Lung Cancer: The Bad and the Worse

In terms of deaths caused by various forms ofinvolvement has a five-year survival rate of 43 to 64
cancer, lung cancer ranks second only to breastpercent when treated with surgery.
cancer. The National Cancer Institute recently· Stage IIA or IIB with a single lymph node
reported that an estimated 172,570 new cases ofinvolvement, when treated with surgery, has a
lung cancer will be reported this year and thatfive-year survival rate of 20 to 40 percent.
163,510 American will die from this disease.· Stage IIIA with a single lymph node
Lung cancer is caused predominantly by smoking. Oneinvolvement in the center of the chest, when treated
expert says that in the case of Small Cell Lungwith surgery has a five-year survival rate of 15 to 25
Carcinoma (cancer), it is almost always caused bypercent.
smoking.· Stage IIIB with lymph node involvement in the
Lung cancer is called lung cancer because it begins inchest and neck, when treated with radiation without
the lungs. The right lung has three sections, the leftother treatment, has a five-year survival rate of five
lung has two. Each section is called a lobe. Sometimesto seven percent.
the term "bronchogenic cancer" is used to refer to· Stage IIIB with lymph node involvement in the
lung cancer as most lung cancers begin in one of thechest and neck, when treated with radiation and
two breathing tubes, the bronchi, in the lungs.chemotherapy, has a five-year survival rate between
There are two major types of lung cancer. One isseven and 17 percent.
the Small Cell Lung Cancer (SCLC) mentioned in the· Stage IV with extensive lymph node
previous paragraph. The other is Non-Small Cell Lunginvolvement or cancer that has spread to other
Cancer (NSCLC).organs, hen treated with chemotherapy and palliative
Non-Small Cell Lung Cancer has three subtypes:care to reduce symptoms and increase comfort has
Adenocarcinoma, Squamous Cell Carcinoma and Largea one-year survival rate.
Cell Undifferentiated Carcinoma. NSCLC is the leastThe prognosis is much bleaker for patients with Small
"serious" of the two types. In fact, if it is detectedCell Lung Cancer. This form of cancer is found in two
early, it is possible that it can be cured with surgery.stages: limited or extensive. The limited version is
Andenocarcinoma accounts for about 40 percent ofthat which is found in only one lung and nearby lymph
lung cancer cases in the U.S. It is the most commonnodes. The extensive type has spread outside the
cancer among women and can be seen inlung to other parts of the chest or body
non-smokers. Squamous Cell Carcinoma represents(metastasized). Limited SCLC when treated with
about 30 to 35 percent of lung cancers and tends tochemotherapy and radiation therapy has an average
stay localized in the chest longer than other types ofsurvival time of 18 to 20 months. The extensive
lung cancer. Large Cell Undifferentiated Carcinomaform of SCLC when treated with chemotherapy has
represents only about five to 15 percent of lunga survival time of 10 to 12 months. Ttwo-year
cancers in the U.S. The incidence of this type ofsurvival rate is one to three percent, and the
cancer seems to be decreasing.five-year survival rate less than two percent.
The worst and most aggressive form of lung cancerThe majority of people diagnosed with SCLC will die
is Small Cell Lung Cancer. It represents only about 15despite the best available treatment.
to 20 percent of all lung cancers. It spreads to theWhile surgery plays the most important part in the
lymph nodes and other organs more quickly thantreatment of Non-Small Cell Lung Cancer,
NSCLC, but seems more responsive tochemotherapy is always the chosen treatment for
chemotherapy drugs.Small Cell Lung Cancer. In the case of limited stage
Non-Small Cell Lung Cancer is described in stages -SCLC, radiation therapy may also be used as the
Stage I through IV. WebMD recently reports survivalcancer is still localized to the chest area where
rates of NSCLC as:radiation can be focused.
· Stage 1A or 1B with no lymph node