Cancer Lung

       http://www.lungcanceronline.org/

About LCO

LUNG CANCER ONLINE

What's New?

Finding the Best Care
physician & hospital locators, lung cancer programs
second opinions, your health care team, issues that impact care

Services & Support
support organizations, in-person & Internet support groups, smoking cessation resources
financial & insurance issues, home care & hospice, caregiver & family issues, survivors' stories

Lung Cancer Information
general information, types of lung cancer, NSCLC, SCLC, BAC, diagnosis & staging

Lung Cancer Information


          achbull1.gif (883 bytes) LUNG CANCER - FACTS & GENERAL INFORMATION
          achbull1.gif (883 bytes) PROGNOSIS & STATISTICS
          achbull1.gif (883 bytes) TYPES OF LUNG CANCER - OVERVIEW
                Pathologic Types, Tumor Grade/Differentiation
          achbull1.gif (883 bytes) NON-SMALL CELL LUNG CANCER (NSCLC)
                Adenocarcinoma, Bronchioloalveolar (BAC), Squamous, Large Cell
                NSCLC Staging & Treatment Overview
          achbull1.gif (883 bytes) SMALL CELL LUNG CANCER (SCLC)
                Description, SCLC Staging & Treatment Overview
          achbull1.gif (883 bytes) DIAGNOSIS & STAGING   
          TUMOR MARKERS


achbull1.gif (883 bytes) LUNG CANCER - FACTS & GENERAL INFORMATION

      Facts About Lung Cancer (American Lung Association/Hudson Valley)
          Discusses how lung cancer develops, the types of lung cancer, what
          causes lung cancer, and who gets lung cancer. [2000]

      Understanding Cancer of the Lung (CancerBACUP)
          Provides an introduction to lung cancer. Covers lung cancer causes,
          symptoms and types. Addresses diagnosis, testing and treatments
          (surgery, radiotherapy, chemotherapy, laser therapy), and symptom
          relief, among other topics. [5/02]

      What You Need to Know About Lung Cancer (NCI's cancer.gov)
          Information booklet describes lung cancer, its symptoms, diagnosis,
          and treatment. Covers emotional support, questions for your doctor,
          side effects and resources. [1/02]

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achbull1.gif (883 bytes) PROGNOSIS & STATISTICS

      Understanding Prognosis & Cancer Statistics (NCI Fact Sheet)
         
Explains the concept of prognosis as it relates to cancer statistics
          and to individual patients. [6/97]

      "The Median Isn't The Message" (Cancerguide)
          Wonderful piece on cancer and statistics by Stephen Jay Gould, a
          Harvard professor who was diagnosed with an incurable cancer.

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achbull1.gif (883 bytes) TYPES OF LUNG CANCER - OVERVIEW

      Pathologic Types
      Pathologic Types (Virtual Hospital)
          Examines the four major types of primary lung cancers: adenocarcinoma
          (including bronchioloalveolar),squamous cell carcinoma, undifferentiated
          large cell carcinoma, and small cell carcinoma.  Other thoracic tumors and
          benign thoracic lesions are also discussed. Aimed at physicians.

      Unusual Tumors and Tumor-like Conditions of the Lung (Department of
      Pulmonary and Mediastinal Pathology, Armed Forces Institute of Pathology)

      Course directors: William D. Travis, MD and Michael N. Koss, MD
          Presents eight case studies of unusual tumors and tumor-like conditions
          of the lung.  Aimed at physicians.  In-depth pathological reviews are
          offered for the following tumors and tumor-like conditions of the lung:
          mucoepidermoid carcinoma (case 1); pleomorphic (spindle cell)
          carcinoma (case 2); large cell neuroendocrine carcinoma (case 3);
          adenocarcinoma diffusely spreading over pleura in a manner
          simulating mesothelioma, or pseudomesotheliomatous adenocarcinoma
          (case 4); pulmonary blastoma (case 5); pulmonary epithelioid
          hemangioendothelioma (case 6); low-grade B-cell lymphoma of
          balt (case 7); and inflammatory pseudotumor (case 8). [12/95]

      Lung Carcinoid Tumor - FAQ (American Cancer Society)
         
Answers the frequently-asked-questions about lung carcinoid tumors,
          including risks, detection, diagnosis, staging, treatment, questions to ask
          your doctor, and additional resources.  Aimed at patients.  

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                 Tumor Grade/Differentiation
                 Tumor Grade (NCI Cancer Facts)
                      Briefly introduces the concept of tumor grade and discusses its significance
                      in planning treatment. [12/98]

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            achbull1.gif (883 bytes) NON-SMALL CELL LUNG CANCER (NSCLC)

                  Adenocarcinoma
                  Adenocarcinoma (Virtual Hospital)
                      Brief description of adenocarcinoma aimed at physicians.   Discusses
                      nature, typical presentation and appearance of adenocarcinomas.

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                  Bronchioloalveolar Carcinoma (BAC)
                  Bronchioloalveolar Carcinoma (Lung Cancer Online)
                      Links to information on the epidemiology, pathology, diagnosis and
                      treatment of BAC.

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                  Squamous Cell Carcinoma
                  Squamous Cell Carcinoma
                      Brief description of squamous cell carcinoma aimed at physicians.
                      Discusses nature, typical presentation and appearance of squamous
                      cell carcinoma.

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                  Large Cell Carcinoma
                  Large Cell Carcinoma & Giant Cell Carcinoma
                      Brief description of large cell carcinoma aimed at physicians.  Discusses
                      nature, typical presentation and appearance of large cell carcinomas.

                  Large Cell Carcinoma - Recent MEDLINE Abstracts (PubMed)

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                 NSCLC Staging & Treatment Overview
                 PDQ Cancer Information Summaries - Non-small cell lung cancer
                 (NCI's cancer.gov)
                      Peer-reviewed summary of non-small cell lung cancer.  Patient and
                      physician versions available. [6/02]

                 Non-small Cell Lung Cancer (intouchlive.com)
                 from Myths & Facts About Lung Cancer by John Ruckdeschel, MD
                 (Bristol-Myers Squibb Oncology, 1999)
                      Treatment overview by stage.

                 Treatment of NSCLC (Lung Cancer Online)

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            achbull1.gif (883 bytes) SMALL CELL LUNG CANCER (SCLC)

                  Description
                  Small Cell Carcinoma (Virtual Hospital)
                      Intended for physicians, this description of SCLC addresses its nature,
                      typical presentation, and appearance.

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                  SCLC Staging & Treatment Overview
                  PDQ Cancer Information Summaries - Small cell lung cancer
                  (NCI's cancer.gov)
                       Peer-reviewed summary of small cell lung cancer.  Patient and
                       physician versions available. [6/02]

                  Small Cell Lung Cancer (intouchlive.com)
                  from Myths & Facts About Lung Cancer by John C. Ruckdeschel, MD
                  (Bristol-Myers Squibb Oncology, 1999)
                      Treatment overview for small cell lung cancer.

                  Treatment of SCLC (Lung Cancer Online)

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  achbull1.gif (883 bytes) DIAGNOSIS & STAGING

        Diagnosis
        How Is Lung Cancer Diagnosed?
(intouchlive.com)
        from Myths & Facts About Lung Cancer by John C. Ruckdeschel, MD
        (Bristol-Myers Squibb Oncology, 1999)
            Describes the physical examination and diagnostic tests that may be
            performed to diagnose lung cancer.

        Solitary Pulmonary Nodules (Virtual Hospital)
           
Describes the clinical and radiological considerations in distinguishing
            benign from malignant lesions. Aimed at health care providers.

