Treatment FAQ

what is the treatment for lung cancer?

by Shayne Konopelski III Published 2 years ago Updated 2 years ago
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People with non-small cell lung cancer can be treated with surgery, chemotherapy, radiation therapy, targeted therapy, or a combination of these treatments. People with small cell lung cancer are usually treated with radiation therapy and chemotherapy. Surgery. An operation where doctors cut out cancer tissue.

Medication

If you choose not to treat your lung cancer, likely the cancer will grow and spread, causing pain, difficulty breathing, harm to affected organs and could possibly cause death. Due to the side effects of treatment on an advanced stage of cancer, some people diagnosed with lung cancer decide not to undergo treatment.

Procedures

Targeted therapy drugs for non-small cell lung cancer come as a tablet, which you take by mouth, every day, at home. You should take them at the same time/s each day. You can keep taking a targeted therapy for as long as it keeps working for you. There are various types of targeted therapies used to treat lung cancer.

Therapy

What Can You Expect During End Stage Lung Cancer

  • End of Life Changes. There's no single roadmap, but many families can tell when things "start to change." Some of these physical and emotional changes are nearly universal, no matter ...
  • Emotional Changes. ...
  • Spiritual Changes. ...
  • Physical Changes. ...
  • The Final Days. ...
  • The Death. ...
  • For Loved Ones. ...
  • Summary. ...
  • A Word From Verywell. ...

Nutrition

  • Overall health. Commonly, if you’re healthy when you receive your diagnosis, it’s an indication that you might have a better ability to tolerate life-extending treatments.
  • Age. ...
  • Gender. ...
  • Race. ...
  • Response to treatment. ...
  • Genetic mutations. ...
  • Lung cancer type and tumor location. ...
  • Smoking. ...
  • Ability to perform daily activities. ...

What happens if I choose not to treat my lung cancer?

What are targeted treatments that are used for lung cancer?

What is life expectancy after lung cancer?

What is the goal of treating advanced lung cancer?

See more

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What is the most common treatment for lung cancer?

The most common treatment options include surgery, radiotherapy, chemotherapy and immunotherapy. Depending on the type of cancer and the stage, you may receive a combination of these treatments.

Does lungs cancer curable?

As with many other cancers, a key to surviving lung cancer is catching it in its earliest stages, when it is most treatable. For patients who have small, early-stage lung cancer, the cure rate can be as high as 80% to 90%.

What is the survival rate of lung cancer?

The lung cancer five-year survival rate (18.6 percent) is lower than many other leading cancer sites, such as colorectal (64.5 percent), breast (89.6 percent) and prostate (98.2 percent). The five-year survival rate for lung cancer is 56 percent for cases detected when the disease is still localized (within the lungs).

What is the treatment for stage 1 lung cancer?

If you have stage I NSCLC, surgery may be the only treatment you need. This may be done either by taking out the lobe of the lung that has the tumor (lobectomy) or by taking out a smaller piece of the lung (sleeve resection, segmentectomy, or wedge resection).

Does lung cancer spread quickly?

Lung cancer is an aggressive form of cancer that spreads rapidly. Survival rates are improving but remain low, particularly for SCLC. Early diagnosis and treatment improve a person's chances of living for 5 years or longer with lung cancer.

Where does lung cancer usually start?

Lung cancers typically start in the cells lining the bronchi and parts of the lung such as the bronchioles or alveoli. A thin lining layer called the pleura surrounds the lungs.

Can you live 20 years with lung cancer?

Each year, tens of thousands of people are cured of NSCLC in the United States. And, some patients with advanced lung cancer can live many years after diagnosis. Sometimes patients who are told that their lung cancer is incurable live longer than many who are told that their lung cancer is curable.

How long can you have lung cancer without knowing?

Scientists have discovered that lung cancers can lie dormant for over 20 years before suddenly turning into an aggressive form of the disease.

What is the deadliest cancer?

According to the American Cancer Society, lung cancer — and lung cancer caused by asbestos — is the number one killer, with 131,880 estimated deaths in 2022 alone, making it three times deadlier than breast cancer.

Can you beat lung cancer if caught early?

With early intervention, stage I lung cancer can be highly curable. Usually, your doctor will want to remove the cancer with surgery. You also may need chemo or radiation therapy if traces of cancer remain or are likely to stay.

Which is better surgery or radiation for lung cancer?

While surgery is still the gold standard for lung cancer treatment, radiation therapy can offer a less invasive approach with quicker recovery times.

What is the newest treatment for lung cancer?

Atezolizumab is approved to treat some people with non-small cell lung cancer after surgery. An immune checkpoint inhibitor is a drug that blocks proteins on immune system cells which then allows them to fight cancer.

How is lung cancer treated?

People with non-small cell lung cancer can be treated with surgery, chemotherapy, radiation therapy, targeted therapy, or a combination of these treatments. People with small cell lung cancer are usually treated with radiation therapy ...

What are the two types of lung cancer?

