Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
U.S. DEPARTMENT OF
HEALTH AND HUMAN SERVICES
National Institutes of Health
National Cancer Institute Services
This is only one of many free booklets for
people with cancer.
Chat online
LiveHelp, NCI’s instant messaging service
https://livehelp.cancer.gov
E-mail
cancergovstaff@mail.nih.gov
Order publications
http://www.cancer.gov/publications
1–800–4–CANCER (1–800–422–6237)
Words that may be new to you are shown in bold. See the
Words To Know section on page 25 to learn what a new
word means and how to pronounce it.
You can read this booklet from front to back. Or, you can
read only the sections you need right now.
6 Stages
9 Treatment
21 Nutrition
When you breathe in, your lungs expand with air. This is
how your body gets oxygen.
When you breathe out, air goes out of your lungs. This is
how your body gets rid of carbon dioxide.
Lobe Lobe
of lung of lung
1
Your right lung has three parts (lobes). Your left lung is
smaller and has two lobes.
Inside the chest are two thin layers of tissue (the pleura).
One layer covers the lungs and the other layer lines the
inside of your chest.
Cancer Cells
Cancer begins in cells, the building blocks that make up all
tissues and organs of the body, including the lungs.
Normal cells in the lungs and other parts of the body grow
and divide to form new cells as they are needed. When
normal cells grow old or get damaged, they die, and new
cells take their place.
■■ Benign tumors:
• Are rarely a threat to life
• Don’t invade the tissues around them
• Don’t spread to other parts of the body
• Usually don’t need to be removed
2
• Can spread to other parts of the body
• Often can be removed but may grow back
The most common types are named for how the lung cancer
cells look under a microscope:
■■ Small cell: The cells of small cell lung cancer look small
under a microscope. About 1 of every 8 people with lung
cancer has small cell lung cancer.
■■ Go online to Smokefree.gov.
Staging Tests
After you learn that you have lung cancer, you may need
staging tests to help with decisions about treatment. Staging
tests can show the stage (extent) of lung cancer, such as
whether cancer cells have spread to other parts of the body.
4
lung to almost any other part of the body, such as the brain,
bones, other lung, liver, or adrenal gland.
■■ PET scan: Your doctor may use a PET scan to get a better
view of the tumor in the lung or to find cancer that has
spread. You’ll receive an injection of a small amount
of radioactive sugar. A machine makes computerized
pictures of the sugar being used by cells in the body.
Because cancer cells use sugar faster than normal cells,
areas with cancer cells look brighter on the pictures.
■■ MRI: A strong magnet linked to a computer is used to
make detailed pictures of your head or spine. An MRI
can show whether cancer has spread to these areas.
Sometimes contrast material is used to make abnormal
areas show up more clearly on the picture.
5
substance collect in areas where cancer is present, the
pictures can show cancer that has spread to the bones.
Stages
The stage of lung cancer depends mainly on…
6
You can find pictures of the stages and other information
on NCI’s website at http://www.cancer.gov/cancertopics/
types/lung.
1 cm 2 cm 4 cm 5 cm
7
Stage II Lung Cancer
The lung tumor is smaller than 7 centimeters across, and
cancer cells are found in nearby lymph nodes.
Or, cancer cells are not found in nearby lymph nodes. The
lung tumor is more than 5 centimeters across, or it invades
nearby tissues, such as the chest wall, diaphragm, pleura,
main bronchus, or tissue that surrounds the heart. More
than one malignant tumor may be found within the same
lobe of the lung.
8
■■ Extensive stage: Cancer is found in the lung and also
in tissues on the other side of the chest. Or, lung cancer
is found in distant organs, such as the brain, or in fluid
between the two layers of pleura. (See page 1 for picture
of pleura.)
Treatment
People with lung cancer have many treatment options.
Treatment options include…
■■ Surgery
■■ Radiation therapy
■■ Chemotherapy
■■ Targeted therapy
9
Also, you can get information about coping from
NCI’s Cancer Information Service at 1–800–4–CANCER
(1–800–422–6237). Or, chat using NCI’s instant messaging
service, LiveHelp (https://livehelp.cancer.gov).
10
■■ NCI’s Cancer Information Service can give you
information about treatment centers near you. Call
1–800–4–CANCER (1–800–422–6237). Or, chat using
LiveHelp (https://livehelp.cancer.gov), NCI’s instant
messaging service.
11
Side effects may not be the same for everyone, and they may
even change from one treatment session to the next.
You and your health care team can work together to develop
a treatment plan.
12
Second Opinion
Before starting treatment, you might want a second opinion
about your diagnosis and treatment options. Some people
worry that the doctor will be offended if they ask for a
second opinion. Usually the opposite is true. Most doctors
welcome a second opinion. And many health insurance
companies will pay for a second opinion if you or your
doctor requests it. Some insurance companies actually
require a second opinion.
If you get a second opinion, the second doctor may agree with
your first doctor’s diagnosis and treatment recommendation.
