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Lungs cancer
Introduction
 Lung cancer is one of the most common types of
cancer. There is a strong link between smoking and
lung cancer. World-wide over 1 million people are
diagnosed with lung cancer each year.
 Tobacco use accounts for 87% of lung cancer.
 Lung cancer affect primarily in 5 or 6th decade of life.
 In 70% of lung cancer patient, disease has spread to
distant organs.
Definition
 It is a malignant lung tumor characterized
by uncontrolled cell growth in tissues of
the lung.
 UNITED STATES:-
In 2020,there were 235760 diagosed with lungs cancer and 131880 deaths
 INDIA:-
In 2018,there were 1.16 million diagosed with lungs cancer and 784821 deaths
Causes
 Tobacco
 Smoking
 Passive smoking
 Radon gas
 Air pollution
 Inheridity
 Exposure of radiation
 Exposure of Chemicals
Localized Signs and Symptoms
 Cough
 Breathing Problems, SOB, stridor
 Change in phlegm
 Lung infection, hemoptysis
 Hoarseness, Hiccups
 Weight loss
 Chest Pain and tightness
 eural Effusion
 Superior Vena Cava Syndrome
 Fatigue
Generalized Signs and Symptoms
 Bone pain
 Headaches, mental status changes or
neurologicfindings
 Abdominal pain, elevated liver function tests,
enlarged liver, gastrointestinal disturbances
(anorexia, cachexia), jaundice, hepatomegaly r/t
liver involvement
 Weight loss
Stage 1. Tumor is small and localised to lung, no lymphnode
involvement
*A-Tumor <3 cm
*B-Tumor >3 cm and invading surrounding local area
Stage 2.
A-Tumor <3cm with invasion of lymph nodes.
Tumor >3 cm involving the bronchus and lymph
nodes.
on the same side of chest and tissue of local
organs.
Stage 3.
A. Tumor spread to the nearby structure and regional lymph nodes
B. Tumor involving heart, trachea, esophagus,mediastinum and lymph nodes.
Stage 4- distant metastasis
 CXR
 CT Scans
 MRI
 Sputum cytology
 Fibreoptic bronchoscopy
 Transthoracic fine needle aspiration
Blood Tests
*CBC- to check red/white blood cell & platelets -to check bone marrow and
organ function
*Blood Chemistry Test- to assess how organ functioning such as liver and kidney
Biopsy-to determine if the tumor is cancer or not
-to determine the type of cancer
-to determine the grade of cancer (slow or fast)
Medical Management
 The three main cancer treatments are:
 Other types of treatment that are used to treat certain
cancers are hormonal therapy, biological therapy or stem
cell transplant.
1. Surgery (lung resections)
2. Radiation therapy
3. Chemotherapy
Surgical treatmant
 Lobectomy: a single lobe of lung is removed
 Bilobectomy: 2 lobes of the lung are removed (only on R
side)
 Sleeve resection: cancerous lobe is removed and
segment of the main bronchus is resected
 Pneumonectomy : removal of entire lung
 Segmentectomy: a segment of the lung is removed
 Wedge resection: removal of a small, pie-shaped area
ofthe segment
 Chest wall resection with removal of cancerous
lungtissue: for cancers that have invaded the chest wall
Radiation treatment
 Useful in controlling the neoplasm that can not be
surgically removed.
 Used to reduce the size of the tumor
 May help to remove the symptoms like cough, chest pain,
dyspnea and hemoptysis etc.
Chemotherapy
•Two drug regimen .
• Cisplatin / Etoposide
Is used to alter tumor growth and to treat the patient with
Metastasis.
• Non small cell:
•Cis/Carbo platin + 1 other
(Taxol/Taxotere/Gemcitabine)
•Small cell:
Prevention: Primary
 Avoid the use of tobacco smoke
 Know environmental carcinogens that increase risk
 Chemoprevention:
 Consuming Vit. A, Vit E,, Vit C.
