What tests are conducted for lung cancer?

Written by Gong Chun
Oncology
Updated on September 25, 2024
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Diagnosis of Lung Cancer:

The first method can be through chest X-ray and CT scan;

The second is sputum cytology examination;

The third involves using a bronchoscopy;

The fourth is mediastinoscopy, which allows direct observation of the enlargement of lymph nodes on both sides of the mediastinum;

The fifth is to perform PET-CT, which is Positron Emission Tomography-Computed Tomography;

The sixth requires a biopsy; it can be done through a transthoracic needle biopsy, or via a bronchoscopic biopsy;

The seventh is the biopsy of metastatic lesions, such as subclavian lymph nodes, and lymph node metastases in the neck or axillary areas can be examined;

The eighth can involve drawing cancerous pleural effusion; if there is pleural effusion, pleural fluid cytology examination can be performed;

The ninth method is thoracotomy exploration; if lung nodules or lung tumors cannot be definitively diagnosed through various other methods, thoracotomy exploration can be performed.

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How is lung cancer diagnosed?

Lung cancer is one of the malignant tumors and falls under respiratory system diseases. The gold standard for the diagnosis of malignant tumors is biopsy. Thus, lung cancer is no exception; it requires a biopsy and immunohistochemistry to determine the type of cancer and its pathological type. So how is the biopsy obtained? We can use a bronchoscope to directly observe the tumor and collect small tissue samples for pathological examination. Additionally, there is the thoracic wall lung puncture biopsy, where tissue from the tumor can be sampled using a fine needle. These samples are observed under a microscope to differentiate the pathological types and to further confirm the diagnosis.

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What should I do about dry cough and wheezing caused by lung cancer?

Patients with lung cancer presenting with dry cough and wheezing often require treatment to suppress coughing, alleviate wheezing, and address the symptoms. It is also important to check if the patient has concurrent obstructive pneumonia. Lung cancer combined with obstructive pneumonia can also lead to dry cough and wheezing. In such cases, anti-infection treatment is needed, along with treatment specifically targeting lung cancer itself. Dry cough and wheezing in lung cancer often suggest that the cancer may be in the middle to late stages, where the chances of surgery are generally small. However, it is still necessary to complete relevant examinations to further assess the condition. If the patient is eligible for surgery, surgical treatment should be considered. If the patient is indeed in the middle to late stages of lung cancer and is not suitable for surgery, chemotherapeutic drugs are needed for treatment. Sometimes, targeted drugs can be chosen for treating advanced-stage non-small cell lung cancer. In cases of advanced non-small cell lung cancer with driver gene mutations, targeted therapy might even be the preferred treatment option.

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Can lung cancer be cured?

Lung cancer is a type of malignant tumor, so whether it can be cured depends on the circumstances and can only be assessed over time. If the patient is eligible for surgery and there is no recurrence or metastasis after the operation, then adjuvant radiotherapy and chemotherapy may be effective. If the evaluation after treatment shows no recurrence or metastasis and the condition is stable, then naturally, the patient's five-year survival rate will be higher. However, if there is recurrence or metastasis after surgery and the cancer is not very responsive to radiotherapy and chemotherapy, then the five-year survival rate will be much lower. The same applies to small cell lung cancer. Generally, small cell lung cancer is more responsive to radiotherapy and chemotherapy, but if it is not, then the five-year survival rate is also low. Thus, this question can only be addressed by considering the individual's pathology stage, nutritional status, physical condition, cardiopulmonary function, and many other factors. It cannot be broadly answered.

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Oncology
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How is lung cancer treated?

For the treatment of lung cancer, it should currently be based on a comprehensive treatment method tailored to the patient's age, specific condition, nutritional status, economic condition, and the capabilities available at the hospital. It is particularly related to the stage of the disease and the type identified in the tissue biopsy. Currently, lung cancer primarily adopts a multidisciplinary comprehensive treatment approach spearheaded by surgical intervention. Surgical treatment is the preferred method for lung cancer, but since it is a systemic disease, surgery alone cannot completely address the issue. Therefore, it must be combined with radiotherapy, chemotherapy, and other treatments in a multidisciplinary and comprehensive approach. Additionally, immunotherapy and targeted therapy are inseparable and crucial parts of integrated treatment strategies for lung cancer. If the disease is staged and involves adenocarcinoma or squamous cell carcinoma of the lung, surgical treatment is recommended followed by adjuvant radiotherapy or chemotherapy, or targeted and immunotherapy. If surgery is not possible, some supportive treatments can be considered. For small-cell lung cancer, surgery is not recommended because it offers no benefit; instead, a combined approach of chemotherapy and radiotherapy is advised.

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Oncology
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What is the treatment for lung cancer?

Treatment for lung cancer should be based on the pathological staging, the pathology type, the biological behavior of the lung cancer, and individualization, taking into account the patient's cardiopulmonary function and overall systemic condition to develop a personalized treatment plan. For non-small cell lung cancer and small cell lung cancer, the treatment approaches differ significantly. Therefore, it is advisable for patients to seek treatment at specialized hospitals, under the guidance of oncology specialists. Generally, treatment options for non-small cell lung cancer include surgical resection, adjunctive chemoradiation, neoadjuvant chemoradiation, targeted therapy, and immunotherapy. For small cell lung cancer, a comprehensive treatment plan combining chemoradiation, along with prophylactic cranial irradiation and other aggressive treatments, is recommended. Each individual's situation might differ, so it is important to focus on a personalized comprehensive treatment plan rather than a one-size-fits-all approach.