Treatment FAQ

what do the cell lung cancer that is gone after treatment

by Ahmed Fadel Published 3 years ago Updated 2 years ago
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After treatment, some tiny cancer cells may stay in your body. Over time, these cells may divide and grow into a cancer again. Your lung cancer may come back in your lungs. Or it may return in a different part of your body.

Full Answer

Can lung cancer come back after treatment?

Cancer that comes back after treatment is called a recurrence. But some cancer survivors develop a new, unrelated cancer later. This is called a second cancer. Unfortunately, being treated for lung cancer doesn’t mean you can’t get another cancer.

Can lung cancer be cured by surgery?

These cancers can’t be removed completely by surgery. As with other stages of lung cancer, treatment depends on the patient’s overall health. If you are in fairly good health you may be helped by chemotherapy (chemo) combined with radiation therapy. Some people can even be cured with this treatment.

What to do after a lung cancer diagnosis?

Lung Cancer: What to Do After Your Diagnosis 1 Learn about your diagnosis and treatment. Know the type of lung cancer you have and how serious it is. ... 2 Get a second opinion. No matter how much you trust your doctor, it’s always helpful to ask another for advice on your diagnosis and treatment. 3 Prepare for more tests. ...

What is lung cancer recurrence?

This is called a recurrence. It can happen at any time or not at all. But lung cancer is most likely to return within 5 years after you were diagnosed. After treatment, some tiny cancer cells may stay in your body. Over time, these cells may divide and grow into a cancer again.

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Can lung cancer go away with treatment?

This is very common if you've had cancer. For other people, lung cancer may never go away completely. Some people may get regular treatments with chemotherapy, radiation therapy, or other therapies to try to control the cancer for as long as possible.

Does lung cancer come back after treatment?

Sometimes, lung cancer comes back after you've had treatment. This is called a recurrence. It can happen at any time or not at all. But lung cancer is most likely to return within 5 years after you were diagnosed.

Does small cell cancer always return?

Recap. The chance of a recurrence depends on many factors, including the type and stage of the original lung cancer. Between 30% and 55% of people with non-small cell lung cancer (the most common type) experience a recurrence. About 70% of people with small cell lung cancers do.

Can you be cured of small cell lung cancer?

Although small cell lung cancer is an aggressive disease, it responds well to initial chemotherapy and radiation. The goal of treatment for people with limited-stage small cell lung cancer is cure, which is achieved in 20 to 25 percent of patients.

What makes lung cancer come back?

If You Smoke, Quit Smoking tobacco in any form is a complete no-no. You're more likely to have your lung cancer come back. Smoking also puts you at risk of having other types of cancer. If you don't quit, it may affect how well your body reacts to cancer treatments and it may make side effects worse.

Can you be cancer free after lung cancer?

But some cancer survivors develop a new, unrelated cancer later. This is called a second cancer. Unfortunately, being treated for lung cancer doesn't mean you can't get another cancer. People who have had lung cancer can still get the same types of cancers that other people get.

What are the odds of beating small cell lung cancer?

5-year relative survival rates for small cell lung cancerSEER stage5-year relative survival rateLocalized29%Regional18%Distant3%All SEER stages combined7%Mar 2, 2022

Does small cell lung cancer go into remission?

Chemotherapy is the keystone in the treatment of small cell lung cancer (SCLC). Objective remission and good palliation is achieved in ∼80% of the patients, but the remissions are in general short (mean <1 yr), and few are cured.

How do you tell if your cancer is gone?

How Do You Know You're in Remission? Tests look for cancer cells in your blood. Scans like X-rays and MRIs show if your tumor is smaller or if it's gone after surgery and isn't growing back. To qualify as remission, your tumor either doesn't grow back or stays the same size for a month after you finish treatments.

What is the life expectancy of someone with small cell lung cancer?

