How is lung cancer diagnosed and treated?

Written by: Dr Raghu Raju
Published:
Edited by: Conor Lynch

Top Doctors recently spoke to highly revered consultant pulmonologist, Dr Raghu Raju, who, here in our latest article, explains what lung cancer is, outlines the different types of lung cancer, and details how it is treated.

What is lung cancer?

It is cancer that originates in the lung. It might be found in the tubes that lead to the lung or the lining of the lung. Lung cancer is malignant, which means that the cancer will grow if unchecked and untreated.

 

What are the different types of lung cancer?

There are several different ways of classifying lung cancer. It is typically divided into small-cell lung cancer and non-small cell lung cancer. Both of these different types of cells can be seen when we carry out a biopsy. The reason why they are categorised is because they have slightly different prognoses and treatments.

 

What are the symptoms of lung cancer?

Symptoms of lung cancer can include one or more of the following:

 

  • coughing up blood
  • chest pain that doesn’t improve by itself
  • persistent cough
  • breathlessness which doesn’t improve
  • weight loss
  • loss of appetite

 

How is lung cancer diagnosed?

A chest X-ray will be the first step if lung cancer is suspected. This is always followed up with a CT scan, which is a more definitive test. After this, a lung biopsy will be taken from the lung tissue that looks like cancer.

 

This can either be a needle biopsy, a local anaesthetic-guided biopsy, an endoscopy into the lungs, or it could be a biopsy of the lymph nodes in the neck. A PET scan can, in some cases, also be carried out.

 

How is lung cancer treated?

This depends on the stage of the lung cancer. If caught early, it has a very good prognosis. It can be either removed surgically or one can undergo radiofrequency ablation or radical radiotherapy.

 

If the cancer is caught at a later stage, these treatments can be accompanied by radiotherapy or chemotherapy. Immunotherapy can also be highly effective.

 

Dr Raghu Raju is a highly experienced consultant pulmonologist who specialises in the diagnosis and treatment of lung cancer. To book an appointment with him, simply head on over to his Top Doctors profile today.

By Dr Raghu Raju
Pulmonology & respiratory medicine

Dr Raghu Raju is a highly skilled consultant in respiratory medicine and allergy based at The Chiltern Hospital in Great Missenden and The Shelburne Hospital in High Wycombe, who specialises in the diagnosis and management of respiratory infections, chronic coughs, and lung cancer, with particular interest in asthma.

He is also an expert in the treatment of allergic rhinitis (hay fever) using immunotherapy. Dr Raju qualified from Rajiv Ghandi University of Health Sciences in 2002 before undertaking his respiratory specialist training at London, Oxford and Yorkshire deanery, which also included a fellowship in lung cancer at Leeds. Dr Raju completed his CCT in Respiratory Medicine from the Royal College of Physicians. Dr Raju was then appointed consultant respiratory physician at Buckinghamshire Healthcare NHS Trust in 2015, where he looks after both general medical and respiratory patients and leads the pleural diseases service of the trust.

He is currently the Clinical Lead for his department. He was awarded the prestigious Hermes Diploma in Respiratory Medicine from the European Respiratory Society in 2016 before going on to receive fellowship to the Royal College of Physicians of Edinburgh in 2018. Dr Raju also has a Diploma in Adult Allergy from Imperial College, London. Following his qualification, he worked as an allergist at Royal Brompton and Harefield Hospitals, acquiring invaluable experience of the management of allergic diseases.

He possesses expertise in both paediatric and adult allergy and runs the paediatric allergy clinics at Amersham hospital. He has particular interest in food allergy, allergic rhinitis, allergic asthma and has experience in immunotherapy for allergic diseases.

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