        Symptoms of Lung Cancer (Onconurse.com)
           
Describes the symptoms and syndromes associated with lung cancer.
            Includes pulmonary symptoms, symptoms in other organs, symptoms
            linked to tumor metabolism, blood (hematologic) symptoms, vein and
            artery (vascular) syndromes, skin (cutaneous) syndromes, musculoskeletal
            syndromes, nervous system (neurologic) syndromes, and hormonal
            (endocrine) syndromes.

        Histology of Synchronous Pulmonary Nodules (ASCO Abstract)
            Addresses the clinical dilemma presented by the simultaneous discovery
            of two pulmonary nodules occurring in different lobes or lungs.  These
            lesions could be either benign or malignant; if both are malignant they
            could represent a metastatic process or synchronous primary lung cancers.
            Study results underscore the importance of addressing each lesion
            independently. [2000]

        Tests & Procedures (Lung Cancer Online)
            Links to information on imaging tests and biopsy methods used to
            diagnose and stage lung cancer, including CT scan, bronchoscopy,
            mediastinoscopy, fine needle aspiration biopsy, among others.

        Neoplastic & Paraneoplastic Syndromes Associated with Lung Cancer
        (Lung Cancer Online)
            Pancoast Syndrome, Superior Vena Cava (SVC) Syndrome,
            Clubbing and Hypertrophic Osteoarthropathy, Hypercalcemia,
            Hyponatremia and Syndrome of Inappropriate Secretion of Antidiurectic
            Hormone (SIADH) 

        Medical History and Physical Exam for Lung Cancer (Hoag Hospital)
           
Provides an overview of what to expect during your medical examination.
            Explains what information your doctor is looking for and why.[5/01] 

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        Staging
        Lung Cancer Staging - Its Definition and Significance

        (intouchlive.com)
       
from Myths & Facts About Lung Cancer by John Ruckdeschel, MD
        (Bristol-Myers Oncology, 1999)
            Describes the elements involved in staging lung cancer.  Discusses
            how staging is used to determine prognosis and therapy.

        Mediastinal Staging of NSCLC (Moffitt Cancer Center)
       
by Christian Lloyd, MD, and Gerard A. Silvestri, MD
        8(4) Cancer Control: JMCC (2001): 311-317
           
Discusses the various imaging and less invasive modalities currently
            available to improve staging and therapy decision-making.  Argues
            that CT alone is not sufficiently accurate to stage the mediastinum,
            and that PET scan, along with mediastinal biopsy techniques using
            transbronchial needle aspiration or endoscopic ultrasound, has the
            potential to improve the accuracy of pre-treatment staging.  Aimed
            at physicians.  [08/01]
       
        Regional Lymph Node Classification (chestx-ray.com)
            Lymph node involvement is of major importance in determining
            treatment and ultimately survival.  Describes regional lymph
            node classification and provides a lymph node map.  

        Staging of Small Cell & Non-Small Cell Lung Cancer (Virtual
        Hospital)

            Discusses the staging system of NSCLC and SCLC based on
            the Revisions in the International System for Staging Lung Cancer
            (1997).  Aimed at health care providers.

        "Preoperative Staging of Non-Small Cell Lung Cancer with
        Positron-Emission Tomography"
(New England Journal of
        Medicine)
        v. 343, no. 4 NEJM (July 27, 2000)
            Abstract of study that concludes whole-body positron-emission
            tomography (PET) improves the rate of detection of local and
            distant metastases in patients with NSCLC.  Implications of
            the findings are discussed in an accompanying NEJM editorial,
            "Metabolic Staging of Lung Cancer." 

        "Continuing Controversies in Staging NSCLC: An Analysis of the
        the Revised 1997 Staging System" (cancernetwork.com)
        by Robert J. Ginsberg, MD
        v.12, no.1 ONCOLOGY (January 1998)
            Identifies problems in the current T and N definitions, and
            inconsistencies in prognosis within the subsets of the various
            stages of the Revised 1997 Staging System.  Calls for worldwide
            collection of data and analysis before the next revision of the
            staging system, anticipated in the year 2007.  Aimed at physicians.
            Registration required for free access to cancernetwork.com. [1/98]

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          TUMOR MARKERS

                Tumor Markers
(NCI Cancer Facts)
                   
Lists examples of tumor markers in the blood and describes how they can
                    used to aid diagnosis and treatment. [4/98]

                Tumor Markers and Lung Cancer - Recent MEDLINE Abstracts
                (PubMed)

                Tumor Marker Tests (Virtual Hospital)
               
Explains tumor markers and how they may be used in the diagnosis
                and management of cancer.  Discusses several different tumor markers
                used for various cancers. [1999]

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Treatment Options
surgery, chemotherapy, radiation, treatment by stage, treatment of metastases
anti-angiogenesis, biological therapies, gene therapy, molecular-targeted therapies
photodynamic therapy, treatment agents, clinical trials resources, alternative medicine

Treatment Options


        achbull1.gif (883 bytes) GENERAL INFORMATION - WHAT TO EXPECT
             
About Chemotherapy, About Radiation Therapy, About Surgery
        achbull1.gif (883 bytes) NSCLC STANDARD THERAPIES
              Treatment Overviews 
              Chemotherapy, Radiation, Surgery, Combined Modality Therapy,
              Treatment by stage,
              Treatment of Bronchioloalveolar Carcinoma (BAC)
              Treatment of the Elderly NSCLC Patient
       
achbull1.gif (883 bytes) SCLC STANDARD THERAPIES
              Chemotherapy & Radiation
              Treatment for Limited Disease, Treatment for Extensive Disease,
              Prophylactic Cranial Irradiation (PCI)
              Treatment of the Elderly SCLC Patient
              Treatment of Recurrent Disease
       
achbull1.gif (883 bytes) CLINICAL TRIALS RESOURCES
        achbull1.gif (883 bytes) EXPERIMENTAL THERAPIES
             
Anti-angiogenesis, Biological therapies, Gene therapy,
              Molecular-targeted therapies, Photodynamic therapy, Cryoablation therapy,
              Radiofrequency ablation, Promising (Preclinical) Therapies
        achbull1.gif (883 bytes)
TREATMENT AGENTS   (A-Z)
             
A  B  C  D  E  F  G  H  I  J  K  L  M   N  O  P  Q  R  S  T  U  V  W  X  Y  Z  
        achbull1.gif (883 bytes)
TREATMENT OF METASTASES
             
About metastatic disease, Adrenal metastases, Bone metastases,
              Brain metastases, Liver metastases

       achbull1.gif (883 bytes) 
LIVING WITH LUNG CANCER
              Follow-up/Surveillance, Cancer Rehabilitation Services,
              Survivorship/Quality-of-Life Issues
        achbull1.gif (883 bytes) COMPLEMENTARY & ALTERNATIVE MEDICINE (CAM)
             
CAM Websites, CAM Articles of interest, CAM Centers

 



Symptoms, Side Effects & Complications
anemia, constipation, diarrhea, fatigue, fever, hair loss, lung collapse, nausea & vomiting
neoplastic & paraneoplastic syndromes, neutropenia, nutrition, oral complications
pain, peripheral neuropathy, pleural & pericardial effusions, shortness of breath, skin problems

Tests & Procedures
biopsy, bronchoscopy, chemosensitivity tests, lab/blood tests, nuclear tests
ports & catheters, pulmonary function tests, radiology tests, thoracentesis, airway stents
 

Tests & Procedures


          GENERAL TESTING INFORMATION
          BIOPSY PROCEDURES
               General information, Bronchoscopy, Fine Needle Aspiration,
               Mediastinoscopy, Thoracentesis

          DRUG RESISTANCE (CHEMOSENSITIVITY) TESTING
          LABORATORY (LAB) TESTS
               Blood counts, tumor markers

          NUCLEAR TESTS
               Bone scan, PET scan, PET-CT, SPECT
               V/Q (ventilation/perfusion) scan

          PORTS & CATHETERS
          PULMONARY FUNCTION TESTS
          RADIOLOGY TESTS & PROCEDURES
               CT scan, fluoroscopy, MRI scan, X-ray
          MISCELLANEOUS TESTS & PROCEDURES
               Airway stents, lumbar puncture (spinal tap)


         achbull1.gif (883 bytes)  GENERAL TESTING INFORMATION

                 What to Ask the Doctor Before a Test (Columbia University College of
                 Physicians & Surgeons)
                     Based on the premise that no one should have any medical test
                     without knowing what it entails and why the doctor is recommending
                     it, this patient information sheet lists eight questions a patient should
                     ask the doctor before undergoing a test.

