Decision of lung tumor resection is not based solely on pathologoanatomic type of cancer or its degree of expansion, but also the overall health of the patient. Lung cancer is a neoplasia that occurs on land predisposing more than 80 - 90% of patients who have such a cancer are older smokers. Smokers' body is already suffering, and many have other chronic health problems: circulatory disorders, cardiovascular disease, obstructive pulmonary disease (pulmonary obstructive), which are conditions that influence greatly the risk of anesthesia in each patient and significantly reduce the chances of success of surgery.
It should be noted that if in the past, the cancer spread to lymph nodes located between the two lungs, was thought to be surpassed, in terms of surgery, some experts now consider it operable, resection being followed by chemotherapy treatment to strengthen the results obtained by surgery. Sometimes it can be can add short course of radiotherapy to improve even more the overall health and to extend patient survival. But the adjuvant therapies depend on cancer individual patient specifics, but also the personal experience of the doctor who treats the patient.
When possible, it is recommended that therapeutic option chosen to be the surgery. Resection remains the main option in cancer therapy of stage I and II than in the case of non-microcellular carcinoma, so in patients who have no signs and suggestive symptoms of mediastinal invasion or invasion of neighboring organs. The role of surgery in stage III remains quite controversial, and patients in stage IV are almost never candidates for such a therapy.
Classic surgical approach consists in removing lobe where the tumor is found, this procedure keeping the functionality of the remaining lung. If the tumor is hilarious located , surgical procedure may be extended, with a greater risk to the patient. Resection of a segment of lung is an option in patients with reduced pulmonary reserve. Studies which have set out to demonstrate the superiority of one procedure have concluded that the survival rate is similar for both.
A therapeutic procedure,minimally invasive, is video assisted Thorax-scopy, it can be used both for therapeutic purposes, and in curative intent. Its associated morbidity is low and the period of hospitalization of patient and discomfort associated are also lower. Such a procedure is preferred in elderly patients.
Treatment involves surgical removal of the tumor itself ,also a part of the surrounding parenchyma, to reach the healthy tissue (this resection must take into account the oncological safety margin), and regional lymph node stations. After surgery, the patient will be kept under medical supervision and will receive specific treatment against pain.
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