GSE
There are two main types of lung cancer
There are two main types of lung cancer
Lung cancer is a cancer that forms in tissues of the lung.
Usually in the cells lining air passages
There are two main types of lung cancer (also known as bronchogenic carcinoma).
Distinguished by the appearance of the cancer cells under a microscope.
(1) Non-Small cell lung carcinoma
(NSCLC)
NSCLC grows more
slowly than SCLC and accounts for almost 90% of all lung cancers
3 main sub-types of NSCLC:
1.
Adenocarcinoma . ~35-40% of NSCLC; cancer of the mucus-producing glands of the lungs; most
common lung cancer for those who have never smoked; more common in women; often
begins near the outside surface of the lung; likely to spread to nearby lymph
nodes or or other tissues in the chest (E.g. pleura (lung lining) or pericardium
(around the heart) or the other lung) or other organs (E.g. brain, liver,
adrenal glands) or bones;
2.
Squamous cell lung carcinoma .
Forms in the lining of the bronchial
tubes; most common lung cancer in men;
3.
Large-cell lung carcinoma
. 5-10% of NSCLC; forms near the surface or the outer edges of the lungs;
similar to adenocarcinoma, it is also
likely to spread to nearby lymph nodes, other organs or bones;
NSCLC is sometimes treated
with
surgery . When non-small-cell lung cancer is found before it spreads
beyond one lung, surgery can sometimes offer a cure. The surgeon may remove the
part of the lung that contains the tumor, or if necessary, an entire lung. Some
patients are given radiation therapy and/or chemotherapy after surgery to kill
any remaining cancer;
(2) Small cell lung carcinoma
(SCLC)
SCLC is more aggressive
than NSCLC and is strongly tied to cigarette smoking. Rarely seen in
non-smoker; can quickly spread to other parts of the body early on.
SCLC usually responds
better to
chemotherapy and radiation. Surgery is not usually an option
because it has typically already spread at the time of diagnosis.
(Chapman et al, 2009)
Women are more
likely to get lung cancer Lancet, 2001
Women exposed to smoke
- are twice as likely to develop lung cancer as men;
Nonsmokers who
develop lung cancer - are two-and-a-half times more likely to be female than male
Women who died from
lung cancer - were younger than men who died from the disease.
Worldwide and in the U.S., lung cancer is the
most common cause of cancer-related death
True for both men and women.
Lung cancer is
responsible for
1.37 million deaths
annually, as of 2008. (WHO, 2006; U.S. Cancer
Statistics, 2012)
Nearly 72,000 American women died of lung cancer
in 2006. More than died of breast, ovarian, uterine and cervical cancers
combine
14% of people in
the United States diagnosed with lung cancer survive five years after the
diagnosis. (Collins et al, 2007)
Age-Related Causes of Death in Women
Age
Heart Disease
Cancer
Lung
Breast
Colorectal
(Colon)
15-34
#1
35-54
#2
#1
#1
55-74
#2
#1
#1
#2
>74
#1
#1
#3
#2
Race-Related Causes of Cancer Death in Women
(rates per 100,000 women
of all races)
Race
Lung
(39.0)
Breast
(22.5)
Colorectal
(13.8)
White, black, American
Indian/Alaska Native women.
#1
#2
#3
Hispanic
#2
#1
#3
Geographical Variations in Lung Cancer IN U.S.
(rates per 100,000)
Age
Women
Incidence
Women
Death rate
Men
Incidence
Men
Death rate
U.S.
54.5
39.0
79.5
64.0
Northeast
57.8
38.2
78.2
59.4
West
45.5
33.8
60.4
49.2
Midwest
57.3
42.4
83.2
69.1
South
56.3
40.4
89.3
72.1
(U.S. Cancer Statistics Working Group, 2012)
References
Chapman, S; Robinson G, Sradling J, West S (2009). "31".
Oxford Handbook of Respiratory Medicine (2nd ed.). Oxford University
Press.
ISBN9-780199-545162
Collins LG,
Haines C, Perkel R, Enck RE (January 2007).
"Lung cancer: diagnosis and management" . American Family Physician (American Academy of Family Physicians) 75(1): 56-63.
Study in The Lancet Oncology (2001)
U.S. Cancer Statistics Working Group (2012).
United States Cancer Statistics: 1999-2008 Incidence and Mortality
Web-based Report.
Atlanta (GA): Department of Health and Human Services, Centers for Disease
Control and Prevention, and National Cancer Institute;
http://www.cdc.gov/uscs.
WHO
(February 2006).
"Cancer" .
World Health Organization .
Retrieved 2007-06-25;