Other Treatment
Radiation therapy
Radiation therapy is the use of
high-energy X-rays to kill cancer cells and shrink tumors. Radiation may come
from a machine outside the body (external radiation therapy) or from putting
materials that produce radiation (radioisotopes) through thin plastic tubes
into the area where the cancer cells are found (internal radiation therapy,
also called brachytherapy). Radiation therapy is often used in combination with
surgery or chemotherapy or both.
Radiation following surgery for
stages II or III non–small cell lung cancer may reduce the risk of cancer
recurrence in the chest, but long-term survival rates are not significantly
improved because cancer may have already spread to other areas of the
body.3
What to think about
Radiation may cause
side
effects.
Radiation therapy may be used to prevent small cell
lung cancer from growing in your brain. This is called
prophylactic cranial irradiation (PCI). PCI can improve survival for people
with limited-stage small cell lung cancer whose cancer is in remission from
treatment with chemotherapy and radiation to the chest.22, 23
Occasionally, radiation
therapy may be given during your surgery. In this procedure, radiation is
focused directly on the tumor during surgery and affects as little healthy
tissue as possible.
Radiation therapy also may be used as
palliative care to:
- Shrink tumors that make it hard for you to
swallow.
- Reduce tumors that block your airway and make it hard for
you to breathe.
- Relieve pain from cancer that has spread to your
bones or spinal cord.
Other Treatment Choices
Oxygen therapy
Oxygen therapy may
relieve your shortness of breath. It is usually used at the end stage of the
disease. Some people who have pulmonary conditions, such as
chronic obstructive pulmonary disease (COPD), may use
oxygen as regular therapy.
Thoracentesis
Thoracentesis
is used to remove fluid from around your lungs (pleural
effusion). A large amount of fluid may cause pain and shortness of
breath.
Pleurodesis
Pleurodesis is used to prevent fluid
buildup around your lungs. Pleurodesis is a procedure that is intended to cause
inflammation of the lining around your lungs. The irritated tissue reacts by
producing scar tissue, which causes the two layers of the lung lining to stick
together. This removes the space where fluid can build up around your lungs.
Pleurodesis is commonly used to treat fluid buildup around your lung that
returns after repeated thoracentesis.
Complementary therapies
In addition to
conventional medical treatment, you may wish to try complementary therapies,
such as:
Before you try any of these therapies, discuss their
possible benefits and side effects with your health professional. Let him or
her know if you are already using any such therapies. For more information, see
the topic
Complementary Medicine.
What To Think About
The combination of conventional
medical treatment and complementary medicine is an approach that is sometimes
called integrative medicine, in which conventional and complementary therapies
are used together for the best outcome.