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achbull1.gif (883 bytes)   DRUG RESISTANCE (CHEMOSENSITIVITY) TESTING

       Patients' Perspectives on Cell Culture Drug Resistance Assays (yana.org)
          
Provides a patient perspective on the use of cell drug resistance assays to
            select potential chemotherapy treatments.  Notes several reasons why cell
            drug resistance assays have not been adopted as standard tests.  Offers a
            first-hand account of the process and includes links to further information
            on labs.  [1999]

       Ex-Vivo Apoptotic (EVA) Laboratory Assay (Quackwatch)
            Evaluation, by Wallace I. Sampson, MD, of the chemosensitivity testing
            performed by Rational Therapeutics, of Long Beach, CA. Questions the
            usefulness of the Ex-Vivo Apoptotic Laboratory Assay, which is performed
            on a specimen taken from a patient and cultured in the laboratory.

      
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achbull1.gif (883 bytes)   LABORATORY TESTS
    
        Interpreting Laboratory Test Results
(NCI Cancer Facts)
            Brief, basic information on laboratory tests and how they are used.
            Aimed at patients. [3/97]

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        Blood Counts
        Blood Cells and the CBC
(Edward O. Uthman, MD)
            Comprehensive introduction to hematopathology.  Covers hemoglobin,
            erythrocyte count (RBC), hematocrit (PCV) and erythrocyte indices
            (MVC, MCH, MCHC); leukocytes  and leukocyte differential count
            (WBC, neutrophils, monocytes, eosinophils, basophils, lymphocytes);
            platelets and other peripheral blood cells.  Aimed at physicians.

        Blood Counts FAQ (Oncolink)
           
Comprehensive patient guide to understanding how chemotherapy
            affects blood counts.  Describes the different kinds of blood cells.
            Discusses neutropenia (low white cell count); thrombocytopenia (low
            level of platelets); and anemia (low red cell count). [11/99]

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        Tumor Markers
        Role of Serum Tumor Markers CA 125 and CEA in NSCLC (PubMed)
            
Abstract of a study reported in the March/April issue of Anticancer
            Research
that found CA 125 and CEA can be indicators of
            disease extent, a useful clinical therapeutic marker, and may
            potentially have important prognostic value in NSCLC patients. [4/01]
 
        Tumor Markers (NCI Cancer Facts)
            Discusses tumor markers -- what they are and how they may
            used to assess a cancer's response to treatment and to check
            for recurrence.  Describes the most commonly measured tumor
            markers.  Does not mention any markers used for lung cancer,
            although it notes that pleural inflammation can case elevated
            CA 125 levels. [4/98]     

         Tumor Markers - Recent MEDLINE Abstracts
                

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achbull1.gif (883 bytes)   NUCLEAR TESTS

       What Patients Should Know About Nuclear Medicine Procedures
       (Society for Nuclear Medicine)
           Overview of nuclear medicine and nuclear medicine tests.

       Frequently Asked Questions: Nuclear Medicine (Society for
       Nuclear Medicine)
           Answers commonly asked questions about nuclear medicine tests.

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       Bone scan
       Bone Scans
(Beth Israel Deaconess Medical Center Radiology)
           Describes bone scans: their use, test preparation and exam
           procedure.

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      PET scan
      PET Facilities (Academy of Molecular Imaging)
          Offers a geographic listing of PET facilities who are members of the
          Academy of Molecular Imaging.

      PET: Detection of Tumors by Metabolic Properties (cancer.gov)
         
Simple description of how PET scans are used to detect tumors.
          [3/00]

      Clinical Impact of FDG PET in Patients with NSCLC: A Prospective
      Study (Journal of Clinical Oncology)
      by Kalff, Victor et al.
      19,no. 1 JCO (January 2001):111-118
          Abstract of a prospective study examining the impact of F
          fluorodeoxyglucose (FDG) positron-emission tomography (PET) on
          clinical management of NSCLC patients.  Study concluded that
          FDG PET scanning changed or influenced management decisions
          in 70 of 105 (67%) study patients.  Patients were frequently spared
          unnecessary treatment, and management was more appropriately
          targeted.  

      "Preoperative Staging of Non-Small Cell Lung Cancer with Positron-
      Emission Tomography"
(New England Journal of Medicine)
      by Pieterman, Remge M. et al
      343, no. 4 NEJM (July 27, 2000)
          Abstract of a study that concludes whole-body positron-emission
          tomography (PET) improves the rate of detection of local and distant
          metastases in patients with NSCLC.

      PET Scanning in the Assessment of Lung Lesions (Medscape)
          Summarizes the session on PET and lung cancer at the 48th Annual
          Meeting of the Society of Nuclear Medicine.  Highlighted observations:
          accuracy of FDG-PET in evaluation of pulmonary nodules; comparison
          of contrast CT and FDG-PET; association of bronchioloalveolar (BAC)
          and false negative FDG-PET; role of PET in SCLC. [6/01]

      Evaluation of Bone Metastases in Lung Cancer (H.Lee Moffitt Cancer Center)
      by Poonam Malhotra, MD and Claudia G. Berman, MD
      v.9, n.3 Cancer Control Journal (May/June 2002): 254-55
          Case study illustrating how FDG-PET scans offer advantages over bone scans
          for detecting bone metastases from lung cancer.  Suggests that FDG-PET
          can be useful in determining the presence of active metastatic disease
          following treatment and is useful in monitoring response to therapy. (Be
          sure to click on the "Discussion" button at the bottom of the page.) [2002]

      
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        PET-CT (CT-PET)
      Impact of Computed Tomography-Positron Emission Tomography
      (CT-PET) in Staging Patients with Thoracic Malignancies
(Annals
      of Thoracic Surgery)
         
Abstract of a study that found CT-PET fusion images were more
          accurate than camera-based PET alone.  CT-PET fusion improves
          the spatial resolution compared with dedicated PET and may improve
          the ability and efficacy of staging patients with thoracic malignancies.[7/02]

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        SPECT
      SPECT: Detection of Tumors by Radiolabeled Antibodies
      (cancer.gov)
         
Simple description of how SPECT scans are used to detect tumors.
          [3/00]

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      V/Q (Ventilation/Perfusion) Scan
      Ventilation-Perfusion Scan (V-Q Scan)
(Harvard Family Health Guide)
         
Explains what a ventilation-perfusion scan is, how to prepare, what to
          expect and what to do afterwards.    

      Pulmonary Ventilation/Perfusion Scan
(MEDLINEplus)
          Describes a V/Q scan (also called lung ventilation/perfusion), a nuclear
          scan test using inhaled and injected radioactive material (radioisotopes)
          to measure breathing (ventilation) and circulation (perfusion) in all areas
          of the lungs.  Discusses how and why the test is performed, how to
          prepare for the test, the risks, and the significance of abnormal results.
          Aimed at patients. [5/99]

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achbull1.gif (883 bytes) PORTS & CATHETERS

      VenousAccess.com
          Comprehensive website that offers professional and patient information
          on all types of venous access devices.  Patient materials include an
          explanation of the types of central venous catheters: peripherally
          inserted central catheters (PICC), ports, and tunneled and non-
          tunneled catheters; and information on what to do before and
          after a central line procedure.  Extensive additional information is
          available, including instructions on catheter care, and journal article
          reviews. [2002]

      Ports (CancerLynx)
         
Excellent collection of patients' experiences with ports.  Offers a
          a wealth of helpful advice.

