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Many patients find that they have lung cancer either because they present symptoms such as persistent coughing and wheezing, sometimes coughing up blood or pain the chest and stomach.This usually prompts further investigation of the chest, requiring an x-ray (which may also occur as part of a routine health check) and the testing of sputum samples.

At this point, depending on the results, more investigations will be necessary.

Detailed Diagnosis

The purpose of a chest radiograph or x-ray, is to detect enlarged lymph nodes in the chest or the existence of a mass in the lungs.  More advanced techniques can be used to provide much more detailed information and include the following:

CAT Scan or CT Scan – a CT Scan is a computer assisted examination which provides a cross-sectional image of the body under examination;

MRI Scan – a Magnetic Resonance Imaging (MRI) scan uses hydrogen ions within the patient’s body which respond to magnetic fields when they are applied to the body or in this case, the chest.A computer will then use the results to create a chest image which allows for precise location of any mass which has been detected and whether it involves the lungs;

Bronchoscopy – this involves an examination of the airways (the windpipe and lung branches) and is usually conducted by a pulmonologist ( a physician who specializes in respiratory diseases).  The examination may involve the taking of a swab from these areas or a biopsy (the removal of a tissue sample);

Needle Biopsy – a physician inserts a needle using the results of a CT Scan to guide where the needle, so a sample of tissue may be removed from the mass which has been detected; the tissue samples obtained are then “smeared” on a microscope slide and examined by a histopathologist to detect whether or not the cells are cancerous; and

Bone Scan – this test may be undertaken to check whether any cancer cells have spread (known as “metastasized”) to the bones from the original tumor.

A technological advancement is the CT/PET fusion imaging scan – this diagnostic tool uses an injected sugar solution which contains a radioactive element to highlight any cancerous mass.  Cancer tumors are very fast growing and use a lot of energy so they rapidly absorb the sugar solution which is accumulates around and within the tumor.  When a scan is then performed, the concentration of the radioactive sugar is detected and provides the location and detail of the cancer tumor.  It should be borne in mind that there are other tissues which will cause the sugar solution to accumulate such as a bacterial infection, so even this test is not conclusive.

Once lung cancer has been diagnosed, the team of oncology physicians treating the patient will review the results to assess the treatment options for the lung cancer and to check whether any spread of the disease has occurred to other parts of the body.Where it is found the disease has not spread to other parts of the body, then a surgical inspection can take place to assess the disease in detail around the lungs, heart, windpipe and tissues of the chest.  In addition, extensive blood tests will take place to look for cancer “markers” which are usually proteins that are associated with the development of lung cancer.

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Lung cancer may be treated by a variety of therapies which are frequently used in combination to provide an optimal outcome.  Surgical resection is the process by which the tumor is surgically removed, and this is usually recommended when the cancer has not metastasized (or spread) beyond the lung into other parts of the body.

There are several options for performing a resection which can involve minimally invasive surgery or a full operation. Which technique is used will depend on a variety of factors, notably the size and stage of the cancer and whether the tumor is accessible to the surgeon.

A thoracotomy is performed by the surgeon making an incision through the chest wall and a median sternotomy is performed by entering the chest cavity through the breastbone.Both of these methods are commonly used in lung cancer surgery but they do involve considerable patient discomfort and extended stays in hospital with a longer recovery period.

Alternative surgical procedures include an anterior limited thoracotomy (ALT) which involves a small incision to allow entry, again through the front of the chest.  It should be stressed that the incision is considerably smaller than in a standard thoracotomy or median sternotomy.  An alternative is the anterior axillary thoracotomy (AAT) which involves a small incision on the chest front but near the underarm and finally, there is the postero-lateral thoracotomy (PLT) which involves an incision the back or side of the of the patient’s trunk.

Even with these improved surgical techniques, a patient will experience considerable pain if the operation involves opening the chest (sometimes referred to amongst doctors as “chest cracking”).
As a consequence of the extended recovery times and patient discomfort, surgical techniques have been developed which do not involve full-blown surgery – these are the so-called, minimally-invasive techniques.

Video-assisted thoracoscopy (VAT) uses a high powered video camera and hi-definition screen combined with diagnostic scans, such as CT or PET scan, to target the tumors in the patient’s lung.  The incision required is much smaller and there is no need to open the chest cavity which results in much less discomfort for the patient and greatly reduced recovery periods.  Using the video display, the surgeon is able to resect the tumors which have been identified during the diagnosis and staging phases.

Some doctors do caution the use of VAT however, as a traditional thoracotomy may reveal tumors and other undiscovered metastasized cancers.  If these remain undiscovered the cancer can return and the patient will become ill again and for this reason, VAT is usually recommended for early stage (I & II) cancers and which have not spread to other parts for the lungs and body.

It is quite usual for any surgical procedure to be accompanied by a phase of chemotherapy or radiation treatment to ensure that the patient’s cancer has been completely removed or killed off.  How the treatment proceeds and at what stage a particular therapy will be recommended will be determined by the type and stage of lung cancer a patient has got.

