Lung cancer

Abstract

After considering the size of the problem, the chapter describes the overall approach to the new lung cancer patient in the UK, including initial treatment options. The commoner presenting symptoms are local and as the disease -progresses, systemic ones such as fatigue and weight loss become more apparent. Palliative anti-cancer treatments (radiotherapy and chemotherapy) are described with particular reference to their effect on symptoms. Drug and non-drug treatment of specific respiratory symptoms are considered in earlier chapters, but there are sections in this chapter on the systemic symptoms which can occur not only in lung cancer, but also other chronic respiratory diseases. There are a number of particular lung cancer complications that need specific management strategies, including stridor, hoarseness, spinal cord compression, and superior vena caval obstruction as well as the two commoner paraneoplastic syndromes, hypercalcemia, and SIADH. The chapter finishes with care in advanced disease and carer support.