      Venous Access Port Problems
          Describes the types of long-term central venous catheters and discusses
          the causes of catheter or port problems.  Details the signs and symptoms
          of problems, how to avoid problems, and when to call the doctor. [7/01]

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 achbull1.gif (883 bytes) PULMONARY FUNCTION TESTS

       Pulmonary Function Tests (Harvard Family Health Guide)
          
Explains pulmonary function tests: what they are and what
           to happens when the tests are performed.

       Spirometry (National Lung Health Education Program)
           
Explains spirometry - includes pictures. [1/02]

        Spirometry: Questions & Answers (Priory Lodge Education)
            Discusses spirometry: what it is, how to interpret spirometry
            readings, standards and procedures, and spirometry vs. peak
            flow.

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 achbull1.gif (883 bytes) RADIOLOGY TESTS & PROCEDURES

       CT scan
       NY Weill Cornell Researchers Report CT Screening of Patients
       at Risk for Lung Cancer Saves Lives
(Cornell University/Weill
       Medical College/New York Presbyterian Hospital)
          
Press release announcing results of research (from the Early
           Lung Cancer Action Program, or ELCAP) reported in The Lancet
           (7/10/99) that showed low-dose CT screening can find lung tumors
           long before they appear on traditional chest x-rays.          
   
       Computed Tomography
(NCI Cancer Facts)
           Describes computed tomography (CT or CAT scan). Discusses the
           procedure and its advantages over other x-ray techniques in
           diagnosing disease. [7/98]

       Computed Tomography (CT) - Body (Radiological Society of North
       America & the American College of Radiology)
           Describes computed tomography (CT): what it is, how it works, how
           to prepare, how the procedure is performed, who interprets the results
           and how to get them.   Discusses the benefits, risks and limitations
           of CT scanning of the body. 

       The Role of CT in Evaluating Lung Cancer/Staging
(Virtual
       Hospital)
           Aimed at the health care provider, this article discusses the role of
           CT in evaluating those tumor characteristics which determine stage.

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       Fluoroscopy
       Diagnostic Tests: Fluoroscopy (Columbia University College of
       Physicians and Surgeons)
           Briefly describes the purpose, preparation, time, procedure and risk
           involved in image-intensifier fluoroscopy.

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       MRI scan
       Magnetic Resonance Imagine (MRI) - Body (Radiological Society of
       North America & the American College of Radiology)
          
Describes MRI: what it is, how it works, how to prepare, how the
           procedure is performed, who interprets the results and how to get
           them.  Discusses the benefits, risks and limitations of MRI of the
           body.  See also MRI - Head.

       MRI Scans
(Beth Israel Deaconess Medical Center Radiology)
           Excellent description of a Magnetic Resonance Imaging (MRI) scan
           from the patient's point of view.  Includes illustrations of the MRI
           scanner.  Presents option of non-enclosed MRI scanner to reduce
           claustrophobia.

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       X-ray
      
Chest X-ray (MedicineNet)
           Discusses what a chest x-ray is, how a x-ray is performed, the risks
           of a chest x-ray and how to obtain the results of an x-ray.

       Your Chest X-ray (chestx-ray.com)
           Describes a chest x-ray, including radiation dose and interpretation.
           Discusses poor vs. good quality x-rays, and provides information that
           helps patients to determine whether they are getting a good exam.

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achbull1.gif (883 bytes) MISCELLANEOUS TESTS & PROCEDURES

       Respiratory System Tests (Columbia University College of Physicians
       and Surgeons)
   
       Briefly describes various respiratory systems tests, including: arterial
           puncture, bronchography, bronchoscopy, laryngoscopy, pulmonary
           function test (lung capacity), lung scan, mediastinoscopy, and
           thoracentesis.

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       Airway Stents
      
Treatment for Advanced Lung Cancer: Laser Treatment and
       and Airway Stents (CancerHelp UK)
           Briefly describes laser treatment and airway stents, procedures used
           for relieving breathlessness caused by a blocked airway secondary
           to lung cancer.  Aimed at patients.

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       Lumbar Puncture (Spinal Tap)
  
    Lumbar Puncture (Spinal Tap) (Lupus Around the World)
          
Describes lumbar puncture (or spinal tap), an invasive diagnostic test
           in which cerebrospinal fluid (CSF) is extracted for examination, and
           pressure of the spinal column is measured.  Details what happens before,
           during, and after the procedure. Discusses advantages, possible
           complications, and contraindications.  Lists evaluations, normal findings,
           and what abnormal findings may indicate.

       Lumbar Puncture (American Thoracic Society)
           Describes lumbar puncture and outlines its benefits and risks.  

       
top of page    home                                                                       last modified: 12/21/02

 


Websites & Organizations
Internet cancer guides, cancer websites & organizations
pharmaceutical companies, Editor's Choice Websites
 

Websites & Organizations


achbull1.gif (883 bytes) INTERNET CANCER GUIDES
achbull1.gif (883 bytes) CANCER/MEDICAL WEBSITES
achbull1.gif (883 bytes) CANCER & LUNG CANCER ORGANIZATIONS
achbull1.gif (883 bytes) PHARMACEUTICAL COMPANIES
achbull1.gif (883 bytes) EDITOR'S CHOICE WEBSITES


achbull1.gif (883 bytes) INTERNET CANCER GUIDES

     
Cancerguide
(Steve Dunn)
          Comprehensive site for learning about cancer - an excellent starting
          point.  Maintained by cancer survivor Steve Dunn.

      Guidelines for Evaluating Cancer Web Sites (Moffitt Cancer Center)
         
Guidelines on how to critically evaluate cancer websites.  Addresses
          issues of content, source/authority, design and navigability, and
          confidentiality. [2000]

      How To Evaluate Health Information on the Internet (NCI Cancer Facts)
         
Guidelines for evaluating the reliability of Internet information. [8/02]

      Health on the Net Foundation (HON)
          Nonprofit aims to build and support the international health and
          medical community on the Internet.  Advocates an HON Code of Conduct
          for all medical websites.   Offers the MedHunt search engine, which
          provides annotated listings of medical websites by keyword.

      top of page     home


achbull1.gif (883 bytes) CANCER/MEDICAL WEBSITES

      Alpha Cancer Information Resource: Lung Cancer (Coalition
      of National Cancer Cooperative Groups)
         
Comprehensive lung cancer information available as webcasts,
          audio broadcasts, and articles.

      CancerBACUP
          Aims to help people live with cancer by providing information,
          emotional support and counseling for patients, families and health
          professionals.  Offers Understanding Cancer of the Lung online
          booklet. UK organization.

      cancereducation.com: Lung Cancer
          Offers audio/video educational programs that cover lung cancer
          topics: examples include ALCASE's "Lung Cancer: A Revolution
          in Care" workshop tours from 1998-1999, and the Wellness
         
Community's "There is Hope: A Symposium for People with Lung
          Cancer" of June 2000.   Registration required for free access to
          cancereducation.com.
          
     
 Cancer.gov (National Cancer Institute)
          NCI website offering cancer information, including PDQ database
          (cancer database containing peer-reviewed summaries on treatment,
          screening, prevention, and supportive care), NCI fact sheets, clinical
          trials information, free NCI publications, CANCERLIT abstracts and

          citations, and directories of healthcare providers and organizations.
          Cancer.gov's Lung Cancer page includes information on lung cancer;

          its treatment; statistics; causes, risk factors and prevention; testing
          for lung cancer; and coping with lung cancer.
          