Or, the second doctor may suggest another approach. Either
way, you have more information and perhaps a greater sense
of control. You can feel more confident about the decisions
you make, knowing that you’ve looked at all of your options.
Surgery
Surgery may be an option for people with early-stage
lung cancer.
The surgeon usually removes only the part of the lung that
contains cancer. Most people who have surgery for lung
cancer will have the lobe of the lung that contains the cancer
removed. This is a lobectomy. In some cases, the surgeon
will remove the tumor along with less tissue than an entire
lobe, or the surgeon will remove the entire lung. The surgeon
also removes nearby lymph nodes.
After lung surgery, air and fluid will collect in the chest. A
chest tube that was inserted during surgery will allow the
fluid to drain. Also, a nurse or respiratory therapist will
teach you coughing and breathing exercises. You’ll need to
do these exercises several times a day. The chest tube will be
removed a few days after surgery.
14
Medicine can help control your pain after surgery. Before
surgery, you should discuss the plan for pain relief with your
doctor or nurse. After surgery, your doctor can adjust the
plan if you need more pain relief.
Radiation Therapy
Radiation therapy is an option for people with any stage of
lung cancer:
15
■■ Radiation therapy can be used to help relieve pain from
lung cancer that has spread to the bones or other tissues.
It’s common for the skin in the chest area to become red and
dry and to get darker. Sometimes the skin may feel tender or
itchy. Check with your doctor before using lotion or cream
on your chest. After treatment is over, the skin will heal.
16
enough rest is important, most people say they feel better
when they exercise every day. Try to go for a short walk, do
gentle stretches, or do yoga.
17
Chemotherapy
Chemotherapy may be used alone, with radiation therapy, or
after surgery.
The side effects depend mainly on which drugs are given and
how much. Chemotherapy kills fast-growing cancer cells,
but the drugs can also harm normal cells that divide rapidly:
18
Other possible side effects include hearing loss, joint pain,
and tingling or numbness in your hands and feet.
Targeted Therapy
People with non-small cell lung cancer that has spread may
receive a type of treatment called targeted therapy. Several
kinds of targeted therapy are used for non-small cell lung
cancer. One kind is used only if a lab test on the cancer tissue
shows a certain gene change. Targeted therapies can block
the growth and spread of lung cancer cells.
During treatment, your health care team will watch you for
side effects. You may get a skin rash, diarrhea, or mouth
sores, or you may feel very tired. Other possible side effects
include shortness of breath, belly pain, high blood pressure,
vomiting, and swollen feet and hands. The side effects
usually go away after treatment ends.
You may want to read the NCI fact sheet Targeted Cancer
Therapies.
19
Questions you may want to ask your doctor about
chemotherapy or targeted therapy
20
Nutrition
Eating well is important before, during, and after cancer
treatment. You need the right amount of calories to maintain
a good weight. You also need enough protein to keep up
your strength. Eating well may help you feel better and have
more energy.
21
Follow-up Care
You’ll need regular checkups (such as every 6 months) after
treatment for lung cancer. Checkups help ensure that any
changes in your health are noted and treated if needed. If
you have any health problems between checkups, contact
your doctor.
Sources of Support
Learning that you have lung cancer can change your life and
the lives of those close to you. These changes can be hard to
handle. It’s normal for you, your family, and your friends to
need help coping with the feelings that a diagnosis of cancer
can bring.
22
Concerns about treatments and managing side effects,
hospital stays, and medical bills are common. You may also
worry about caring for your family, keeping your job, or
continuing daily activities.
For tips on coping, you may want to read the NCI booklet
Taking Time: Support for People With Cancer.
23
Cancer Treatment Research
Cancer research has led to advances that have helped people
live longer, and doctors continue to search for new and
better ways to treat lung cancer. All over the world, doctors
are conducting many types of cancer treatment research
studies (clinical trials).
24
Words To Know
Definitions of thousands of terms are on NCI’s website
in NCI’s Dictionary of Cancer Terms. You can access it at
http://www.cancer.gov/dictionary.
25
Cell: The individual unit that makes up the tissues of the body. All
living things are made up of one or more cells.
Clinical trial: A type of research study that tests how well new
medical approaches work in people. These studies test new
methods of screening, prevention, diagnosis, or treatment of a
disease. Also called clinical study.
27
the brain, the spine, the soft tissue of joints, and the inside of
bones. Also called magnetic resonance imaging.
28
protons, and other sources to kill cancer cells and shrink tumors.
Also called irradiation and radiotherapy.
29
Targeted therapy (TAR-geh-ted THAYR-uh-pee): A type of
treatment that uses drugs or other substances, such as monoclonal
antibodies, to identify and attack specific cancer cells.
30
For the Latest Information
About Lung Cancer
Visit NCI’s website at http://www.cancer.gov/
cancertopics/types/lung
To Request Permission
To Use Artwork
Although the text of this booklet is in the
public domain, private-sector artists retain the
copyright to artwork that they create under
contract to NCI.