Small Cell Lung Cancer: The Basics
Lung cancer is caused by lung cells growing out of control. As the number of cells grows, they form into a tumor. There are many types of lung cancers. This article will focus on small cell lung cancer.
Small Cell Lung Cancer (SCLC)
- 15% of all lung cancers.
- SCLC is more aggressive than non-small cell lung cancer.
- Grows more quickly and is more likely to spread to other parts of the body.
Lung cancer that has spread from the lung to another part of the body is called metastatic cancer. Other types of lung cancer include non-small cell lung cancer, mesothelioma and carcinoid tumors. These cancers will not be discussed in this article.
Risks
Smoking cigarettes (now or in the past) is the leading cause of lung cancer. Lung cancer in non-smokers has been rising in recent years. Other causes for lung cancer include radon, radiation, asbestos, and pollution.
Screening
Smokers or former heavy smokers can have a special test (CT scan) to screen for lung cancer. This test can find lung cancer sooner and may help patients live longer. Speak to your healthcare provider to decide if this test is right for you.
Signs of Lung Cancer
The early stages of lung cancer may not have any signs. As the tumor grows in size, it can cause signs.
- Cough (one that doesn't go away or gets worse). A cough is the most common sign. Many long-term smokers have a cough that doesn't go away. If there is a change in your cough, see your doctor.
- Chest pain.
- Hard time breathing or wheezing.
- Coughing up blood or bloody phlegm.
- New hoarseness or change in speech.
- Having pneumonia or bronchitis that keeps coming back.
- Weight loss and loss of appetite.
- Feeling tired.
Diagnosis of Small Cell Lung Cancer
When your healthcare providers think you may have lung cancer, they will order tests. Here are some of the tests:
- Chest x-ray.
- CT scan ("Cat Scan", a 3-D x-ray).
- Sputum cytology (looking at your phlegm for cancer cells).
- A PET scan and an MRI scan of the brain are often done to look at other parts of the body where lung cancer can spread.
These tests are important but a biopsy is the only way to know for sure if you have cancer. A biopsy:
- Looks at a piece of the lung for cancer cells.
- Is used to find out the cancer type, how normal it is [grade], and if it has spread.
- May look at samples from lymph nodes to check for cancer.
- The biopsy may be done using a bronchoscopy (small camera passed down your throat into the lungs) or by surgery.
A pathology report sums up these results and is sent to your healthcare provider, typically 5-10 days after the biopsy. This report is an important part of planning your treatment. You can ask for a copy of your report for your records.
Staging Small Cell Lung Cancer
To guide treatment, lung cancer is "staged." This stage is based on:
- Size and location of the tumor.
- Whether cancer cells are in the lymph nodes.
- Whether cancer cells are in other parts of the body.
Small cell lung cancer is grouped into two stages to help with making decisions about treatment. They are limited stage and extensive stage.
Treatment
Often, these treatments are used:
- Surgery is not usually used for small cell lung cancers unless the cancer is found very early on.
- A combination of chemotherapy and radiation therapy is often given.
- Most people with small cell cancers will also have radiation to the brain to treat metastasis or to prevent the cancer from spreading there.
This article is a basic guide to non-small cell lung cancer. You can learn more about your type of lung cancer and treatment by using the links below.
All About Small Cell Lung Cancer
Lung Cancer Web-U-Cation Program: This video will help you learn about lung cancer. The topics include diagnosis, staging, and treatments. It also addresses coping with cancer and concerns surrounding work, insurance, and disability.
References
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American Lung Association Lung Cancer Screening: Coverage in Health Insurance Plans. http://www.lung.org/assets/documents/lung-cancer/interactive-library/lung-cancer-screening-implementation.pdf
National Cancer Institute SEER Stat Fact Sheets: Lung and Bronchus Cancer http://seer.cancer.gov/statfacts/html/lungb.html
National Comprehensive Cancer Network (NCCN) Clinical Practice Guidelines in Oncology: Small Cell Lung Cancer http://www.nccn.org/professionals/physician_gls/pdf/sclc.pdf
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