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Types and Staging of Lung Cancer
1. Types and Staging of Lung Cancer
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There are two major types of lung
cancer, non-small cell lung cancer
(NSCLC) and small cell lung cancer
(SCLC). Staging lung cancer is based on
whether the cancer is local or has spread
from the lungs to the lymph nodes or
other organs. Because the lungs are
large, tumors can grow in them for a
long time before they are found. Even
when symptoms—such as coughing and
fatigue—do occur, people think they are
due to other causes. For this reason,
early-stage lung cancer (stages I and II)
is difficult to detect. Most people with
lung cancer are diagnosed at stages III
and IV.
Types and Staging of Lung Cancer
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Non-Small Cell Lung Cancer
Non-small cell lung cancer accounts for
about 85 percent of lung cancers. Among
them are these types of tumors:
Adenocarcinoma is the most common
form of lung cancer in both men and
women.
•Squamous cell carcinoma (which is also
called epidermoid carcinoma) forms in
the lining of the bronchial tubes.
•Large cell carcinomas refer to non-small
cell lung cancers that are neither
adenocarcinomas nor epidermoid
cancers.
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Stages of Non-Small Cell Lung Cancer
Stage I : The cancer is located only in the lungs and has not spread to
any lymph nodes.
Stage II : The cancer is in the lung and nearby lymph nodes.
Stage III : Cancer is found in the lung and in the lymph nodes in the
middle of the chest, also described as locally advanced disease. Stage
III has two subtypes:
If the cancer has spread only to lymph nodes on the same side of
the chest where the cancer started, it is called stage IIIA.
If the cancer has spread to the lymph nodes on the opposite side of
the chest, or above the collar bone, it is called stage IIIB.
Stage IV : This is the most advanced stage of lung cancer, and is also
described as advanced disease. This is when the cancer has spread to
both lungs, to fluid in the area around the lungs, or to another part of
the body, such as the liver or other organs.
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Small Cell Lung Cancer
Small cell lung cancer results from smoking
even more so than non-small cell lung cancer,
and grow more rapidly and spread to other
parts of the body earlier than non-small cell
lung cancer. It is also more responsive to
chemotherapy.
Stages of Small Cell Lung Cancer
Limited stage : In this stage, cancer is found
on one side of the chest, involving just one part
of the lung and nearby lymph nodes.
Extensive stage : In this stage, cancer has
spread to other regions of the chest or other
parts of the body.
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