The two main types of lung cancer are small cell lung cancer and non-small cell lung cancer. These categories refer to what the cancer cells look like under a microscope. Non-small cell lung cancer is more common than small cell lung cancer. If you have lung cancer (especially non-small cell lung cancer), your doctor may run tests.

What is the process of finding out how far a lung cancer has spread?

Staging. If lung cancer is diagnosed, other tests are done to find out how far it has spread through the lungs, lymph nodes, and the rest of the body. This process is called staging . The type and stage of lung cancer tells doctors what kind of treatment you need.

How to shrink cancer?

Using special medicines to shrink or kill the cancer. The drugs can be pills you take or medicines given in your veins, or sometimes both. Radiation therapy. Using high-energy rays (similar to X-rays) to kill the cancer. Targeted therapy. Using drugs to block the growth and spread of cancer cells.

What is alternative medicine?

Alternative medicine is used instead of standard treatments. Examples include special diets, megadose vitamins, herbal preparations, special teas, and magnet therapy. Many kinds of complementary and alternative medicine have not been tested scientifically and may not be safe.

What is the second opinion on cancer?

Your doctor can explain the risks and benefits of each treatment and their side effects. Side effects are how your body reacts to drugs or other treatments. Sometimes people get an opinion from more than one cancer doctor. This is called a “second opinion.”. Getting a second opinion. external icon.

What is complementary medicine?

Complementary and alternative medicine are medicines and health practices that are not standard cancer treatments. Complementary medicine is used in addition to standard treatments. Examples include acupuncture, dietary supplements, massage therapy, hypnosis, and meditation.

Making Lung Cancer Treatment Decisions

Talking about lung cancer and its treatment options can be confusing. Make sure you understand your options and potential side effects before you make any decision.

Lung Cancer Treatment Options

Once your doctors have determined your lung cancer profile, they will present you with one or a combination of the following options:

Take Action

Voice your concerns to your doctor. He or she can discuss lung cancer treatment options with you and answer your questions. Download our Lung Cancer Treatment Organizer to keep track of your treatment plan.

What tests can be done to determine if you have lung cancer?

Tests may include: Imaging tests. An X-ray image of your lungs may reveal an abnormal mass or nodule.

What is lung surgery?

Lung cancer surgery can involve removing a portion of the lung or the entire lung. An operation to remove the lung cancer and a small portion of healthy tissue is called a wedge resection. Removing a larger area of the lung is called segmental resection. Surgery to remove one of the lung's five lobes is called lobectomy. Removing an entire lung is called pneumonectomy.

What are the stages of lung cancer?

The stages of lung cancer are indicated by Roman numerals that range from 0 to IV, with the lowest stages indicating cancer that is limited to the lung. By stage IV, the cancer is considered advanced and has spread to other areas of the body.

How does a lung cancer stage work?

Once your lung cancer has been diagnosed, your doctor will work to determine the extent (stage) of your cancer. Your cancer's stage helps you and your doctor decide what treatment is most appropriate. Staging tests may include imaging procedures that allow your doctor to look for evidence that cancer has spread beyond your lungs.

What can you tell your doctor about lung cancer?

Careful analysis of your cancer cells in a lab will reveal what type of lung cancer you have. Results of sophisticated testing can tell your doctor the specific characteristics of your cells that can help determine your prognosis and guide your treatment.

How does immunotherapy work?

Immunotherapy uses your immune system to fight cancer. Your body's disease-fighting immune system may not attack your cancer because the cancer cells produce proteins that help them hide from the immune system cells. Immunotherapy works by interfering with that process.

How does chemo work?

Chemotherapy uses drugs to kill cancer cells. One or more chemotherapy drugs may be given through a vein in your arm (intravenously) or taken orally. A combination of drugs usually is given in a series of treatments over a period of weeks or months, with breaks in between so that you can recover.

What is the treatment for cancer?

Immunotherapy. It’s a type of treatment in which doctors use medicines to help your body’s immune system to find and destroy cancer cells. Your doctor may prescribe medications based on the type of cancer you have. Drugs usually used for immunotherapy include:

How long do you have to stay in the hospital after lung surgery?

You might also need radiation or chemotherapy after surgery. After the operation, you might need to stay in the hospital for about a week to heal before you go home to recover. However, minimally invasive procedures are being used more and more often.

What is the term for the fluid that builds up between the lungs and the chest cavity?

This is called pleural effusion and may also cause shortness of breath, cough, and chest pain. To treat this, your doctor may drain the fluid using a procedure called thoracentesis .

What is immunotherapy treatment?

It’s a type of treatment in which doctors use medicines to help your body’s immune system to find and destroy cancer cells. Your doctor may prescribe medications based on the type of cancer you have. Drugs usually used for immunotherapy include: Doctors will give you these drugs as an IV infusion.

Can you remove lung cancer in an operation?

Your surgeon will use a thoracoscope, a flexible tube that is used to examine the chest and get rid of tissue. If you have small-cell lung cancer, it might not be possible to remove it in an operation.

