Adenocarcinoma of the lung natural history, complications, and prognosis: Difference between revisions

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==Natural History==
==Natural History==
*The majority of lung cancers present with advanced disease because the symptoms tend to occur later in the course of the disease<ref>"The Presentation and Diagnosis of Lung Cancer and Mesothelioma." Lunger Cancer: A Multidisciplinary Approach. Ed. Alison Leary. Ames: Blackwell, 2012. 15-21. Print.</ref>
*The majority of lung cancers present with advanced disease because the symptoms tend to occur later in the course of the disease.<ref name=leary>{{cite book | last = Leary | first = A | title = Lung cancer a multidisciplinary approach | publisher = Wiley-Blackwell | location = Chichester, West Sussex, UK Ames, Iowa | year = 2012 | isbn = 9781405180757 }}</ref>
*The patient experiences non-specific symptoms such as [[cough]], [[hemoptysis]], [[dyspnea]], [[chest pain]], [[dysphonia]], [[dysphagia]], lack of appetite, [[weight loss]], and [[fatigue]] from 3 weeks to 3 months before seeking medical attention.
*The patient experiences non-specific symptoms such as [[cough]], [[hemoptysis]], [[dyspnea]], [[chest pain]], [[dysphonia]], [[dysphagia]], lack of appetite, [[weight loss]], and [[fatigue]] from 3 weeks to 3 months before seeking medical attention.
*While of duration of symptoms, the [[tumor]] cell may double 20 times.<ref>"The Presentation and Diagnosis of Lung Cancer and Mesothelioma." Lunger Cancer: A Multidisciplinary Approach. Ed. Alison Leary. Ames: Blackwell, 2012. 15-21. Print.</ref>
*While of duration of symptoms, the [[tumor]] cell may double 20 times.<ref name=leary>{{cite book | last = Leary | first = A | title = Lung cancer a multidisciplinary approach | publisher = Wiley-Blackwell | location = Chichester, West Sussex, UK Ames, Iowa | year = 2012 | isbn = 9781405180757 }}</ref>
*In more advanced disease, the tumor may spread to other organs such as the [[spinal cord]], [[brain]], and [[bone]].
*In more advanced disease, the tumor may spread to other organs such as the [[spinal cord]], [[brain]], and [[bone]].
*These patients may develop symptoms such as leg weakness, [[paresthesias]], bladder dysfunction, [[seizures]], [[hemiplegia]], cranial nerve palsies, [[confusion]] , personality changes, skeletal pain, and [[pleuritic]] pain.<ref>"The Presentation and Diagnosis of Lung Cancer and Mesothelioma." Lunger Cancer: A Multidisciplinary Approach. Ed. Alison Leary. Ames: Blackwell, 2012. 15-21. Print.</ref>
*These patients may develop symptoms such as leg weakness, [[paresthesias]], bladder dysfunction, [[seizures]], [[hemiplegia]], cranial nerve palsies, [[confusion]] , personality changes, skeletal pain, and [[pleuritic]] pain.<ref name=leary>{{cite book | last = Leary | first = A | title = Lung cancer a multidisciplinary approach | publisher = Wiley-Blackwell | location = Chichester, West Sussex, UK Ames, Iowa | year = 2012 | isbn = 9781405180757 }}</ref>
*Once the cancer spreads to the other organs, it is most likely fatal.
*Once the cancer spreads to the other organs, it is most likely fatal.



Revision as of 14:16, 22 December 2015

Adenocarcinoma of the Lung Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shanshan Cen, M.D. [2]

Overview

Natural History

  • The majority of lung cancers present with advanced disease because the symptoms tend to occur later in the course of the disease.[1]
  • The patient experiences non-specific symptoms such as cough, hemoptysis, dyspnea, chest pain, dysphonia, dysphagia, lack of appetite, weight loss, and fatigue from 3 weeks to 3 months before seeking medical attention.
  • While of duration of symptoms, the tumor cell may double 20 times.[1]
  • In more advanced disease, the tumor may spread to other organs such as the spinal cord, brain, and bone.
  • These patients may develop symptoms such as leg weakness, paresthesias, bladder dysfunction, seizures, hemiplegia, cranial nerve palsies, confusion , personality changes, skeletal pain, and pleuritic pain.[1]
  • Once the cancer spreads to the other organs, it is most likely fatal.

Prognosis

Non–small cell lung cancer survival rate by stage[2]

Stage 5-year survival rate
IA 49%
IB 45%
IIA 30%
IIB 31%
IIIA 14%
IIIB 5%
IV 1%

References

  1. 1.0 1.1 1.2 Leary, A (2012). Lung cancer a multidisciplinary approach. Chichester, West Sussex, UK Ames, Iowa: Wiley-Blackwell. ISBN 9781405180757.
  2. Lung cancer. Canadian Cancer Society 2015. http://www.cancer.ca/en/cancer-information/cancer-type/lung/prognosis-and-survival/survival-statistics/?region=ab


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