| What are the symptoms of lung cancer? You | | | | surgery is the preferred treatment. |
| should be suspicious if you have a nagging cough | | | | Chemotherapy and radiation are recommended |
| that brings up blood-streaked sputum, more so if | | | | depending on the type of cancer, the patient's |
| you smoke and have a family history of the | | | | age and overall health, and the extent of the |
| disease. Other warning signs are shortness of | | | | disease. |
| breath, hoarseness, chest pain, arm or shoulder | | | | "A cancerous tumor in the lung is usually removed |
| pain, loss of appetite and weight. | | | | surgically. It is sometimes necessary to remove |
| "Generally, lung cancer is first suspected because | | | | an entire lobe of the lung. Because lung cancers |
| of your physical symptoms or because an | | | | are usually not detected until they are well |
| abnormal mass appears on a routine chest X-ray. | | | | advanced, surgery alone may not be able to |
| Loss of appetite and weight may be the first | | | | eliminate them, and radiation and chemotherapy |
| signs of a lung cancer. In this case, the first step | | | | may be used in combination with or in place of |
| is to determine with certainty whether or not | | | | surgery," explained the editors of Consumer |
| cancer is present. In addition to a regular chest | | | | Guide's "Family Health & Medical Guide." |
| X-ray, tomograms (special chest X-rays that give | | | | Which treatment is best for you? Only your |
| a highly localized view of the lung) or other special | | | | doctor can answer that. But here are some |
| studies such as a CT scan may be obtained," | | | | suggestions from Dr. Isadore Rosenfeld of the |
| according to Dr. David E. Larson, editor-in-chief of | | | | New York Hospital - Memorial Sloan-Kettering |
| the "Mayo Clinic Family Health Book." | | | | Cancer Center in "The Best Treatment": |
| Unfortunately, lung cancer happens to be one of | | | | "Here is what I recommend to my own patients |
| the hardest cancers to detect since it can be | | | | with lung cancer. If the cancer, regardless of its |
| present for 10 to 20 years without causing any | | | | cell type, appears not to have spread and lung |
| noticeable symptom. Five to 10 percent of cases | | | | function is good, then surgery should be done |
| are discovered accidentally during a routine X-ray | | | | without delay, and in all age groups, even in the |
| exam. | | | | elderly who are otherwise in good health. Oat cell |
| Common symptoms like coughing, wheezing, and | | | | cancers are treated with chemotherapy and |
| aches are often ignored or mistaken by the | | | | radiation, as recommended by an oncologist. |
| patient for something else. By the time | | | | "If CT scans and other tests indicate that it's too |
| symptoms appear, the disease may have | | | | late for surgery (because the cancer has already |
| reached an incurable stage. This explains the poor | | | | spread to the glands in the opposite side of the |
| prognosis of most patients with the disease. | | | | chest or elsewhere), I leave it alone if it's not |
| The easiest way to avoid lung cancer is to stop | | | | causing any symptoms. I prescribe radiation, |
| smoking. It may be difficult to quit but it is not | | | | surgery, or chemotherapy only if the incurable |
| impossible. Millions of people have done it and | | | | cancer is causing symptoms. The purpose of |
| those who quit lessen their chances of developing | | | | intervention at this point is to make the person |
| lung cancer by two-thirds. | | | | feel better. When a patient with advanced lung |
| Ninety percent of people who stop smoking do it | | | | cancer has no complaints, I have them do nothing. |
| on their own so start now before it's too late. If | | | | This approach is not shared by all or even most |
| you find that hard to do, you can join smoking | | | | doctors. The majority of my colleagues go |
| cessation classes or enroll in a clinic that offers | | | | full-blast with radiation, surgery, and toxic |
| the same service. Choose the program that | | | | chemotherapy in the hope of obtaining a cure, |
| makes the most sense to you and enlist the help | | | | which rarely, if ever, happens at that stage. Such |
| of friends or loved ones to make things easier for | | | | treatment, in my experience, often accelerates or |
| you. | | | | prolongs suffering," Rosenfeld concluded. (Next: |
| For those with cancer who can still be helped, | | | | Breast cancer. |