Can you get a lung tumor before surgery?

You might get it before surgery to shrink a tumor to make it easier to remove, or after surgery to kill any cancer cells left behind. Some people get it in combination with chemotherapy. It can also relieve some of the symptoms of lung cancer, such as pain or bleeding. Chemotherapy.

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 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 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 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 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 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 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 try 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.

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.

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.

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Types of Lung Cancer

Staging

Types of Treatment

Clinical Trials

Medically reviewed by
Dr. Govind Desai
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment involves surgery, chemotherapy and radiation therapy.
Medication

Chemotherapy: One or more of the following drugs are given intravenously so as to kill the affected cells.

Docetaxel . Carboplatin . Gemcitabine . Nab-paclitaxel . Paclitaxel . Pemetrexed . Vinorelbine


Targeted therapy drugs: These work by targeting the abnormalities in the affected cells there by killing the cancerous cells.

Erlotinib

Procedures

Lobectomy of the lung: It is one of the most effective ways, and is carried out by removing one of the lobes of lungs.

Lung wedge resection: In case the removal of lobe is difficult, tumor along with few healthy tissues is removed.

Lung segmentectomy: In this surgical procedure, a segment of the lungs is removed.

Pneumonectomy: An entire lung is removed in this case.

Therapy

Radiation therapy:The cancerous cells are killed by the high energy beams thereby eliminating all the cancerous lung cells.

Nutrition

Foods to eat:

  • Carotenoid-rich foods: Carrots, green and red bell peppers, sweet potatoes, winter squash, and leafy greens
  • Eat one serving of cruciferous vegetables daily: broccoli, cabbage, kale, watercress and brussel sprout foods high in vitamin E: almonds, walnuts, & sunflower seeds), avocados, mangoes, and wheat germ
  • Foods which contains vitamin C & folic acid: orange, kiwi, potatoes, and red bell peppers. Asparagus, broccoli, and dried beans are good sources of folic acid

Foods to avoid:

  • Fatty foods like fried food or fast food
  • high fat dairy products like cheese and butter
  • Alcoholic drinks

Specialist to consult

Pulmonologist
Specializes in diagnosing and treating conditions that affect the respiratory system.
Oncologist
Specializes in the diagnosis and treatment of cancer.

Complementary and Alternative Medicine

  • The two main types of lung cancer are small cell lung cancer and non-small cell lung cancer. These categories refer to what the cancer cells look like under a microscope. Non-small cell lung cancer is more common than small cell lung cancer. If you have lung cancer (especially non-small cell lung cancer), your doctor may run testsexternal icon to find out if you have a change in your …
See more on cdc.gov

Which Treatment Is Right For Me?

  • If lung cancer is diagnosed, other tests are done to find out how far it has spread through the lungs, lymph nodes, and the rest of the body. This process is called staging. The type and stage of lung cancer tells doctors what kind of treatment you need. For more information, visit Stages of Non-Small Cell Lung Cancerexternal icon and Stages of Small Cell Lung Cancer.external icon
See more on cdc.gov

Diagnosis

  • Lung cancer is treated in several ways, depending on the type of lung cancer and how far it has spread. People with non-small cell lung cancer can be treated with surgery, chemotherapy, radiation therapy, targeted therapy, or a combination of these treatments. People with small cell lung cancer are usually treated with radiation therapy and chemoth...
See more on cdc.gov

Treatment

  • Clinical trialsexternal icon use new treatment options to see if they are safe and effective. For more information, visit the National Cancer Institute’s Clinical Trials page.external iconIf you have cancer, you may want to take part. Visit the sites listed below to find a clinical trial. 1. Search for Clinical Trialsexternal icon(National Cancer Institute) 2. ClinicalTrials.govexternal icon(National I…
See more on cdc.gov

Clinical Trials

  • Complementary and alternative medicineare medicines and health practices that are not standard treatments doctors usually use to treat cancer. 1. Complementary medicine is used in addition tostandard treatments. Examples include acupuncture, dietary supplements, massage therapy, hypnosis, and meditation. 2. Alternative medicine is used instead ofstandard treatments. Examp…
See more on cdc.gov

Lifestyle and Home Remedies

  • Choosing the treatment that is right for you may be hard. Talk to your cancer doctor about the treatment options available for your type and stage of cancer. Your doctor can explain the risks and benefits of each treatment and their side effects. Side effectsare how your body reacts to drugs or other treatments. Sometimes people get an opinion from more than one cancer doctor…
See more on cdc.gov

Alternative Medicine

Coping and Support

  • You and your doctor choose a cancer treatment plan based on a number of factors, such as your overall health, the type and stage of your cancer, and your preferences. In some cases, you may choose not to undergo treatment. For instance, you may feel that the side effects of treatment will outweigh the potential benefits. When that's the case, your doctor may suggest comfort care to t…
See more on mayoclinic.org

Preparing For Your Appointment

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

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