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 Update Series on Respiratory Nursing

Carcinoma of Lung ¡@
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Carcinoma of Lung: Overview

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Ca Lung
Overview
Carcinogenesis
Smoking
Pathology
Presentation

Management

Diagnosis
TMN Definitions
Treatment
Assessment

Operation

Surgery
Pre-operative care
Intra-operative care
Post-operative care
Specific care
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Most common cancer in Hong Kong for both sexes

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Average of 3,400 new cases were diagnosed each year

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World age-adjusted incidence rates per 100,000 were 74.7 and 30.7 for male and female respectively, both rates were high when compared internationally
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Proportions: adenocarcinoma, squamous cell
carcinoma, small cell carcinoma and large cell
undifferentiated carcinoma

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Smoking is the major preventable cause of lung cancer

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No screening strategy has yet been proved to decrease the mortality in the population

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What are the proportions of the carcinoma cells?
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Clinically, it is classified: 
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NON-SMALL CELL LUNG CANCER (NSCLC) AND SMALL CELL LUNG CANCER (SCLC)
Because of their mark differences in behaviour and treatment
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- Small cell carcinoma usually disseminated at the time of presentation

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- Highly responsive to chemotherapy

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- Mainstay of treatment was chemotherapy and radiotherapy

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- Surgery may be performed for salvage (post chemotherapy residual tumour, mixed tumour with non-small cell component) or unknown diagnosis or selected limited stage SCLC

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- Median survival time for limited stage small cell lung cancer and extensive stage small cell lung cancer Is 16-24 months and 6-12 months respectively

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- Overall survival at 5 years is 5-10%

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