Thursday, 5 May 2011

Lung cancer - Signs and tests

The health care provider will perform a physical exam and ask questions about your medical history. You will be asked if you smoke, and if so, how long you have smoked.

When listening to the chest with a stethoscope, the health care provider can sometimes hear fluid around the lungs, which could (but doesn't always) suggest cancer.

Tests that may be performed to diagnose lung cancer or see if it has spread include:

Chest x-ray

CBC

Sputum test to look for cancer cells

Bone scan

CT scan of the chest

MRI of the chest

Positron emission tomography (PET) scan

Thoracentesis

In some cases, the health care provider may need to remove a piece of tissue from your lungs for examination under a microscope. This is called a biopsy. There are several ways to do this:

Bronchoscopy combined with biopsy

Pleural biopsy

CT-scan-directed needle biopsy

Mediastinoscopy with biopsy

Open lung biopsy

Endoscopic esophageal ultrasound (EUS) with biopsy

If the biopsy reveals you do have lung cancer, more imaging tests will be done to determine the stage of the cancer. Stage means how big the tumor is and how far it has spread. Non-small cell lung cancer is divided into five stages:

Stage 0 - the cancer has not spread beyond the inner lining of the lung

Stage I - the cancer is small and hasn't spread to the lymph nodes

Stage II - the cancer has spread to some lymph nodes near the original tumor

Stage III - the cancer has spread to nearby tissue or spread to far away lymph nodes

Stage IV - the cancer has spread to other organs of the body such as the other lung, brain, or liver