Lung Cancer: A Case Study

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The management and treatment options for lung cancer depend on the type and staging of the actual cancer. Typically, a thoracic surgeon is consulted to evaluate a patient with this form of diagnosis. Different forms of surgical interventions are available depending on the clinical presentation of the tumor. If surgery is warranted, the goal is to remove the tumor and surrounding tissue if affected by cancer. Surgical options available to aid in eradicating lung cancer include a lobectomy, wedge resection and pneumonectomy.
A lobectomy is a surgical procedure involving the removal of a specific lobe within the lung, which is effected by a very small tumor. Additional options include a wedge resection where the surgeon removes the tumor
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Radiation treatment involves the use of high-energy particles to destroy cancer cells. An external machine delivers external-beam radiation therapy within the body over a set number of treatments over a set period of time. This line of treatment is meant to target a small, localized region affected by cancer due to its damaging effects it has on both sick and healthy cells in its path. The goal of radiation therapy is to maximize tumor control and minimize treatment toxicity. With the use of medications, chemotherapy may be administered, entering the bloodstream and attacking cancer cells throughout the body. Set numbers of cycles are prescribed by a specialist over a certain period of time to aid in destroying sick cells within the body. This form of treatment modality is usually used for more advanced stages of lung cancer where surgery is not sufficient enough to eradicate the problem. With targeted therapy, specialists evaluate the specific genes, proteins or tissue of the nearby effected environment and develop a specific medication treatment choice to attack the particular developed …show more content…
Cytologic evaluation of Sputum: simplest test with positive predictive value, if a diagnosis can be obtained via Sputum cytology, invasive test can be avoided. This test is useful in patients with centrally located tumors who present with hemoptysis (Rivera & Mehta, Initial Diagnosis of Lung Cancer ACCP Evidenced -Based Clinical Practice Guidelines, 2007, p. 134). Chest X Ray: to detect any new findings (diagnosis): lesions, pleural effusions, and evidence of metastasis. Lateral chest X rays noted to be the simplest method for identifying lung cancer. The presenting patient has a history of a pulmonary nodule, which has increased in size and was found to have a development of an additional adjacent nodule. Due to the patient’s clinical presentation, a thoracic consult was obtained to evaluate the patient’s findings. As per the recommendations of the thoracic surgeon, the clinical patient was referred to the interventional radiology department for a Ct-guided study in order to obtain a lung biopsy. A CT image allows for a precise implementation of a needle to obtain samples accurately from the desired affected region. Results obtained are to be followed up within a week allowing the patient to be discharged from the hospital setting and following up with the thoracic surgeon. Prior to the patient’s follow up visit, the clinical patient was referred for a Positron Emission Tomography

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