Prevention: Secondary
 Aim is to early diagnose high risk populations via screening
 Chest X-Ray, MRI, CT scans, sputum cytology
Prevention: Tertiary
 Targeted at people who survived a cancer disease
 Assists them to retain an optimal level of functioning
regardless of their potential debilitating disease
Lung cancer.pptx

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Lung cancer.pptx

  • 2. Introduction  Lung cancer is one of the most common types of cancer. There is a strong link between smoking and lung cancer. World-wide over 1 million people are diagnosed with lung cancer each year.  Tobacco use accounts for 87% of lung cancer.  Lung cancer affect primarily in 5 or 6th decade of life.  In 70% of lung cancer patient, disease has spread to distant organs.
  • 3. Definition  It is a malignant lung tumor characterized by uncontrolled cell growth in tissues of the lung.
  • 4.  UNITED STATES:- In 2020,there were 235760 diagosed with lungs cancer and 131880 deaths  INDIA:- In 2018,there were 1.16 million diagosed with lungs cancer and 784821 deaths
  • 5.
  • 6. Causes  Tobacco  Smoking  Passive smoking  Radon gas  Air pollution  Inheridity  Exposure of radiation  Exposure of Chemicals
  • 7. Localized Signs and Symptoms  Cough  Breathing Problems, SOB, stridor  Change in phlegm  Lung infection, hemoptysis  Hoarseness, Hiccups  Weight loss  Chest Pain and tightness  eural Effusion  Superior Vena Cava Syndrome  Fatigue
  • 8. Generalized Signs and Symptoms  Bone pain  Headaches, mental status changes or neurologicfindings  Abdominal pain, elevated liver function tests, enlarged liver, gastrointestinal disturbances (anorexia, cachexia), jaundice, hepatomegaly r/t liver involvement  Weight loss
  • 9. Stage 1. Tumor is small and localised to lung, no lymphnode involvement *A-Tumor <3 cm *B-Tumor >3 cm and invading surrounding local area Stage 2. A-Tumor <3cm with invasion of lymph nodes. Tumor >3 cm involving the bronchus and lymph nodes. on the same side of chest and tissue of local organs.
  • 10. Stage 3. A. Tumor spread to the nearby structure and regional lymph nodes B. Tumor involving heart, trachea, esophagus,mediastinum and lymph nodes. Stage 4- distant metastasis
  • 11.  CXR  CT Scans  MRI  Sputum cytology  Fibreoptic bronchoscopy  Transthoracic fine needle aspiration
  • 12. Blood Tests *CBC- to check red/white blood cell & platelets -to check bone marrow and organ function *Blood Chemistry Test- to assess how organ functioning such as liver and kidney Biopsy-to determine if the tumor is cancer or not -to determine the type of cancer -to determine the grade of cancer (slow or fast)
  • 13. Medical Management  The three main cancer treatments are:  Other types of treatment that are used to treat certain cancers are hormonal therapy, biological therapy or stem cell transplant. 1. Surgery (lung resections) 2. Radiation therapy 3. Chemotherapy
  • 14. Surgical treatmant  Lobectomy: a single lobe of lung is removed  Bilobectomy: 2 lobes of the lung are removed (only on R side)  Sleeve resection: cancerous lobe is removed and segment of the main bronchus is resected  Pneumonectomy : removal of entire lung  Segmentectomy: a segment of the lung is removed  Wedge resection: removal of a small, pie-shaped area ofthe segment  Chest wall resection with removal of cancerous lungtissue: for cancers that have invaded the chest wall
  • 15. Radiation treatment  Useful in controlling the neoplasm that can not be surgically removed.  Used to reduce the size of the tumor  May help to remove the symptoms like cough, chest pain, dyspnea and hemoptysis etc.
  • 16. Chemotherapy •Two drug regimen . • Cisplatin / Etoposide Is used to alter tumor growth and to treat the patient with Metastasis. • Non small cell: •Cis/Carbo platin + 1 other (Taxol/Taxotere/Gemcitabine) •Small cell:
  • 17. Prevention: Primary  Avoid the use of tobacco smoke  Know environmental carcinogens that increase risk  Chemoprevention:  Consuming Vit. A, Vit E,, Vit C.
  • 18. Prevention: Secondary  Aim is to early diagnose high risk populations via screening  Chest X-Ray, MRI, CT scans, sputum cytology
  • 19. Prevention: Tertiary  Targeted at people who survived a cancer disease  Assists them to retain an optimal level of functioning regardless of their potential debilitating disease