor               to               consider.

    Also,               the               screening               may               detect               small               tumors               that               would               never               be               cancerous               and               unnecessary               surgeries               and               biopsies               would               be               done               for               really               no               reason.
                   The               pros               to               getting               screened               for               getting               screened               for               lung               cancer               would               be               that               if               caught               early,               some               of               the               tumors               found               due               to               the               lung               cancer               could               be               removed,               thus               greatly               increasing               your               chance               at               survival.
                   So               if               you               are               a               smoker,               or               ever               have               smoked,               or               been               around               second               hand               smoke               for               a               long               period               of               time,               it's               worth               considering               getting               screened               for               lung               cancer               as               long               as               you               can               remember               there               are               some               real               risks               involved,               and               that               even               if               caught,               some               problems               might               not               be               caught               in               time.

    Also               consider               getting               screened               if               you               have               worked               around               asbestos               or               radon.

    This               can               also               put               you               at               risk.

    Some               signs               and               symptoms               of               lung               cancer               are:               cough,               shortness               of               breath,               hoarseness,               blood               in               the               sputum               and               pain.
                   If               you               are               a               smoker,               quitting               now,               even               if               you               have               smoked               for               a               number               of               years,               can               greatly               improve               your               health               and               reduce               your               risk               of               getting               lung               cancer.

    You               can               talk               to               your               doctor               about               a               successful               way               to               quit               smoking.

    There               are               support               groups,               medicines               and               some               other               alternative               routes               you               can               take.

    You               can               also               visit               the               website:               http://www.smokefree.gov/               for               some               great               information.

    You,               and               your               loved               ones               will               thank               you               for               kicking               the               habit!




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      ... from lung cancer is cut in half, and the risk of cancer...the same as for non-...best way. Most ...Josephson's who quit three...a shot at ...
    4. theunitedstatesofmonsters.blogspot.com/   08/15/2007
      ...I mean look at them, there they are, the UN Observer... for doing so... its most warmest... above. Who's wasting...
    5. iehealth.blogspot.com/   01/26/2012
      ...cancer risk from tobacco is MUCH...of all cancers! It doesn...cause lung cancer... who might...quit rate for ...Meanwhile most ...that can at least...
    6. wretchedtoad.blogspot.com/   07/20/2011
      ... marionette whose strings are being ...A dumb Cracker mantra for sure, but with the ... July 2011 at 11.00am...
    7. wretchedtoad.blogspot.com/   02/10/2012
      ... for the sadistic killer you surely are.... Just ...? Who ingodsname would...wake me at 2.30am by...some of your most creative ...was never any risk of an...
    8. iehealth.blogspot.com/   11/08/2011
      ...fight back too! To sum up, at the very least, always wash your...vitamin D3 if you haven’t already been doing so. (Get the flu... cut your risk by about 60 to 90%. So always...
    9. god-is-gracious-.blogspot.com/   01/15/2009
      ... at 8 grams...because they are added...been around for centuries.... Triple risk of coronary heart...the risk of cancers up to five...here's the most disturbing...
    10. news2u-well.blogspot.com/   02/29/2008
      ... who don't already... been randomly ...seem to be a risk that ... for a nursing...is the second most common side affect... at the University...
    11. Who Is Most At Risk For Lung Cancer - Blog Homepage Results

      ...also know those colors can be ... Continue reading » ... Fewer Smokers, Less Lung Cancer Meta Register Log in Entries RSS...


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