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Pericardial Mesothelioma FAQ

What is pericardial mesothelioma? Pericardial Mesothelioma is a rare form of mesothelioma cancer that accounts for approximately 5% of all mesothelioma cases.  Cancerous cells build up on the lining of the heart. What is the cause of pericardial mesothelioma? Asbestos is the main cause of pericardial mesothelioma.  When exposed to asbestos without sufficient protection, dust and fibres from the asbestos are inhaled and become lodged in the lungs.  From here they can either pass into the lymphatic system and get transported to the lining of the heart or the fibres can just pass through to the heart over time. Who is at risk from pericardial mesothelioma? Those who have worked with asbestos constantly for a period of time without sufficient protection are those at risk.These people include construction workers and those who work in asbestos manufacturing plants.  Individuals in contact with those in contact with asbestos are also at risk because asbestos fibres can cling to clothes and hair. How much exposure to asbestos does it take to have a possibility of getting pericardial mesothelioma? This varies depending on the concentration of the asbestos dust and fibres in the area but it has been recorded that those ' who have only been exposed for a couple of months have a chance of obtaining pericardial mesothelioma.

What are the symptoms of pericardial mesothelioma? Common symptoms of pericardial mesothelioma are persistent coughing, coughing up blood, shortness of breath, chest pain and palpitations.Other symptoms that patients may experience are weight loss, nausea and loss of appetite. What is the latency period of pericardial mesothelioma? All forms of mesothelioma have an extraordinarily long latency period (amount of time symptoms take to show up after having disease).The latency period is between 30 ?50 years and so pericardial mesothelioma is usually discovered in elderly men who have had pericardial mesothelioma for most of their life but have never known it. What is the prognosis for pericardial mesothelioma? This is highly dependent on how early and how aggressively the cancerous cells are treated.  If the cancer is treated when it has fully developed and matured then the chances of a patient’s survival is very small.  The prognosis could be only a couple of months.

The author is a contact lenses seller and works on plastic surgery. He is running a website–http://dentistauckland.co.nz/

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It is not an easy way to understand all the figures about the Lung Cancer Survival Rate. You have to know how these figures are arranged and what they mean exactly. There are things that sway how the rates are determined and what you find in the rates may not be precisely what you think.

Basics

Lung Cancer Survival Rate reports refer to a categorized people who suffer from an exact type of lung cancer at some stage. Survival statistics can also signify the rates for people who are suffering from lung cancer at any stage of the disease. The statistics usually relate to the rate of survival after 5 years, regardless of whether the person has cancer or in remission.

It’s very essential that you know the statistics are based on a big group and are averages. Since every case may vary, they are able to predict what the survival rate may be for any particular individual.

Survival Rate Factors

As mentioned, there are many things that influence Lung Cancer Survival Rate statistics. Some of the factors that can alter survival rates area:

Cancer stages
• Type
• Symptoms
• General health conditions
• Diagnosis date

When a doctor gives patient information on the possible outcome of their diagnosis, it is based upon a general idea of what happens in the average case. It is really an estimate and not an exact science.

The Average Survival Rate

The average lung cancer survival rate for people with early stage of lung cancer is 49%. It means that 49 out of 100 persons live at least 5 years after diagnosis. In contrast, diagnosed people with lung cancer that has spread just have 3% survival rate of only 3 out of 100 persons live at least 5 years after diagnosis.

The use of Survival Rates

Now that you understand what Lung Cancer Survival Rate statistics means you can begin to understand how they may be used. The most common use is to help patients understand what lies ahead for them in dealing with the disease and the possibility of their death.

Another, more positive, use is in figuring out how aggressive to be with treatment. Lung cancer statistics can help a doctor see what treatments are working which are not. They may be able to help the doctor to create a treatment plan that will raise the patients chances of survival. Overall, these statistics are very helpful.

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The lining or membranes of certain massive cavities of our body is affected by a serious form of cancer known as mesothelioma cancer.  These cavities are a.  K.  A the serous cavities and the critical organs like stomach, heart, lungs etc are contained in them.  The surfaces which surround these cavities are called serous membranes.  The main function of the serous membranes is to defend the organs from damages caused by erosion and friction, while they move against one another during routine functioning.  Mesothelial cells are the special cells which create the mesothelium, the major tissue layer of the serous surfaces.  The mesothelium tissue gets impacted by mesothelioma.

Mesothelioma takes on three forms, the first being peritoneal mesothelioma. This form of cancer attacks the peritoneum or membrane surrounding the abdomen. It can also affect male testicles rarely, since the lining around the scrotum is an extension of peritoneum. The pericardium or lining surrounding the heart is affected by the second form, called pericardial mesothelioma. The third form is the most malignant form and affects the lining of the lung cavity. This is known as the pleural mesothelioma.

The mesothelioma cancer which starts as a localized tumor spreads very fast to the nearby tissues and organs. The gristly cysts and other growths which appeared in the serous membrane were initially thought to be benign fibrous mesothelioma. In fact, such conditions do not start in mesothelial cells but other cells within the serous membranes. They do not spread fast as they are localized.

There is proof that mesothelioma is caused by previous exposure to asbestos. It is a rare, serious, deadly disease and it is during the advanced stages that the cancer is detected. Hence a complete cure is normally out of question and the average survival time after the diagnosis is one to two years. The type of mesothelioma is also a determining factor of the survival time.

Normal as well as modern treatment procedures are there for treating mesothelioma cancer.  The main standard procedures include surgery, chemical treatment and radiation.  According to the requirement of the situation, doctors sometimes adopt a combination of these techniques.  But once the tumor spreads beyond control, palliative treatment, that’s, treating the symptoms is the sole treatment option left.

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