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Screening process for NSCLC - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Lung Cancer
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   Hi
Doctor :   How can I help you
User :   Hi Doctor
Doctor :   yEs
User :   I am doing a clinical trial study on NSCLC, for whihc i would liek to obtain some information
Doctor :   k
User :   basically for a patient once detected with NSCLC, what is the screening process
User :   does it vary from country to country...or are there some process which are specific to certain countries
Doctor :   The treatment doesn t vary from country to country but from individual to individual
Doctor :   are you therer
User :   yes..very much
Doctor :   There are very major categories in NSCLC
Doctor :   Adeno, Bronchoalvelolar, Squamous, Large cell
User :   usually what are the patient care pathways followed once a patient is detected with lunch cancer
Doctor :   so the stage of the disease and the clinical conditions are the best req for tx
Doctor :   First staging with all the investigations
User :   ok...what are carried out during theinvestigation stage
Doctor :   and the clinical conditions
Doctor :   CXR xray
Doctor :   Sputum cytologic studies
Doctor :   Complete blood cell count: Doctor :   Electrolytes and renal function studies
Doctor :   CT scan of the chest and upper abdomen
Doctor :   Invasive staging procedures such as mediastinoscopy and mediastinotomy may be required to see mediastinal lymph nodes in patients for potentially curative surgical cutting down
Doctor :   Bone scan for bone invlovememt
Doctor :   is also done
User :   ok...what do you normally think are the motivating factros for a doctor to refer a patient for a clinical trial
Doctor :   I have very less knowledge on clinical research and trails
Doctor :   so I am inadequate in this
User :   ok...
User :   with respect to NSCLC treatment are tehre any particular guidelines or protocols to be followed
Doctor :   I can only advise on therapeutic part
User :   ok
Doctor :   The management of lung cancer is best achieved with a multidisciplinary approach; therefore, after diagnosis, consultations should be sought from the specialists
Doctor :   Thoracic surgeon
Doctor :   Oncologist
Doctor :   Pulmonologist
Doctor :   Radiation oncologist
Doctor :   Surgical resection provides the best chance of long-term disease-free survival and possibility of a cure.
User :   is it that the patient first meets the GP and in turn get referred to these specialists depending on his condition
Doctor :   Yes
User :   ok..
User :   thanks a lot for your time doctor
Doctor :   Have you filled the Feed back form that I sent you ?
Doctor :   Thanks for Consulting Health care Magic. IF you find this service helpful please refer your friends and family members.
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