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Low cost lung cancer surgery with medical tourism in India

What is cancer of the lung?

Cancer of the lung, like all cancers, results from an abnormality in the body's basic unit of life, the cell. Normally, the body maintains a system of checks and balances on cell growth so that cells divide to produce new cells only when needed. Disruption of this system of checks and balances on cell growth results in an uncontrolled division and proliferation of cells that eventually forms a mass known as a tumor. Tumors can be benign or malignant; when we speak of "cancer," we refer to those tumors that are considered malignant. Benign tumors can usually be removed and do not spread to other parts of the body. Malignant tumors, on the other hand, grow aggressively and invade other tissues of the body, allowing entry of tumor cells into the bloodstream or lymphatic system and then to other sites in the body. This process of spread is termed metastasis; the areas of tumor growth at these distant sites are called metastases. Since lung cancer tends to spread or metastasize very early in its course, it is a very life-threatening cancer and one of the most difficult cancers to treat. While lung cancer can spread to any organ in the body, certain organs -- particularly the adrenal glands, liver, brain, and bone -- are the most common sites for lung-cancer metastasis. The lung is also a very common site for metastasis from tumors in other parts of the body. Tumor metastases are made up of the same type of cells as the original, or primary, tumor. For example, if prostate cancer spreads via the bloodstream to the lungs, it is metastatic prostate cancer in the lung and is not lung cancer. The lung cancer surgery in India is an affordable costing surgery as the costing is the prime need of the patients. Lung cancer surgery in India provides you the best medical facilities along with the guidance of our renowned surgeons.

How common is lung cancer?

Lung cancer is responsible for the most cancer deaths in both men and women throughout the world. The American Cancer Society estimates that 215,020 new cases of lung cancer in the U.S. will be diagnosed and 161,840 deaths due to lung cancer will occur in 2008. According to the U.S. National Cancer Institute, approximately one out of every 14 men and women in the U.S. will be diagnosed with cancer of the lung or airways at some point in their lifetime. Lung cancer is predominantly a disease of the elderly; almost 70% of people diagnosed with the condition are over 65 years of age, while less than 3% of cases occur in people under age 45. Lung cancer was not common prior to the 1930s but increased dramatically over the following decades as tobacco smoking increased. In many developing countries, the incidence of lung cancer is beginning to fall following public education about the dangers of cigarette smoking and effective smoking-cessation programs. Nevertheless, lung cancer remains among the most common types of cancers in both men and women worldwide. Lung cancer has also surpassed breast cancer in causing the most cancer-related deaths in women in the United States.

What causes lung cancer?

Smoking Passive smoking Asbestos fibers Radon gas Familial predisposition Lung diseases Prior history of lung cancer Air pollution

What are the types of lung cancer?

NSCLC are the most common lung cancers, accounting for about 80% of all lung cancers. NSCLC can be divided into three main types that are named based upon the type of cells found in the tumor:

*Adenocarcinomas are the most commonly seen type of NSCLC in the U.S. and comprise up to 50% of NSCLC. While adenocarcinomas are associated with smoking like other lung cancers, this type is observed as well in nonsmokers who develop lung cancer. Most adenocarcinomas arise in the outer, or peripheral, areas of the lungs. Bronchioloalveolar carcinoma is a subtype of adenocarcinoma that frequently develops at multiple sites in the lungs and spreads along the preexisting alveolar walls.

*Squamous cell carcinomas were formerly more common than adenocarcinomas; at present, they account for about 30% of NSCLC. Also known as epidermoid carcinomas, squamous cell cancers arise most frequently in the central chest area in the bronchi.

*Large cell carcinomas, sometimes referred to as undifferentiated carcinomas, are the least common type of NSCLC.

*Mixtures of different types of NSCLC are also seen.

When should one consult a doctor?

One should consult a health-care provider if he or she develops the symptoms associated with lung cancer, in particular, if they have

# a new persistent cough or worsening of an existing chronic cough # blood in the sputum, # persistent bronchitis or repeated respiratory infections # chest pain # unexplained weight loss and/or fatigue and/or # breathing difficulties such as shortness of breath or wheezing.

How is lung cancer treated?

Treatment for lung cancer can involve surgical removal of the cancer, chemotherapy, or radiation therapy, as well as combinations of these treatments. The decision about which treatments will be appropriate for a given individual must take into account the localization and extent of the tumor as well as the overall health status of the patient.

As with other cancers, therapy may be prescribed that is intended to be curative (removal or eradication of a cancer) or palliative (measures that are unable to cure a cancer but can reduce pain and suffering). More than one type of therapy may be prescribed. In such cases, the therapy that is added to enhance the effects of the primary therapy is referred to as adjuvant therapy. An example of adjuvant therapy is chemotherapy or radiotherapy administered after surgical removal of a tumor in order to be certain that all tumor cells are killed.

