Interní Med. 2005; 7(9): 392-394
The author presents basic epidemiologic data concerning lung cancer, its symptoms and population at risk. The essential of diagnosis in the suspected cases are a history, physical exam, chest X-ray in 2 projections, bronchoscopy and computed tomography of the chest. In the article we can find technical and staff requirements for equipment of a centre for diagnosis and treatment of bronchogenic carcinoma. The author emphasizes especially interdisciplinary approach. Internists and cardiologists play an important role in preoperative preparation of patients, general practitioners in diagnosis and therapy.The author suggests an algorithm of therapeutic steps in non-small cell and small cell lung carcinoma and modern trends in diagnosis and therapy (adjuvant chemotherapy after surgery, functional imaging of tumours, roles of first and second line chemotherapy, prophylactic radiotherapy of brain and he mentions also a new approach – biologically targeted therapy. At the end of the article the author describes a role of tobacco and discuses aetiology of exceptionally poor prognosis of lung cancer.
Published: January 1, 2006 Show citation