Cancer

ALTERNATIVE DOCTOR, LLC

Cancer, Lung

Lung cancer is the most common cause of cancer death, responsible for an estimated 160,000 deaths in the United States annually. There are two major types: non-small cell lung cancer and small cell lung cancer, so named because of how the cells look under a microscope. Non-small cell lung cancer is more common, and it generally grows and spreads more slowly. There are three main types of non-small cell lung cancer, named for the type of cells in which the cancer develops: squamous cell carcinoma, adenocarcinoma, and large cell lung cancer. Small cell lung cancer grows more quickly and is more likely to spread to other organs in the body.

Signs and Symptoms

Lung cancer is accompanied by the following signs and symptoms.

	A persistent cough that gets worse over time
	Constant chest pain
	Coughing up blood
	Shortness of breath, wheezing, or hoarseness
	Repeated pneumonia or bronchitis
	Swelling of the neck and face
	Loss of appetite or weight loss
	Fatigue

What Causes It?

Multiple exposure to carcinogens (cancer-causing agents) results in damage to DNA in the cells of the body.

Who's Most At Risk?

Tobacco smoke is the biggest carcinogen, responsible for 85 percent of all lung cancers in the United States. Risk increases with the amount of tobacco used, and the amount of time it has been used. Non-smokers exposed to tobacco smoke are also at risk for developing lung cancer. Other risk factors include the following.

	Family history
	Environmental and occupational exposure to certain substances, including arsenic, asbestos, ether, chromium, nickel, and radon
	Exposure to excessive radiation (wartime or industrial exposure, or radiotherapy to the chest)
	Lung diseases
	Poor diet (however, diets high in fruits and vegetables can decrease your risk)

What to Expect at Your Provider's Office

If you are experiencing symptoms associated with lung cancer, you should see your health care provider. He or she will evaluate your medical history, smoking history, exposure to environmental and occupational substances, and family history of cancer, and will perform a physical exam. You may be sent for a chest X ray and other tests. These include a sputum cytology, the microscopic examination of cells obtained from a deep-cough sample of mucus in the lungs. A biopsy—the removal of a small sample of tissue for examination under a microscope by a pathologist—can confirm whether you have cancer.

If cancer is present, your provider will want to learn the stage (or extent) of the disease to find out whether the cancer has spread, particularly to the brain or bones, using tests such as computed tomography (CT) scan, magnetic resonance imaging (MRI), radionuclide scan, and bone scan.

Treatment Options

Prevention

The best means of prevention is to never start smoking or using chewing tobacco, or to stop using tobacco products. A healthy diet is an important part of prevention.

Treatment Plan

A treatment plan depends on the cell type, stage of disease, possibility for removing the tumor, and the patient's ability to survive surgery.

Drug Therapies

Various therapies can be used to treat lung cancer.

	Chemotherapy can control cancer growth and relieve symptoms.
	Radiation therapy is used before surgery to shrink a tumor, or after surgery to destroy remaining cancer cells. Radiation therapy may also be used instead of surgery or to relieve symptoms such as shortness of breath.
	Photodynamic therapy involves the use of a chemical that is injected into the bloodstream and absorbed by cells all over the body, and which remains in cancer cells for a longer time. A laser light activates the chemical, which then kills the cancer cells. Photodynamic therapy may be used to control bleeding, relieve breathing problems, or to treat very small tumors.

Surgical and Other Procedures

Surgery is the only treatment that offers hope of a cure of non-small cell lung cancer. Removal of a small part of the lung is a segmental or wedge resection, removal of an entire lobe of the lung is a lobectomy, and removal of an entire lung is a pneumonectomy.

Complementary and Alternative Therapies

A comprehensive treatment plan for lung cancer may include a range of complementary and alternative therapies. Ask your team of health care providers about the best ways to incorporate these therapies into your overall treatment plan.

Nutrition

Include in your diet dark green, yellow, and orange vegetables, as well as dark berries, green tea, onions, garlic, broccoli, brussels sprouts, kale, and cabbage. Increase whole grains and anti-inflammatory oils (nuts, seeds, and cold-water fish). Eliminate refined foods, sugar, alcohol, and saturated fats (animal products, especially dairy).

Potentially beneficial nutrient supplements include the following.

	Vitamin C (1,000 mg four times per day), vitamin E (400 IU twice per day), selenium (200 mcg twice a day), zinc (30 mg per day), and coenzyme Q10 (100 mg three times per day)
	Avoid vitamin A (and beta carotene) supplements if you have a history of alcohol or nicotine abuse.
	Coenzyme Q10 and L-carnitine (600 mg three times per day) can reduce toxicity from certain chemotherapies.
	Anti-inflammatory omega-3 and omega-6 oils (1,500 mg three times per day)
	Glutathione (500 mg twice a day)
	N-acetylcysteine (200 mg three times per day)
	Melatonin (10 mg per day) may improve survival rate in non-small cell lung cancer patients who do not respond to a type of medication called cisplatin.
	Bromelain (250 to 500 mg between meals)

Herbs

Herbal remedies may help cleanse the body, inhibit tumor growth, and support the immune system. Herbs are generally available as dried extracts (pills, capsules, or tablets), teas, or tinctures (alcohol extraction, unless otherwise noted). Dose for teas is 1 heaping tsp. per cup of water steeped for 10 minutes (roots need 20 minutes).

