By Ian Hunt, Martin M. Muers, Tom Treasure

Lung melanoma is the commonest reason for melanoma dying and melanoma indicators. The ABC of Lung Cancer is a far wanted reference for these treating and taking good care of sufferers with lung melanoma comparable to basic care medical professionals, expert melanoma nurses, junior medical professionals, nurses, physiotherapists, radiographers and different wellbeing and fitness care pros.

This new name within the ABC sequence covers the epidemiology and analysis of lung melanoma, focusing rather on basic care matters similar to what signs require pressing research, and whilst to consult a expert. this can be a functional advisor for all these curious about the care of the lung melanoma sufferer, in addition to sufferers and their households and carers.

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Reproduced with permission from Goldstraw et al. 2 A computed tomography (CT) scan demonstrating liver metastases. associated with an increased risk of perioperative morbidity. Postoperative (adjuvant) chemotherapy does not delay or increase the risk of surgery, but the start of systemic treatment (and the chance of benefit) may be delayed if recovery from surgery is slow or complicated. Postoperative adjuvant chemotherapy There is now compelling evidence from numerous randomised controlled trials (RCT) that postoperative adjuvant chemotherapy can improve the chance of survival of patients with completely resected NSCLC.

Six months. More commonly, alternative chemotherapy drugs are used in the hope of overcoming drug resistance. Palliative radiotherapy can be offered for localised symptoms, such as bony pain. A wide range of palliative approaches (such as opiates) and procedures (for example superior vena caval stenting) are available (see Chapter 11), but for many patients second-line chemotherapy offers the best chance of controlling their symptoms. Further reading Follow-up After completing chemoradiotherapy for SCLC, patients should return to near-normal levels of activity, with no residual symptoms and very little residual toxicity.

Peak V O 2 <15 ml/kg/min >15 ml/kg/min Refer to high risk box Average risk *Note: Ideally, full cardiorespiratory exercise testing should be performed. Although it is not available in many district general hospitals, these facilities are usually available at cardiothoracic centres. If the facilities are not readily available, consider a screening shuttle test. is mandatory if the patient is to tolerate this procedure. 8). The most serious complications of pneumonectomy are breakdown of the bronchial closure and infection of the pneumonectomy space (bronchopleural fistula).

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