2 posts tagged “non small-cell lung cancer”

CyberKnife, VATS + other surgical and less invasive treatments for lung cancer

Posted 2 months ago by

Surgery is among the most common treatments for people with lung cancer. Let’s take a closer look at various types of surgery for lung cancer, as well as emerging non-surgical and minimally invasive treatments, like CyberKnife or “SBRT,” cryosurgery and “VATS.” Huh? Read on… we’ll explain.

Common types of lung cancer surgery

Before we explore some of the newer and less invasive treatments, let’s review the most common surgical treatments for lung cancer these days. These are the most frequently reported treatments on PatientsLikeMe (to access the links below, join the community or login):

  • Lung lobectomy – In this procedure, a surgeon removes the entire lobe of the lung that contains a tumor. The right lung has 3 lobes, and the left lung has 2 lobes. See members’ evaluations of this treatment here.
  • Lung wedge resection – This procedure involves removing a small, wedge-shaped portion of the lung (containing cancer), along with a certain amount of healthy tissue that surrounds the area. See treatment evaluations here.
  • Pneumonectomy – Also called “radical pneumonectomy,” this means surgically removing an entire lung. Read treatment reports here.
  • Lung segment resection – This procedure usually removes more than a wedge resection would but not the entire lobe of the lung. See treatment reports here.

Check out additional treatment evaluations for other specific treatments such as bronchial sleeve lobectomy and lobectomies by location in the body (see the “See also”section for details on upper, middle, lower, left and right lung lobectomies). Also, see forum discussions about lung cancer surgery and tips for recovering from surgery.

VATS, CyberKnife and cryosurgery

Now, let’s explore some of the newer and lesser-known or less invasive treatments. Keep in mind, not everyone is a candidate for these procedures (Cleveland Clinic outlines some reasons why — such as extensive spreading of cancer or prior chemotherapy treatment), so talk with your physician(s) and consider seeking a second opinion to find the treatments that will work best for you.

  • VATS – This stands for “video-assisted thorascopic surgery,” and some forms of it may also be “robotic-assisted.” Most lung cancer surgeries involve a thoracotomy (usually a 10-inch surgical incision). But VATS is like a laparoscopy for the lungs — a minimally invasive procedure where the surgeon uses tiny instruments and a fiber-optic video camera threaded through multiple half-inch incisions, rather than one large incision. Surgeons are increasingly using VATS whenever possible, but rarely for pneumonectomy or some types of resections that require a larger incision, Everyday Health reports.
  • Cryosurgery – This procedure involves inserting a bronchoscope through the trachea and into the lungs, and then using a probe to freeze tumor tissue and remove it. Patients with very advanced disease or poor lung function may be a candidate for this, if doctors determine they’re not a good fit for surgery.
  • CyberKnife Robotic Radiosurgery, or “SBRT” – Contrary to the sounds of something with “knife” and “surgery” in the name, CyberKnife treatment is not actually surgery. This is a type of radiation therapy that may be an alternative to surgery. The general name for this procedure is stereotactic body radiotherapy (SBRT), and CyberKnife is a brand name of the technology that may be used (see this video for some more info).
  • During SBRT or CyberKnife treatment, highly focused beams to deliver radiation to a pinpointed area, with minimal damage to surrounding healthy tissue. A few PatientsLikeMe members have evaluated this treatment and discussed it in the forum. Some researchers say that SBRT is “a well-established treatment option for early stage non–small-cell lung cancer (NSCLC) tumors < 5 cm.”

One member with adenocarcinoma says she had five treatment sessions with SBRT. “The five treatments were given on Monday, Wednesday, Friday and on Monday, Wednesday of the following week. I had absolutely no problems with the radiation. The only minor problem was laying in a form that was molded to your body with your arms extended above your head for about 45 minutes.”

Have you had any of these procedures or do you have any questions about upcoming treatments? Join PatientsLikeMe to connect with and learn from other patients with lung cancer.

Share this post on Twitter and help spread the word.


Leaning on loved ones—An interview with lung cancer member Clare

Posted February 23rd, 2016 by

When Clare (Riverdale) was diagnosed with non small-cell lung cancer, her husband was already living with prostate cancer. While supporting each other through chemotherapy and radiation, the couple has made an effort to eat healthy and keep up the active lifestyle they led before.

We recently connected with Clare, who emphasized “the value of a loving mate” in her experience with lung cancer.

Tell us a little bit about yourself.

I am 73 years old, grew up on a farm in Alberta. My father smoked a pipe and used to joke about turning the air blue. No one else in the family got cancer. I smoked starting at age 20 while studying for exams, trying to stay awake, then continued as people who smoked got a coffee break and those who didn’t smoke really didn’t get a break. I continued to smoke less than a half a pack a day till age 28, then thanks to Nicorette gum stopped easily, as did my husband. We are very physically active. I rode my bike several miles to my job — weather- permitting — as we have great bike lanes and didn’t live too far from the center of the city. We continued to ride daily after retirement for exercise and belong to the European Waltz Time Society for bi-monthly dancing.

You were diagnosed with lung cancer after going to the emergency room for severe back pain—what went through your head when you received the news?

I was glad to hear that my pain was not a heart attack and that my cancer had been detected in an early stage.

In your profile, you mention that your husband is living with prostate cancer. How has it been supporting each other while managing your own health?

I was so sick during my husband’s treatment with radiation that I did not support him much but he seemed to sail through. The staff at radiation called him the entertainer and the coffee shop he attended daily called him by name and had his coffee ready as soon as he walked in the door. Only once did he have to delay because he had to have a bowel movement and a full bladder each day prior to treatment. He still has prostate pain and takes pain meds for that but his PSA says the treatments were successful and every 3 months the bladder checks say he doesn’t have bladder cancer. All I can say is that without him I would be willing to die now. But he says he can’t stand the thought of being alone, and I worry about him for that reason.

We noticed you regularly track your quality of life and symptoms on PatientsLikeMe. Have you seen benefits from tracking?  

I find it difficult to put in new things like a change in dosage of a medication, or if I want to mention my right breast is getting larger and nipple is painful. I have used it a few times to remember when an event happened.

What’s one thing you’ve learned in your journey with lung cancer that you’d like others to know?

Something I learned in my lung cancer journey is the value of a loving mate. Going through this alone, I would stay in bed and in misery but because of my mate, I eat properly, I exercise and he gets things done when I couldn’t manage. Maybe I would but because I don’t have to, things are better. Yesterday I spent the night worrying about pain in my tongue and wondering if a jagged filling was causing the sore. He called the dentist and I was taken right in and reminded about one of the side effects of Giotrif is mouth sores and to rinse with salt water. Alone I would have continued to stew instead of starting right away on treatment. That is why an advocate is so necessary.

Share this post on Twitter and help spread the word.