Cancer means excess abnormal and uncontrolled growth of normal body cells. These cells are called malignant cells when cancer involves lung and its parts, it is named as lung cancer. Lung cancer is a common cause of cancer death all over the world.
SIGNS AND SYMPTOMS
Various signs and symptoms are found during various stages of the disease. Anorexia and weight loss are common presenting symptoms. Recurrent cough or change in cough patters is found in the early stages. Dyspnea and hemoptysis are seen in advanced lung CA. Chronic chest pain is also found in lung cancer. When lung CA metastases to bones like vertebrae, ribs, and pelvis can cause joint or bone pain. Local spread may lead to endobronchial obstruction and cause respiratory distress. Voice change and pleural effusion occur due to the local invasion of tumor cells. Brain metastasis can manifest as headache, nausea, vomiting or seizures. Sometimes, lung tumor obstructs the superior vena cava and cause Superior Venacava syndrome. Bronchogenic carcinoma also causes paraneoplastic syndrome(Systemic manifestations due to secretory effects of tumor). Hypercalcemia developers in squamous cell carcinoma and SIADH ( Syndrome Of Inappropriate Antidiuretic Hormone) developers in small cell carcinoma. Lambert – Eaton Syndrome, hypercoagulability, high ACTH are also seen due to the paraneoplastic syndrome.
A primary investigation to diagnose lung cancer is radiographic imaging. A digital chest x-ray and CT scan give a gross idea about the tumor size and location. After localization of lung mass, pulmonologists go for CT guided FNAC ( Fine Needle Aspiration Cytology) or biopsy to confirm the diagnosis and classification of the malignancy sputum cytology for the malignant cell is also a very specific test but it has low sensitivity. Fiber optic bronchoscopy is another method for diagnosis. It helps to visualize major airways, locate mass and biopsy taking. For metastasis diagnosis PET ( Positron Emission Tomography) is the best modality.
Lung cancer treatment depends on the type of cancer and TNM staging. Small cell lung carcinoma is responsive to chemotherapy as well as radiotherapy. Etoposide and cisplatin are very much effective for this type of lung cancer. Radiation along with chemotherapy improves the survival rate of the patients. For non-small cell, lung carcinoma surgery is the treatment of choice.