Limited stage small cell lung cancer has a median survival of 12 to 16 months, with treatment. Extensive stage small cell lung cancer has a median survival of 7 to 11 months, with treatment.

How effective is immunotherapy for small cell lung cancer?

Some research also suggests that immunotherapy medications may be effective against SCLC when people take them on their own. In a 2019 study, pembrolizumab allowed 15.5% of people in the trial with advanced SCLC to live at least 5 years longer.

Which is worse small cell or non small cell lung cancer?

Small cell cancers vary , depending on the expression of specific genes. Some types are more aggressive than others, but generally, small cell cancer is more aggressive than non-small cell lung cancer.

What is included in a lung cancer diagnosis?

It will include your diagnosis date, the type and stage of your lung cancer, treatment types and dates, all the medications you took for it and any complications you had, and the names of all doctors, hospitals, and facilities involved.

How to get your strength back after lung cancer?

As it does, one of the best ways to get your strength back, mentally and physically, is to feed yourself healthy foods, including: Fruits and vegetables, raw and cooked.

What is the goal of lung cancer?

The goal is to check in on your recovery, address any new symptoms or side effects, and see if your cancer has returned or spread. This could include a physical exam, blood tests, scans ( MRI or CT), and an endoscopy. As you already know from your treatment, lung cancer isn’t a one-doctor deal.

How to live after lung cancer?

This is the time to focus on your recovery: Work to get healthy and stay that way. Look at your post-treatment care like it’s your job. Go all-in, just like you did to get here.

What is a survivorship care plan?

Also called a survivorship care plan, it should have a description of your health after your last treatment and a schedule of future visits. It should also cover: Any medication you should take, including dosage and instructions. Tests you’ll have done, why, and how you’ll get results.

How to recover from a syphilis?

Low-fat milk, yogurt, and cheese. Go easy on the processed meats, pickled foods, and anything with a lot of fat, sugar or salt. Limit your red meat to 18 ounces a week. Toast your recovery with lots of water, and limit alcohol to no more than one drink (for women) or two (for men) per day. Make a Move.

Is smoking after lung cancer treatment bad?

No surprise here: Smoking after lung cancer treatment -- or ever -- is really bad for you. It makes most treatments less effective, including radiation therapy, surgery, and chemotherapy. It also makes it more likely that your lung cancer will come back or spread somewhere else in your body.

What cancers are associated with the voice box?

Cancer of the larynx (voice box) Cancer of the mouth and throat. Esopha gus cancer. Pancreas cancer. Bladder cancer. Thyroid cancer. Acute myeloid leukemia (AML) NSCLC survivors also have a higher risk of developing these cancers: Stomach cancer.

How to prevent a syphilis?

Keep physically active and limit the time you spend sitting or lying down. Follow a healthy eating pattern that includes plenty of fruits, vegetables, and whole grains, and limits or avoids red and processed meats, sugary drinks, and highly processed foods. Not drink alcohol.

What is the most common second cancer?

Small intestine cancer. Colon cancer. Rectal cancer. Cancer of the kidney and renal pelvis. Lung cancer is the most common second cancer in someone with a previous lung cancer. Smoking is a risk factor for many of these cancers, and the risks of a second cancer are especially high among lung cancer survivors who continue to smoke.

What are the different types of lung cancer?

Survivors of non-small cell lung cancer (NSCLC) and small cell lung cancer (SCLC) can get any type of second cancer, but they have an increased risk of: 1 A second lung cancer (This is different from the first cancer coming back.) 2 Cancer of the larynx (voice box) 3 Cancer of the mouth and throat 4 Esophagus cancer 5 Pancreas cancer 6 Bladder cancer 7 Thyroid cancer 8 Acute myeloid leukemia (AML)

Can you get second lung cancer?

Survivors of non-small cell lung cancer (NSCLC) and small cell lung cancer (SCLC) can get any type of second cancer, but they have an increased risk of: A second lung cancer (This is different from the first cancer coming back.) NSCLC survivors also have a higher risk of developing these cancers: Lung cancer is the most common second cancer in ...