      Doctor's Guide to the Internet
          Commercial website primarily aimed at health care providers with
          topical information for patients. Features include : medical alerts
          and news, links to Internet medical resources, medical conference
          database, medical bookstore.

      FDA Center For Drug Evaluation and Research:  Oncology Tools
     
(U.S. Food and Drug Administration)
         
Offers information related to cancer and approved cancer drug therapies.
          Sections include: approved oncology drugs, disease summaries,
          regulatory tools, oncology reference tools, and the FDA patient liaison
          program.

      Guide to Internet Resources for Cancer: Lung Cancer Page
      (cancerindex.org)
          Over 50 links to lung cancer information resources and organizations,
          including sites on lung cancer causes and prevention.

      Lungcancer.org
         
Comprehensive lung cancer site co-sponsored by Cancer Care and
          the Oncology Nursing Society.  Intended for patients, caregivers,
          health professionals and the media.  Of particular interest to patients
          is an "Ask the Experts" service which provides an opportunity, via e-mail,
          to ask questions of certified oncology nurses.


      MEDLINEplus: Lung Cancer
          National Library of Medicine website designed to link users to NLM,
          NIH, federal government and other sources of lung cancer information.

 
      Medscape Oncology
          Extensive medical website aimed at healthcare professionals.
          Oncology resources include: practice guidelines, conference
          summaries, journal room, exam room, library, patient resources,
          current articles, among others.  Offers a Lung Cancer Resource

          Center, featuring the latest lung cancer news and resources.
          Registration required for free access to Medscape.

      OncoLink (University of Pennsylvania Cancer Center)
          Comprehensive cancer website offering information on specific
          types of cancer, psychosocial support services, clinical trials,
          global resources, cancer causes/prevention/screening, medical
          supportive care, conferences, and financial issues for patients.
          Excellent lung cancer resources - OncoLink: Lung Cancer.


      Virtual Hospital
          Offers educational materials for patients and health care providers.
          Of particular interest is the provider page on
          
Lung Tumors: A Multidisciplinary Database.              

      top of page     home


         achbull1.gif (883 bytes) CANCER AND LUNG CANCER ORGANIZATIONS

               Alliance for Lung Cancer Advocacy, Support, and Education (ALCASE)
                800-298-2436
                    Nonprofit organization dedicated to helping people with lung cancer
                    improve their quality of life. ALCASE offers lung cancer education,
                    psychosocial support, and advocacy programs.  Its Phone Buddies
                    Program matches individuals with other lung cancer survivors based on
                    a number of criteria and the needs of the person requesting the service.
                    Other ALCASE services are a national information hotline, a list of
                    community-based support groups, and educational materials including
                    a Lung Cancer Manual, Resource Guide, and quarterly newsletter.

               American Association for Cancer Research (AACR)
   
               Nonprofit dedicated to basic and clinical cancer research.

               American Cancer Society (ACS)
   
                Nonprofit provides general cancer educational and support services,
                    including a Lung Cancer Resource Center which describes lung
                    cancer, its risk factors, prevention, causes, detection, symptoms,
                    diagnosis, staging and treatment. 

               American Institute for Cancer Research (AICR)
   
                Nonprofit focusing on diet, nutrition and cancer prevention. Offers a
                    Cancer Resource Program that provides a lung cancer guide.

               American Lung Association (ALA)
   
                Nonprofit focusing on lung disease prevention, advocacy group. ALA
                    can help to point out community resources. Offers an online booklet
                    "Facts About Lung Cancer."

               American Society of Clinical Oncology
   
                Professional organization providing cancer information for both
                    oncology professionals and cancer patients.  Of special interest
                    are abstracts from annual meetings and Lung Cancer: News.

               Angiogenesis Foundation
                    Nonprofit offers a Patient Cancer Center page with information
                    on angiogenesis for cancer patients.  Free information resources
                    include a section on "Understanding Angiogenesis" and a list of
                    anti-angiogenic drugs in clinical trials for cancer.  The Foundation's
                    Patient Information Network (PIN) is available for an annual fee and
                    provides comprehensive information and an educational program on
                    the latest anti-angiogenesis research. 

               Association of Cancer Online Resources (ACOR)
                  
Nonprofit association managing over 90 online support groups providing
                   information and community to patients, caregivers, and others.  Of
                   particular interest is LUNG-ONC, the Lung Cancer Online Support
                   Group, including its archives which can be searched by keyword or
                   browsed by date. 

               Cancer Care, Inc.
   
                 Nonprofit providing extensive assistance to people with cancer including
                    counseling services, information about cancer and treatment, referrals
                    to other support services (home care, child care, transportation, pain
                    management, entitlements), educational seminars and materials, and
                    financial planning.  Offers an online Lung Cancer Section and a wide
                    variety of support groups for patients, partners, relatives and caregivers,
                    including a Lung Cancer Support Program. 

               Cuneo Lung Cancer Study Group (CuLCaSG)
   
               Nonprofit association of Cuneo physicians and health care personnel
                    engaged in clinical research, continuing education and patient care in
                    lung cancer.

               International Association for the Study of Lung Cancer (IASLC)
   
               Nonprofit association promoting the study of lung cancer and
                    dissemination of information on lung cancer. IASLC organizes world
                    conferences on lung cancer and numerous yearly workshops on
                    specific themes. Publishes Lung Cancer.

               National Cancer Institute (NCI)
   
               Government institution sponsoring cancer research, training,
                   clinical trials, a Cancer Information Service, and a CancerNet
                   database (with PDQ treatment information, a CANCERLIT database
                   and a Lung Cancer page), among other information services.

               National Coalition for Cancer Survivorship (NCCS)
   
               Nonprofit network of organizations and individuals working in the area of
                   cancer support and informationOffers The Cancer Survival Tool Box,
                  
a self-learning audio program covering topics and skills that can help
                   people with cancer meet the challenge of their illness.  

               National Familial Lung Cancer Registry (Johns Hopkins Medical
               Institutions)
                   Goals of the registry are to further our understanding of the causes of
                   lung cancer (beyond smoking) and to serve as an educational resource
                   for persons at risk for lung cancer. If two or more people in a family
                   have been diagnosed with lung cancer, the family is eligible to be a part
                   of the Registry.

               People Living With Cancer (ASCO)
                   Patient information website developed by the American Society of
                   Clinical Oncology (ASCO).  Offers comprehensive oncologist-reviewed
                   cancer information. 
                  
               Roy Castle Foundation
   
               Nonprofit research center established to fight lung cancer. Facilities
                   include laboratories, teaching facilities and a lung cancer library.