Surgery: Surgical removal of the tumor is generally performed for limited-stage (stage I or sometimes stage II) NSCLC and is the treatment of choice for cancer that has not spread beyond the lung. About 10%-35% of lung cancers can be removed surgically, but removal does not always result in a cure, since the tumors may already have spread and can recur at a later time. Among people who have an isolated, slow-growing lung cancer removed, 25%-40% are still alive five years after diagnosis. Surgery may not be possible if the cancer is too close to the trachea or if the person has other serious conditions (such as severe heart or lung disease) that would limit their ability to tolerate an operation. Surgery is less often performed with SCLC because these tumors are less likely to be localized to one area that can be removed.

The surgical procedure chosen depends upon the size and location of the tumor. Surgeons must open the chest wall and may perform a wedge resection of the lung (removal of a portion of one lobe), a lobectomy (removal of one lobe), or a pneumonectomy (removal of an entire lung). Sometimes lymph nodes in the region of the lungs are also removed (lymphadenectomy). Surgery for lung cancer is a major surgical procedure that requires general anesthesia, hospitalization, and follow-up care for weeks to months. Following the surgical procedure, patients may experience difficulty breathing, shortness of breath, pain, and weakness. The risks of surgery include complications due to bleeding, infection, and complications of general anesthesia.

What is the prognosis (outcome) of lung cancer?

The prognosis of lung cancer refers to the chance for cure or prolongation of life (survival) and is dependent upon where the cancer is localized the size of the cancer, the presence of symptoms, the type of lung cancer, and the overall health status of the patient.

SCLC has the most aggressive growth of all lung cancers, with a median survival time of only two to four months after diagnosis when untreated. (That is, by two to four months, half of all patients have died.) However, SCLC is also the type of lung cancer most responsive to radiation therapy and chemotherapy. Because SCLC spreads rapidly and is usually disseminated at the time of diagnosis, methods such as surgical removal or localized radiation therapy are less effective in treating this tumor type. However, when chemotherapy is used alone or in combination with other methods, survival time can be prolonged four- to fivefold; however, of all patients with SCLC, only 5%-10% are still alive five years after diagnosis. Most of those who survive have limited-stage SCLC.

In non-small cell lung cancer (NSCLC), results of standard treatment are generally poor in all but the most localized cancers that can be surgically removed. However, in stage I cancers that can be completely removed five-year survival approaches 75%. Radiation therapy can produce a cure in a small minority of patients with NSCLC and leads to relief of symptoms in most patients. In advanced-stage disease, chemotherapy offers modest improvements in survival time, although overall survival rates are poor.

The overall prognosis for lung cancer is poor when compared with some other cancers. Survival rates for lung cancer are generally lower than those for most cancers, with an overall five-year survival rate for lung cancer of about 16% compared to 65% for colon cancer, 89% for breast cancer, and over 99% for prostate cancer.

How can lung cancer be prevented?

Smoking cessation is the most important measure that can prevent lung cancer. Many products, such as nicotine gum, nicotine sprays, or nicotine inhalers, may be helpful to people trying to quit smoking. Minimizing exposure to passive smoking is also an effective preventive measure. Using a home radon test kit can identify and allow correction of increased radon levels in the home, which can also cause lung cancers. Methods that allow early detection of cancers, such as the helical low-dose CT scan, may also be of value in the identification of small cancers that can be cured by surgical resection and prevention of widespread, incurable metastatic cancer.

Medical tourism in India

Medical tourism in India is attracting a large number of foreign patients each year. The numbers are expected to go further in the near future. It is beneficial for patients who come from countries like UK and USA where surgery costs are too high. Medical tourism in India also offers tourism packages to foreign patients like Goa which is famous for its breathtaking locations and exotic beaches. To know more about low cost lung cancer surger in India visit us at www.indiancancersurgerysite.com or mail your queries at info@indiancancersurgerysite.com

About the Author

dr.Dheeraj Bojwani

what is the list called that surgeons use to count the surgical equipment before and after surgery?

Or the surgical nurses use this list to keep track of medical equipment so nothing is left behind

There are 2 counts that have to be done after the surgery is done- the instrument count & the sponge count. Every surgical pack (like for a gall bladder operation) has a specific number of instruments in it & the sterile surgical nurse assisting the doctor is responsible to make sure the number of instruments is the same before & after. If 12 clamps were used, there have to be 12 counted after. The unsterile circulating nurse (who covers the surgical team & gets additional things as needed), counts the number of gauze sponges used in the discard pail & has to be sure that count equals the amount that the surgeon used. If either count is off, an X ray is done to check & see if either missing item is in the patient. Instruments show right up & the sponges have a thin thread in it which will also show up on the x ray. The count MUST be the same & is noted on the surgical record.

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