Can lung cancer be detected early?

Lung cancer survivors should also follow the American Cancer Society Guidelines for the Early Detection of Cancer, such as those for colorectal, breast, cervical, and prostate cancer. Screening tests can find some cancers early, when they are likely to be easier to treat.

Can you get lung cancer from another person?

Unfortunately, being treated for lung cancer doesn’t mean you can’t get another cancer. People who have had lung cancer can still get the same types of cancers that other people get. In fact, they might be at higher risk for certain types of cancer. Survivors of non-small cell lung cancer (NSCLC) and small cell lung cancer (SCLC) ...

What is lung cancer recurrence?

There are three types of cancer recurrence: Local: The cancer has come back to your lungs. Regional: The cancer is in the lymph nodes near the lungs. Distant: The cancer is in another part of the body, like the liver, bone, or brain. Even though it’s in a different area, it’s still called a lung cancer recurrence.

How do you know if you have lung cancer?

The symptoms of a lung cancer recurrence depend on where it comes back. If it’s in your lungs, you may have: 1 A cough that doesn’t go away 2 Chest pain 3 Shortness of breath 4 Lung infections, like bronchitis and pneumonia 5 Blood coming up when you cough

What is the most common type of lung cancer?

There are two types of lung cancer: Non-small-cell lung cancer (NSCLC) is the most common, accounting for roughly 85% of cases. The other kind is small-cell lung cancer (SCLC). If you have NSCLC, your chance of a recurrence depends on what stage you have. Your doctor will tell you your stage from 0 to IV.

What is it called when cancer spreads to lymph nodes?

If the cancer has spread to both lungs, lymph nodes, or to other parts of your body, that’s called the extensive stage. Treatment. Your doctors may recommend a different treatment for your cancer recurrence than what you did the first time. They will decide based on: Where it came back.

How long does it take for a SCLC to recur?

Although SCLC responds well to treatment at first, most people will have a recurrence in a year or two. When SCLC comes back, it tends to spread faster. There are two stages: In the limited stage, the cancer is on one side of your chest.

What to do if you have lung cancer?

That’s why it’s important go to your follow-up appointments. Your doctor will do an exam and may order tests to check for a lung cancer recurrence.

What are the symptoms of cancer?

Lung infections, like bronchitis and pneumonia. Blood coming up when you cough. Other general signs of cancer include: Pain, such as headaches and back pain. Fatigue. Skin issues, like a yellowish tint and itchiness. Fever.

Why is it important to quit smoking?

If you smoke, quitting is important. Quitting has been shown to help people with lung cancer live longer, even if the cancer has spread. It also lowers the chance of getting another lung cancer, which is especially important for people with early-stage lung cancer.

What to do if cancer comes back?

If cancer does return at some point, your treatment options will depend on where the cancer is, what treatments you’ve had before, and your health. Surgery, radiation therapy, chemotherapy, targeted therapy, immunotherapy, or some combination of these might be options.

How long do side effects of cancer last?

Almost any cancer treatment can have side effects. Some might only last for a few days or weeks, but others might last a long time. Some side effects might not even show up until years after you have finished treatment.

What to talk about with your doctor about cancer?

Talk with your doctor about developing a survivorship care plan for you. This plan might include: A list of possible late- or long-term side effects from your treatment, including what to watch for and when you should contact your doctor. A schedule for other tests you might need to look for long-term health effects from your cancer ...

How to plan for cancer survivorship?

Talk with your doctor about developing a survivorship care plan for you. This plan might include: 1 A suggested schedule for follow-up exams and tests 2 A list of possible late- or long-term side effects from your treatment, including what to watch for and when you should contact your doctor 3 A schedule for other tests you might need to look for long-term health effects from your cancer or its treatment 4 Suggestions for things you can do that might improve your health, including possibly lowering your chances of the cancer coming back

Does beta carotene cause cancer?

