Lung Cancer Treatment

With cancer, every minute counts. That’s why the Multidisciplinary Lung Cancer program at Beaumont provides you with a highly trained team of Beaumont cancer specialists who will analyze your situation and develop an accelerated, individualized treatment plan based on their extensive expertise and experience.

It begins with a single phone call. A nurse navigator will be available to help gather the results of all your tests and schedule any additional screenings that are necessary prior to your appointment.

As quickly as possible, you will be scheduled to meet with members of our multidisciplinary team to receive their recommendations for your treatment plan. On the same day, follow up appointments will be scheduled as needed. Before leaving the center, you and your family will have a plan of recommended treatment or further studies with appointments scheduled promptly.

A national reputation for cancer care

As one of the most respected cancer treatment hospitals in America, year after year, Beaumont has been ranked among the best by the National Institutes of Health and is a designated Blue Cross Center of Distinction for Treatment of Rare and Complex Cancers.

A team of Beaumont specialists

Beaumont doctors from all cancer disciplines will work together to provide you with the most advanced treatment options, which might include the opportunity to participate in one of the many clinical trials available at Beaumont.

You will have access to the most state-of-the-art advances in lung cancer treatment, including minimally invasive surgery, radiofrequency and stereotactic radiation therapy. Specialists at the Cunnington Family Comprehensive Lung Cancer Center are renowned experts in:

Treatment for lung cancer

Through Beaumont's Multidisciplinary Lung Cancer program, we develop an individualized treatment plan based on your unique situation. Specific treatment for lung cancer will be determined by your physician based on:

  • your age, overall health, and medical history
  • extent of the disease
  • your tolerance for specific medications, procedures, or therapies
  • expectations for the course of the disease
  • your opinion or preference

Lung cancer may be treated with surgery, chemotherapy, radiation therapy, laser therapy, or a combination of treatments. "Combination treatment" or "multimodality treatment" refers to having more than one type of treatment.

Treatment for lung cancer typically includes one or more of the following:

  • surgery
    Three main types of surgery are most often used in lung cancer treatment. The choice depends on the size and location of the tumor in the lung, the extent of the cancer, the general health of the patient, and other factors.
    • segmental or wedge resection - removal of only a small part of the lung.
    • lobectomy - removal of an entire lobe of the lung.
    • pneumonectomy - removal of an entire lung.
  • radiation therapy
    Radiation therapy is the use of high-energy radiation to kill cancer cells and to shrink tumors. Radiation may also be used with chemotherapy to treat lung cancer. There are two ways to deliver radiation therapy, including the following:
    • external radiation (external beam therapy) - a treatment that precisely sends high levels of radiation directly to the cancer cells. The machine is controlled by the radiation therapist. Since radiation is used to kill cancer cells and to shrink tumors, special shields may be used to protect the tissue surrounding the treatment area. Radiation treatments are painless and usually last a few minutes.
    • internal radiation (brachytherapy, implant radiation) - radiation is given inside the body as close to the cancer as possible. Substances that produce radiation, called radioisotopes, may be swallowed, injected, or implanted directly into the tumor. Some of the radioactive implants are called “seeds” or “capsules."  Internal radiation involves giving a higher dose of radiation in a shorter time span than with external radiation. Some internal radiation treatments stay in the body temporarily. Other internal treatments stay in the body permanently, though the radioactive substance loses its radiation within a short period of time. In some cases, both internal and external radiation therapies are used.
  • chemotherapy
    The use of anticancer drugs to treat cancerous cells. In most cases, chemotherapy works by interfering with the cancer cell’s ability to grow or reproduce. Different groups of drugs work in different ways to fight cancer cells. The oncologist will recommend a treatment plan for each individual. Chemotherapy may be given before other treatments, after other treatments, or alone for lung cancer. A targeted therapy, called Iressa, is a drug that blocks a certain type of growth factor (EGF).  However, in 2005, the FDA found that this drug did not improve survival and limited its use to those patients who had seen benefit. Patients may receive a similar medication, erlotinib (Tarceva®), which has shown to improve survival. Another medication, pemetrexed (Alimta®), blocks enzymes needed for growth by the cancer cells.  
  • photodynamic therapy (PDT)
    A type of laser treatment that involves injecting photosensitizing chemicals into the bloodstream. Cells throughout the body absorb the chemicals. The chemicals collect and stay longer in the cancer cells, than in the healthy cells. At the right time, when the healthy cells surrounding the tumor may already be relatively free of the chemical, the light of a laser can be focused directly on the tumor. As the cells absorb the light, a chemical reaction destroys the cancer cells. For lung cancer, the light is delivered through a bronchoscope (a small, flexible tube with a light on the end) that is inserted through the mouth or nose.
  • targeted therapy
    As cancers grow, they form new blood vessels which nourish them. Research aimed at blocking the growth of these blood vessels has led to the development of medications called antiangiogenesis medications. Bevacizumab (Avastin®) is one of these medications. It has been found to be helpful in prolonging the survival of patients with advanced lung cancer. It is used with the standard chemotherapy regimen.

There are specific names for the order in which treatment is given. Neoadjuvant treatment refers to having radiation or chemotherapy before surgery. Having one or both of these before surgery may help shrink the tumor - a smaller tumor is easier to take out in surgery.

Chemotherapy or radiation soon after surgery is called adjuvant treatment. The goal of adjuvant treatment is to kill any cancer cells that may be left after the surgery. Even if there is no sign of cancer cells, your physician may suggest adjuvant treatment, as it lowers the risk that the cancer may come back or spread.

Clinical trials are being conducted on prevention and treatment options for lung cancer, including photodynamic therapy and chemoprevention.