               Society of Thoracic Surgeons - Patient Information
   
               Nonprofit professional organization. Patient information page offers
                    information about diseases of the chest - including symptoms and
                    prevention, and the procedures used to correct them.

                     top of page     home


         achbull1.gif (883 bytes) PHARMACEUTICAL COMPANIES

               Abgenix
               Aeterna
   
           Agouron Pharmaceuticals

               Allos Therapeutics
               ALZA Pharmaceuticals
               Amgen
               AnorMED
               AstraZeneca
               Aventis
               BattellePharma
               Biomira
               Bristol-Myers Squibb
   
           Celgene
               Cell Genesys
               Cell Pathways
               Entremed
               Enzon
               Genaera
               Genentech
               Genta
               ILEX
               ImClone Systems
               ImmunoGen
               Immunomedics
               Introgen Therapeutics
               Isis Pharmaceuticals
               Ivax
               Ligand Pharmaceuticals
               Lilly (Eli Lilly)
               Matrix Pharmaceutical
               MGI Pharma
               Millenium Pharmaceuticals
               Novartis
               Novelos Therapeutics
               Ortho Biotech

               OSI Pharmaceuticals
               OXiGENE
               Pharmacia & Upjohn
               Protarga
               Research Triangle Institute
               Ribozyme Pharmaceuticals
               Schering-Plough
               Seattle Genetics
               SmithKline Beecham
               Sugen

               SuperGen
               Titan Pharmaceuticals
               Tularik
               Vertex
               Vion Pharmaceuticals
               Xenova Group

              top of page     home                                         last modified: 12/21/02


Researching the Medical Literature
bibliographic databases, guidelines resources, medical libraries, conference proceedings
professional journals, medical reference, lung cancer bibliographies

Researching the Medical Literature


    achbull1.gif (883 bytes) BIBLIOGRAPHIC DATABASES
     achbull1.gif (883 bytes) TREATMENT GUIDELINES RESOURCES   
     
achbull1.gif (883 bytes) MEDICAL LIBRARIES
     
achbull1.gif (883 bytes) CONFERENCE PROCEEDINGS/ABSTRACTS
     
achbull1.gif (883 bytes) JOURNALS
          
Medical/cancer journal lists, Individual lung cancer related journals
    
achbull1.gif (883 bytes) MEDICAL REFERENCE
          
Dictionaries & Glossaries, Encyclopedias/Reference Guides, How to research
     
achbull1.gif (883 bytes) LUNG CANCER BOOKS & BIBLIOGRAPHIES


     achbull1.gif (883 bytes)BIBLIOGRAPHIC DATABASES

          CANCERLIT (NCI's cancer.gov)
              Comprehensive bibliographic database of more than 1.4 million records
              of cancer literature published since 1963, including books, government
              reports, presentations, theses, and scientific journals, usually with
              abstracts.


          MEDLINE (National Library of Medicine)
              Description of MEDLINE, comprising over 11 million citations to and
              abstracts from approximately 4,000 medical journals.

                   >Search MEDLINE: PubMed
                       Free MEDLINE search page using PubMed.
                   >PubMed Online Training
                        Web-based tutorial on how to use PubMed.
                  
           
International Bibliographic Information on Dietary Supplements (IBIDS)
           Database
(NIH/Office of Dietary Supplements)
               Searchable database of published, scientific literature on dietary supplements,
               vitamins, minerals, and botanicals.  IBIDS contains over 300,000 citations
               and abstracts.  Developed to assist the public, health care providers, and
               researchers in locating credible, scientific literature on dietary supplements.    

             top of page    home


     achbull1.gif (883 bytes) TREATMENT GUIDELINES RESOURCES

           Lung Cancer Clinical Practice Guidelines (Cancer Care Ontario
           Practice Guidelines Initiative)
               
The Cancer Care Ontario Practice Guidelines Initiative (CCOPGI)
               is dedicated to developing evidence-based clinical practice
               guidelines on cancer care.  Intended for physicians.

           Guidelines - Lung Neoplasms (National Guideline Clearinghouse)
              
The National Guideline Clearinghouse is a repository for evidence-based
               clinical practice guidelines sponsored by the Agency for Health Care
               Policy and Research in partnership with the American Medical
               Association and the American Association of Health Plans.
               Although intended for physicians, NCG has added a patient
               resource feature to guidelines when available.

           ASCO Clinical Practice Guidelines (American Society of Clinical
           Oncology)
               
The ASCO Clinical Guidelines are listed by disease and modality. Although
               the guidelines are intended for physicians, some patient guides are
               also available.  Of particular interest is Advanced Lung Cancer Treatment.

           top of page    home


   achbull1.gif (883 bytes) MEDICAL LIBRARIES

          National Library of Medicine (NLM)
              The NLM contains 5.3 million items comprising books, journals,
              technical reports, manuscripts, microfilms, photographs and images.
              Access to the collection is available on-site or through interlibrary

              loan; however, the NLM catalog can be searched online via
              LOCATORplus.  NLM produces the MEDLINE database and offers
              a MEDLINEplus website that provides links to sources of consumer
              health information.  NLM Fact Sheet describes NLM holdings and
              services.

          National Network of Libraries of Medicine (NN/LM) (800) 338-7657
              Directs health professionals, educators and the public to medical
              libraries and health care information resources.


          Libraries for Health Consumers (NLM)
              Listing of consumer health libraries and participating libraries in the
              NLM Consumer Pilot Project.


           top of page    home


   achbull1.gif (883 bytes) CONFERENCE PROCEEDINGS/ABSTRACTS

         Lung Cancer Progress Review Group (National Cancer Institute)
        
August 2001
             Report identifying top priorities for lung cancer research.  Resulted from
             Lung Cancer Progress Review Group (PRG) Roundtable meeting, April, 2001.     

         2nd International Lung Cancer Congress (Medscape)
        
July 18-21, 2001, Kauai, Hawaii
             Conference summaries aimed at physicians.  Registration required for free
             access to Medscape.

         9th World Conference on Lung Cancer (Medscape)
        
September 11-15, 2000, Tokyo, Japan
             Conference summaries aimed at physicians.  Registration required for free
             access to Medscape.

         "There is Hope: A Symposium for People with Lung Cancer"
         (cancereducation.com)
         The Wellness Community, Philadelphia, PA, June 2000
             Offers audio/video files of the symposium, including introductory remarks,
             magnitude of the problem, prevention, radiation therapy, chemotherapy,
             six lung cancer survivors, and complementary therapies. Registration
             required for free access to cancereducation.com.    

         ASCO Annual Meetings
            
ASCO abstracts database searchable by keyword and year.

         
Center for Mind-Body Medicine Annual Conferences
         "Integrating Complementary & Alternative Therapies"
             Comprehensive Cancer Care 2000 (June 7-11, 2000) Proceedings             

         NCI State of the Science Meetings (National Cancer Institute)
             "Integration of New Therapeutic Agents into the Multimodality
              Treatment of NSCLC" (June 14-15, 2000)
             "Molecular Targets for Therapy in SCLC" (September 14-15, 1999)

         Lung Cancer Teleconferences (Cancer Care)

         
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     achbull1.gif (883 bytes) JOURNALS

           Journal Lists
           Cancer Journals (Guide to Internet Resources for Cancer)
               Alphabetical list of over 170 oncology and related journals.  Links to
               journal home pages and MEDLINE are included along with the ISSN,
               Publisher and impact factor for each journal.  Excellent resource.

           AMEDEO: The Medical Literature Guide
              
Offers access to bibliographic lists of medical topics, including lung cancer.
               Lists are comprised of abstracts from selected journals and are updated weekly.

           top of page    home


           Lung Cancer Related Journals
            American Journal of Respiratory and Critical Care Medicine (published
           by the American Thoracic Society)
               Tables of contents and abstracts available for issues from July 1997.

           Annals of Thoracic Surgery - Featured Articles
               Full text articles from the current issues of The Annals of Thoracic
               Surgery that are of general interest to the public.

           CA - A Cancer Journal for Clinicians (published by the American Cancer
           Society)
               Peer-reviewed journal for primary care physicians. Contains articles on
               aspects of cancer diagnosis, treatment and prevention; and information
               on ACS activities.  Full text available for issues since 1996.

           CANCER (published by the American Cancer Society)
               Publishes interdisciplinary oncologic information including hematologic
               oncology, medical oncology, pathology, radiation oncology, and surgical
               oncology, among other areas. Tables of contents and article abstracts for
               current and past issues.

           Cancer Control: Journal of the Moffitt Cancer Center
               Peer-reviewed, bi-monthly journal publishes articles that address actions
               and approaches needed to reduce the impact of human malignancy.  The
               topical issues include original articles along with a listing of relevant
               clinical research protocols.  The January/February 2000 issue of Cancer
               Control focused on lung cancer.
               