	Turmeric (Curcuma longa) 500 mg four times a day
	Quercetin (250 to 500 mg three to four times a day)
	Ginkgo (Ginkgo biloba) 120 mg standardized extract twice a day to reduce toxicity of certain chemotherapies
	To help your body's immune system and support healthy lung tissue, combine equal parts of red clover (Trifolium pratense), gotu kola (Centella asiatica), mullein (Verbascum densiflorum), elecampane (Inula helenium), indian tobacco (Lobelia inflata), and blood root (Sanguinaria canadensis). Take 30 to 60 drops tincture three to four times a day, or drink one cup of tea three times a day
	Essiac or Flor-Essence: Drink one cup of tea twice a day, or take 2 tbs. formula twice a day for six months.

Homeopathy

Homeopathy may help reduce symptoms, relieve side effects from treatments, and reduce the effects of stress.

Physical Medicine

Castor oil pack over lungs may decrease side effects of chemotherapy and aid the lungs in detoxification. Saturate a cloth with castor oil and apply directly to the skin, placing a heat source (heating pad or water bottle) on top. Leave in place for 30 minutes or more. For best results, use castor oil packs for three to four consecutive days per week. Packs may be used daily.

Acupuncture

Acupuncture may help relieve symptoms, strengthen your constitution, and enhance your overall sense of well-being.

Prognosis/Possible Complications

The outlook varies by cell type and stage of the disease. In general, the prognosis is better for squamous cell cancers than for adenocarcinomas. Early detection is key to better chances of survival.

Following Up

Periodic follow-up is useful in helping to detect recurrence of the lung cancer or other smoking-related cancers. Frequent follow-up and rehabililtation for loss of lung function from cancer, surgery, or other treatment may be necessary.

Supporting Research

Bartram T. Encyclopedia of Herbal Medicine. Dorset, England: Grace Publishers; 1995: 91.

Birdsall TC. The biological effects and clinical uses of the pineal hormone melatonin. Alt Med Rev. 1996; 1(2):94-102.

Boik J. Cancer & Natural Medicine: A Texbook of Basic Science and Clinical Research. Princeton, Minn: Oregon Medical Press; 1996: 75, 166-168.

Coultas DB, Samet TM. Occupational lung cancer. In: Epler GR, ed. Clinics of Chest Medicine. Vol 13. No 2. Philadelphia, PA: Saunders; 1992: 341-359.

Fedullo PF. Lung cancer. In: Bordeau RA, Moser KM, eds. Manual of Clinical Problems in Pulmonary Medicine. 4^th ed. Boston, MA: Little, Brown; 1996: 461, 465, 470.

Fishman AP. Pulmonary Diseases and Disorders. 3^rd ed. New York, NY: McGraw-Hill; 1998: 1707, 1783.

Fraser RS, et al. Pulmonary carcinoma. Diseases of the Chest. 4^th ed. Vol 2. Philadelphia, PA: Saunders; 1989: 1069.

Jett J, et al. Pretreatment evaluation of non-small cell lung cancer. Am J Respir Crit Care Med. 1997; 156:320-322.

Murray TF, Nadel JA, et al. Textbook of Respiratory Medicine. 2^nd ed. Philadelphia, PA: Saunders; 1994: 1528-1596.

Mountain CG. Revisions in the international system of staging lung cancer. Chest. 1997; 111:1710-1717.

Moss RW. Alternative pharmacological and biological treatments for cancer: Ten promising approaches. J Naturopathic Med. 1996; 6(1): 23-32.

Stoner GD, Mukhtar H. Polyphenols as cancer chemopreventive agents. J Cell Biochem. 1995; 22 (suppl): 169-180.

Van Zandwijk N. N-acetylcysteine and glutathione: antioxidant and chemopreventive properties, with special reference to lung cancer. J Cell Biochem. 1995; 22 (Suppl): 24-32.

Werbach M. Nutritional Influences on Illness. New Canaan, Conn: Keats Publishing; 1988: 109.

Younes RN, et al. Follow-up in lung cancer: how often and for what purpose. Chest. 1999; 115: 1494-1499.

The publisher does not accept any responsibility for the accuracy of the information or the consequences arising from the application, use, or misuse of any of the information contained herein, including any injury and/or damage to any person or property as a matter of product liability, negligence, or otherwise. No warranty, expressed or implied, is made in regard to the contents of this material. No claims or endorsements are made for any drugs or compounds currently marketed or in investigative use. This material is not intended as a guide to self-medication. The reader is advised to discuss the information provided here with a doctor, pharmacist, nurse, or other authorized healthcare practitioner and to check product information (including package inserts) regarding dosage, precautions, warnings, interactions, and contraindications before administering any drug, herb, or supplement discussed here