On the other hand, studies have found that beta carotene supplements may actually increase the risk of lung cancer in smokers. Another study has shown that men (especially smokers) who took high amounts of vitamin B6 or B12 supplements for a long time had an increased risk of lung cancer.

Is it normal to be anxious about lung cancer?

It is normal to feel depressed, anxious, or worried when small cell lung cancer is a part of your life. Some people are affected more than others. But everyone can benefit from help and support from other people, whether friends and family, religious groups, support groups, professional counselors, or others.

What happens if cancer grows back?

If the cancer continues to grow during treatment or comes back, any further treatment will depend on the location and extent of the cancer, what treatments you’ve had, and on your health and desire for further treatment. It’s always important to understand the goal of any further treatment before it starts. You should understand if it’s to try to cure the cancer, to slow its growth, or to help relieve symptoms. It is also important to understand the benefits and risks.

What is the best treatment for cancer in the lungs?

If cancer growth in the lungs is causing symptoms such as shortness of breath or bleeding, radiation therapy or other types of treatment, such as laser surgery, can sometimes be helpful. Radiation therapy can also be used to relieve symptoms if the cancer has spread to the bones, brain, or spinal cord.

What is the first treatment for SCLC?

If you have extensive SCLC and are in fairly good health, chemotherapy (chemo), possibly along with an immunotherapy drug, is typically the first treatment. This can often shrink the cancer, treat your symptoms, and help you live longer.

What is the treatment for chest cancer?

If you are in good health, the standard treatment is chemo plus radiation to the chest given at the same time (called concurrent chemoradiation ). The chemo drugs used are usually etoposide plus either cisplatin or carboplatin.

What to do if you have only one small tumor in your lung?

If you only have one small tumor in your lung and there is no evidence of cancer in lymph nodes or elsewhere, your doctors might recommend surgery to remove the tumor and the nearby lymph nodes.

What to do if you smoke and have lung cancer?

If you smoke, one of the most important things you can do to be ready for treatment is to quit. Studies have shown that patients who stop smoking after a diagnosis of lung cancer tend to have better outcomes than those who don’t.

Why is it important to understand the goal of any further treatment before it starts?

You should understand if it’s to try to cure the cancer, to slow its growth, or to help relieve symptoms. It is also important to understand the benefits and risks.

How long can I take durvalumab?

If the cancer stays under control after 2 or more treatments of chemoradiation, the immunotherapy drug durvalumab (Imfinzi) can be given for up to a year to help keep the cancer stable. Patients who are not healthy enough for this combination are often treated with radiation therapy alone, or, less often, chemo alone.

What is the second line of treatment for cancer?

If a cancer continues to grow during chemo as the first treatment, second-line treatment most often consists of a single chemo drug such as docetaxel or pemetrexed, or targeted therapy.

What drugs are used for cancer?

For people whose cancers have changes in the ROS1 gene, drugs such as crizotinib (Xalkori), entrectinib (Rozlytrek), or ceritinib (Zykadia) might be used. For people whose cancers have a certain change in the BRAF gene, a combination of the targeted drugs dabrafenib (Tafinlar) and trametinib (Mekinist) might be used.

What is the best treatment for cancer with a KRAS gene change?

For tumors that have the ALK gene change, an ALK inhibitor can often be the first treatment.

How to treat lung cancer?

Cancer that is limited in the lungs and has only spread to one other site (such as the brain) is not common, but it can sometimes be treated (and even potentially cured) with surgery and/or radiation therapy to treat the area of cancer spread, followed by treatment of the cancer in the lung. For example, a single tumor in the brain may be treated with surgery or stereotactic radiation, or surgery followed by radiation to the whole brain. Treatment for the lung tumor is then based on its T and N stages, and may include surgery, chemo, radiation, or some of these in combination.