           CHEST: The Cardiopulmonary and Critical Care Journal (published by
           the American College of Chest Physicians)
               Tables of contents and article abstracts from recent issues. Abstracts
               database searchable by author or keyword.

           Journal of Clinical Oncology News Digest (published by ASCO)
               News release summarizing select research appearing in the Journal of
   
           Clinical Oncology. Digest summaries highlight particularly newsworthy
               research appearing in each issue. JCO News Digests are organized
               by month and year.

           Journal of the National Cancer Institute (published by NCI)
               Publishes peer-reviewed reports on major oncology studies; editorials
               and commentary by experts; news from the oncology community; book
               reviews; conference announcements. Tables of contents and abstracts
               available for issues published since 1994.

  
        Journal of Thoracic and Cardiovascular Surgery (published by The
           American Association for Thoracic Surgery and the Western Thoracic
           Surgical Association)
               Presents original articles on conditions of the chest, heart, lungs and
               great vessels where surgical intervention is indicated.  Abstracts
               available for issues published since 1994.

           Lung Cancer (published by International Association for the Study of Lung
           Cancer)
               Publishes original research concerning aspects of lung cancer:
               prevention, epidemiology and etiology, basic biology, pathology, clinical
               assessment, surgery, chemotherapy, radiotherapy, combined treatment
               modalities, among others. Each issue includes a reference section
               derived from the Excerpta Medica Database, with key abstracts covering
               the literature on lung cancer.  Not available online.

           Lung Cancer Frontiers (published by International Lung Cancer Identification,
           Inc.)
               Acquires and disseminates new knowledge about lung cancer and how it
               can be most quickly and effectively diagnosed and treated.  Current and
               previous issues available in PDF format.

           The Oncologist
               Peer-reviewed journal aimed at the practicing oncologist-hematologist.
               Full text available for issues published since 1998.  Available issues may
               be searched by author, citation or keywords.

          
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    achbull1.gif (883 bytes) MEDICAL REFERENCE

          Dictionaries & Glossaries
          Lung Cancer & Related Acronyms (Lung Cancer Online)
             
Compiled by Lorraine Johnston and Karen Parles, MLS

          Lung Cancer Glossary (intouchlive.com)
              Extensive glossary of terms related to lung cancer from Myths &
              Facts About Lung Cancer by John C. Ruckdeschel, MD (Bristol-Myers
              Squibb Oncology, 1999).

          MPIP Glossifier (Melanoma Patients' Information Page)
              Excellent tool for helping to understand medical articles and other
              Internet medical information.  The URL of the article or webpage
              to be "glossified" and it will appear in your browser with all the
              glossary words highlighted and linked to their definition.
          
          Cancer Definitions (NCI)
              Comprehensive glossary of cancer-related terms.

          Online Medical Dictionary (CancerWeb)

Cancer.gov Dictionary

Pharma-Lexicon: A Dictionary of Pharmaceutical Medicine
    
Extensive database of pharmaceutical acronyms and their definitions.   

          top of page    home


          Encyclopedias/Reference Guides
          Medical Encyclopedia
(MEDLINEplus)
              
Thousands of articles from the adam.com medical encyclopedia
              covering diseases, tests, symptoms, injuries, and surgeries.

          MEDLINEplus: Drug Information (National Library of Medicine)
             
Information on more than 9,000 prescription and over-the-counter medications
              provided by the United States Pharmacopeia (USP).

          top of page    home


         How to Research
         How to Research the Medical Literature
(Cancerguide)
             Sections include: the research cycle, where to get references, using
             medical databases, types of papers in the medical literature, how to
             find and use a medical library.

          top of page    home


    achbull1.gif (883 bytes) LUNG CANCER BOOKS & BIBLIOGRAPHIES

          Books
          100 Questions & Answers About Lung Cancer
         
by Karen Parles, MLS and Joan Schiller, MD
          Jones & Bartlett Publishers, 2003


          Lung Cancer: Myths, Facts, Choices - And Hope
          by Claudia I. Henschke, PhD, MD, and Peggy McCarthy with Sarah Wernick
          WW Norton & Company, 2002

          Lung Cancer: Making Sense of Diagnosis, Treatment & Options
         
by Lorraine Johnston
          O'Reilly & Associates, 2001

          Lung Cancer: A Guide to Diagnosis and Treatment
         
by Walter Scott, MD
          Addicus Books, 2000

          top of page      home


          Bibliographies
          Non-small Cell Lung Cancer - Suggested Reading
(cancernetwork.com)
          
from Cancer Management: A Multidisciplinary Approach
          Edited by Richard Pazdur, MD, et al.
          Registration required for free access to cancernetwork.com.
          [c.2001]

          Small Cell Lung Cancer - Suggested Reading (cancernetwork.com)
          
from Cancer Management : A Multidisciplinary Approach
          Edited by Richard Pazdur, MD, et al.
          Registration required for free access to cancernetwork.com.
          [c.2001]   

          Surgical Oncology - Lung Cancer: An Annotated Bibliography of
          Important Literature on Common Problems in Surgical Oncology
         
(Society of Surgical Oncology)
         
Edited by Peter W.T. Pisters, MD and Stephen B. Edge, MD
          [11/00] 

          "Ten Best Readings on Lung Cancer"
          Edited by W. Michael Alberts, MD
          v. 7, no. 1 (Jan./Feb. 2000) Cancer Control Journal                        

          top of page      home                                               last modified: 12/21/02



Living with Lung Cancer
follow-up care, rehabilitation services, survivorship issues, long term & late effects

Living with Lung Cancer


     achbull1.gif (883 bytes) FOLLOW-UP ISSUES
          
Follow-up Care, Recurrence, Second Lung Cancers

     achbull1.gif (883 bytes) CANCER REHABILITATION SERVICES

    
achbull1.gif (883 bytes) SURVIVORSHIP/QUALITY OF LIFE ISSUES (LONG TERM & LATE EFFECTS)
          
Overview, Cognitive Dysfunction After Treatment, Depression After Treatment,
           Fatigue After Treatment, Peripheral Neuropathy After Treatment


     achbull1.gif (883 bytes) FOLLOW-UP ISSUES

           Follow-up Care
           Follow-Up Treatment of Lung Cancer
(intouchlive.com)
          
from Myths & Facts About Lung Cancer by John C. Ruckdeschel, MD
           (Bristol-Myers Squibb Oncology, 1999)
                Addresses the three major concerns of lung cancer follow-up period:
                1) evaluating the effect of the original treatment; 2) monitoring for recurrence
                of the original cancer; and 3) the problem of "second primary lung cancers."

           What Follow-Up is Needed After Treatment of Lung Cancer?
          
(smokinglungs.com)
              
Offers the perspective of thoracic surgeon, Fred Grannis, MD (Head,
               Thoracic Surgery, City of Hope National Medical Center, Duarte, CA),
               on clinical follow-up of patients after treatment for lung cancer. [undated]

           Questions and Answers About Follow-up Care (NCI/Cancer Facts)
               Discusses follow-up care and why it is important.  Suggests questions
               patients should ask their doctors about follow-up care.  Addresses
               issues involved in follow-up care, such as dealing with emotions and
               keeping medical records. [7/01]

           Relevance of an Intensive Postoperative Follow-up After Surgery for
           NSCLC
(Annals of Thoracic Surgery)
          
by Virginia Westeel, MD, et al.
           70 Ann Thorac Surg (2000)
                Abstract of a prospective study that found an intensive follow-up program
                is feasible and may improve survival by detecting recurrences after surgery
                for NSCLC at an asymptomatic stage. [2000]

           Surveillance and Follow-Up Care for Patients with Advanced Lung
           Cancer (ASCO)
           from "ASCO Special Article: Clinical Practice Guidelines for the Treatment
           of Unresectable Non-Small Cell Lung Cancer," Adopted May 16, 1997
                Aimed at physicians, this section of the guidelines notes that there are
                no studies which indicate the optimum intensity of follow-up in patients
                with advanced lung cancer.  Offers clinical guidelines within that stated
                context, covering history and physical examination, chest x-rays, and
                other diagnostic studies. [5/97]

           top of page    home 


           Recurrence
           What Steps Are Recommended to Prevent Recurrence of NSCLC?
          
