The lungs are a pair of cone-shaped breathing organs inside the chest. The lungs bring oxygen into the body when breathing in and send carbon dioxide out of the body when breathing out.

Lung cancer (also known as pulmonary carcinoma) develops in lung tissue when dysfunctional cells grow uncontrollably. While a large number of cases can result from long-term and second-hand tobacco exposure, the disease is also caused by a number of other reasons including lifestyle choices, genetic issues, and environmental factors.

Metastatic tumors behave differently from primary lung cancer because they reach the lungs through the bloodstream, lymphatic system, or from nearby organs and scatter throughout the lungs and its outer areas but not in central internal areas.

Our care is from diagnosis to treatment and recovery with the belief that compassion and mutual respect are essential for success in all the dimensions of cancer care. Dr. Ngidi follows a multi-disciplinary approach to treatment and partners with each patient encouraging them to participate in their own medical care and make informed decisions.

 

TYPES OF LUNG CANCER

There are three main types of lung cancer and each affects treatment options and prognosis:

  • Non-Small Cell Lung Cancer – the most common type of lung cancer comprising approximately 85% of cases. Subtypes of this classification are squamous cell carcinoma, adenocarcinoma, and large cell carcinoma.
  • Small Cell Lung Cancer – also called “oat cell” cancer. Approximately 10-15% of malignant growth cases are small cell and this type tends to spread quickly.
  • Lung (Bronchial) Carcinoid Tumor – only 5% of lung cancers are this subtype. Sometimes called lung neuroendocrine tumors. The tumors are small, grow slowly and rarely spread. Unrelated to smoking.

 

The best strategy for early diagnosis is prompt attention to the early signs and symptoms of lung cancer and knowing family medical history. If something is suspected, then a specialist should be consulted.

 

SYMPTOMS

Lung cancer in its early stages can exist undetected because symptoms go unnoticed or mistaken for another, less serious illness. In most cases by the time symptoms do appear, it could be at a later, non-curable stage of the disease.

Sometimes cancerous growth is diagnosed early because it is found by accident as a result of imaging tests for another medical condition such as heart disease, pneumonia, or another lung condition. In these circumstances, it could be diagnosed at an early stage and a patient could be cured of the disease.

There are some common signs for malignant growth, and if they are noticed at an early stage, an effective treatment plan could be developed. However, some of these symptoms might be confused with a less serious illness and ignored letting the cancer progress to an advanced stage. The most common symptoms are:

  • Persistent cough
  • Hoarse throat
  • Chest pain aggravated by deep breathing, coughing, or laughing
  • Weight loss and poor appetite
  • Coughing up blood
  • Shortness of breath
  • Feeling tired or weak
  • Recurring respiratory infections such as bronchitis or pneumonia

When the malignant growth spreads to distant organs, it may cause:

  • Bone pain around the back or hips
  • Jaundice (skin and eyes appear yellow)
  • Neurologic changes (headache, dizziness, weakness or numbness of an arm or leg, imbalance, or seizures)
  • Lumps near the surface of the body around the neck or above collar bone

 

If lung cancer is suspected, a doctor examines the patient and review medical history for a patient’s risk factors and following outcome of the physical, imaging tests and/or biopsies of lung tissue would be conducted.

Screening for high-risk individuals has been accepted by the medical community as a helpful tool in detection. To qualify for a screening, a patient must meet all of the following criteria and the doctor should first discuss the benefits, detriments of screening and limitations with their patient:

  • 55 to 74 years old
  • Fairly good health
  • Minimum 30 pack-year smoking history (i.e. 30 packs/year)
  • Currently smoke or quit within past 15 years

When screening produces abnormal results that indicate the possibility of lung cancer, the next step could be a biopsy of lung tissue to diagnosis conclusively whether or not there is malignant growth.

 

TREATMENT

Depending on the stage of the disease and other factors, treatment options for lung cancer can include one and possibly a combination of the following:

  • Surgery
  • Radiation therapy
  • Chemotherapy
  • Targeted therapies

It is critical for a you to first discuss all possible  treatment options for your  stage of cancer, such as  surgery, chemotherapy, radiotherapy and the treatment sequence. This discussion will also include possible side effects and therapy goals.

Before developing a course of treatment, an evaluation the stage and grade of the tumor, previous treatments (if any), extent of the cancer, biopsy results, and other unique factors is done. We develop and implement the most effective multi-modal treatment plans for our patients with the collaboration of the oncologist, cardiothorasic surgeon, radiologist  and  pathologists.

We are deeply committed to both the emotional and physical well-being of all of our patients. Each patient receives the careful attention of Dr Ngidi and her oncology team through our multi-modal treatment approach. Please contact our offices at 011 2132250 to schedule a consultation.

 

There are only two ways to live your life. One is as though nothing is a miracle, the other is as though everything is a miracle. Albert Einstein