What is the importance of lymph node involvement?

The extent of lymph node involvement and whether or not cancer cells are found at the edges of the removed tissues are important factors when planning the next step of treatment. After surgery, the removed tissue is checked to see if there are cancer cells at the edges of the surgery specimen.

What are the treatments for stage 0 cancer?

For some stage 0 cancers, treatments such as photodynamic therapy (PDT), laser therapy, or brachytherapy (internal radiation) may be alternatives to surgery. If your cancer is truly stage 0, these treatments should cure you.

What imaging is used to look at lymph nodes?

Imaging like a CT scan, PET scan, ultrasound, or MRI. Mediastinoscopy or mediastinotomy, which lets your doctor look at the lymph nodes near your lungs. Find a treatment center. Your doctor will have ideas about which cancer treatment centers are a good match for you.

How to make someone less anxious?

Talking it out with someone you trust can make you feel less anxious. Make your wishes known. Let your closest loved ones know the kind of health care you want if treatment doesn’t work. Legal documents called advance directives can spell out your wishes if you’re ever unable to let others know what you want.

What tests can you do to see if you have cancer?

Prepare for more tests. Your doctor may do further tests to see whether your cancer has spread and to help them determine the best way to treat it. They could include : Lab tests of your biopsy samples. Imaging like a CT scan, PET scan, ultrasound, or MRI.

What should be included in a health record?

Your health records should include: Your diagnosis. Test results. Treatment information, including the names and doses of drugs you take, and the dates you got treatment. The names, phone numbers, and addresses of all your doctors, not just those you see for cancer. Include your past doctors, too.

What to do when it's hard to do?

You might need a hand with things like cooking, cleaning, or running errands. Sit down with your loved ones and let them know what you might need help with. Also, be open with them about what you're thinking and feeling.

Is it scary to know you have lung cancer?

The news that you have lung cancer can be scary and stressful. It’s hard to know what to do next. Here are a few things to think about. Don’t worry about doing them in order. The idea is just to start somewhere. Learn about your diagnosis and treatment. Know the type of lung cancer you have and how serious it is.

Do you need health insurance if you have cancer?

By law, most people should have health insurance. If you don’t, find out if you can get some or if you’re eligible for Medicare or Medicaid. Come to terms with your emotions. You may feel overwhelmed after your diagnosis, especially if your cancer has progressed beyond the early stages.

What is spontaneous remission?

As the name implies, SR occurs when malignant tumors slow or stop growing for unknown, spontaneous reasons. This does not happen often. Data shows low numbers of lung cancer patients (not in treatment) with mysterious tumor reductions.

How long does it take to cure lung cancer?

After five years, if the physician determines the patient is cured of their lung cancer, the patient is considered to have “survived” the disease. NSCLC patients in all stages average a 23 percent chance for a five-year (relative) survival rate, according to the American Cancer Society.

How long does it take for cancer to come back?

Usually, doctors consider the disease cured after five continuous years of remission. When the “cured” cancer comes back, oncologists call it a ‘recurrence.’. Separate, unrelated tumors the patient may develop in other parts of the body are called “second cancer.”.

What tests are used to determine tumor growth?

Doctors will use medical imaging , blood tests, or biopsies to determine changes in tumor growth. Patients may still have to undergo chemotherapy during the remission phase, also known as maintenance therapy.

What does reduced signs and symptoms of cancer mean?

Reduced signs and symptoms of cancer indicate remission. If doctors find certain cancers in earlier stages, a chance for remission is higher than later-stage cancers.

Is lung cancer remission?

Lung cancer patients that experience a reduction or halt in tumor growth or size are considered in “remission”.

Can you quit smoking and drink?

Patients can quit activities that exacerbate respiratory issues (smoking, drinking). Working on incorporating a healthier diet can also help. Adding to that, a healthy mental, emotional, and spiritual state may also encourage remission since mental and physical health is closely linked.

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