(cancernetwork.com)
          
by John C. Ruckdeschel, MD
           21(2) Primary Care & Cancer (February 2001)
               Evaluates several measures in the context of preventing recurrence of
               NSCLC in young nonsmokers.  Registration required for free access to
               cancernetwork.com. [2/01]

          
top of page    home      


           Second Lung Cancers
           Second Lung Cancers in Patients After Treatment for an Initial Lung
           Cancer
(MEDLINE Abstract)
          
by BE Johnson, MD
           90(18) J Natl Cancer Inst (Sept.16, 1998):1335-45
                Review article assesses rates of second lung cancer development,
                factors associated with the development of these cancers, and the
                success of their treatment.  Concludes that in patients surviving an initial
                lung cancer, the cumulative risk for the development of a second primary
                lung cancer makes this cancer a common cause of death.  The high
                risk of developing a second lung cancer makes patients with these
                cancers an important population for study of surveillance strategies
                and chemoprevention agents. [9/98]

           top of page    home            


    achbull1.gif (883 bytes)   CANCER REHABILITATION SERVICES

           Pulmonary Rehabilitation: A Team Approach to Improving the Quality
           of Life (American College of Chest Physicians)
                Describes pulmonary rehabilitation as a combination of exercise training,
                and behavioral and education programs designed to help patients with
                chronic obstructive pulmonary disease (COPD) and other disabling lung
                conditions.   Details the components of a pulmonary rehabilitation program.
                Provides information for locating programs in your area.

           Exercises for People with Lung Cancer: A Suggested Exercise Program
           for Improving Quality of Life After Diagnosis (cancernetwork.com)
           by Margaret McCarthy
           v.20, no.10 Primary Care & Cancer (November/December 2000)
               Describes an exercise program developed by lung cancer survivor Mort
               Leibling following his pneumonectomy.  Registration required for free access
               to cancernetwork.com.

           top of page    home


    achbull1.gif (883 bytes)    SURVIVORSHIP/QUALITY OF LIFE ISSUES

           Overview
           Facing Forward: A Guide for Cancer Survivors
(NCI/CancerNet)
              
Presents an overview of survivorship issues and offers practical ideas to
               help patients look to the future.  Major sections include: continuing to
               care for your health; taking care of your feelings; managing insurance
               issues; and earning a living.

           Exploring the Post-Cancer Life (intouchlive.com)
              
Interview with Betty Ferrell, PhD, RN an expert on the issues faced by
               cancer survivors.  Topics covered include long term pain and psychological
               distress, among others. [7/99]

           What Now? Adjusting to Life After Cancer (CancerBACUP)
                Addresses the issues related to life after cancer treatment: your relationship
                with other people, negative feelings, helping yourself, what if my cancer
                comes back, complementary therapies, managing your finances, and
                returning to work. [10/97] 

           top of page    home


           Depression After Treatment
           Depression After Successful Treatment for NSCLC
(PubMed)
                Study results presented in the September 2000 issue of Cancer conclude
                that depression is not rare after successful treatment of NSCLC and that
                social support may play an important role for NSCLC patients with
                depression after successful treatment. [9/00]

           top of page    home


           Fatigue After Treatment
           Resolving the Frustration of Fatigue
(American Cancer Society)
           by Wendy S. Harpham, MD
           CA: A Cancer Journal for Clinicians
           v.49 (1999): 178-189
                Describes how cancer-related fatigue can persist following treatment and
                affect family dynamics, job responsibilities, social interactions, finances,
                and intimacy.  Advises clinicians to search for treatable medical conditions,
                and to take fatigue and its frustrations seriously.  Reassures patients that
                the fatigue they feel is real and that by personal energy conservation, they
                should be able to improve their abilities to function, to socialize, to interact
                with others, and ultimately to adjust to a "new normal" baseline.

            top of page    home                                                                                     last modified: 12/21/02

 

 Lung Cancer Online: Finding the Best Care


         achbull1.gif (883 bytes) LUNG CANCER PROGRAMS
         achbull1.gif (883 bytes) PHYSICIAN LOCATORS
     
   achbull1.gif (883 bytes) HOSPITAL & HMO LOCATORS
         achbull1.gif (883 bytes) SECOND OPINIONS
              
General Information, Second Pathology Opinions
        
achbull1.gif (883 bytes) YOUR HEALTH CARE TEAM
         achbull1.gif (883 bytes) ISSUES THAT IMPACT CARE
               Communication, Managing Your Medical Records, Miscellaneous Issues    
    


achbull1.gif (883 bytes) PHYSICIAN LOCATORS

      AIM DocFinder (State Medical Board Executive Directors)
          Nonprofit organization providing a health professional licensing database.

      AMA Physician Select (American Medical Association)
          AMA database of demographic and professional information on
          individual physicians in the United States.

      Find an Oncologist (American Society of Clinical Oncology)
         
Database of ASCO member oncologists.  Searchable by name,
          institution, location, and/or specialty.

      ACS Fellowship Database (American College of Surgeons)
         
Database of surgeons who are Fellows of the ACS.  Searchable by
          name, location and/or specialty.

      Lung Cancer Programs (Lung Cancer Online)
         
Directory of NCI-Designated Cancer Centers and other hospitals with lung
          cancer programs.  Links to specific resources, including physicians, are
          included where information is available. (n.b., Directory is not a complete
          listing, but a work-in-progress.)  

      How to Find a Doctor or Treatment Facility If You Have Cancer (NCI
      Cancer Facts)
          Comprehensive information on ways to look for and select a cancer doctor
          or cancer treatment facility. [3/00]

      top of page      home      


          achbull1.gif (883 bytes) HOSPITAL & HMO LOCATORS

      Best Hospitals Finder (U.S. News & World Report)
          The U.S. News hospital rankings are designed to assist patients in
          their search for the highest level of medical care. Database is
          searchable by specialty (including the top cancer hospitals)
          or by geographic region. 

     
 HospitalWeb (Dept. of Neurology, Massachusetts General Hospital)
          Searchable database of hospital websites.

      NCI-Designated Cancer Centers (NCI)
          Directory of NCI-designated Cancer Centers, 58 research-oriented
          U.S. institutions recognized for scientific excellence and extensive
          cancer resources.  Listings feature phone contact numbers,
          website links and a brief summary of website resources. 
    
      National Comprehensive Cancer Network (NCCN)
          The National Comprehensive Cancer Network (NCCN) is an alliance
          of leading cancer centers.   NCCN members provide the highest
          quality in cancer care and cancer research.  NCCN offers a Patient
          and Information Referral service that responds to cancer-related
          inquiries and provides referrals to member institutions' programs
          and services (1-888-909-6226).

     
Approved Hospital Cancer Program (Commission on Cancer of
      the American College of Surgeons)
      
   The Approvals Program of the Commission on Cancer surveys
          hospitals, treatment centers, and other facilities according to
          standards set by the Committee on Approvals which recommends
          approval awards in specific categories based on these surveys.
          A hospital that has received approval has voluntarily committed
          itself to providing the best in diagnosis and treatment of cancer.
          Approved hospitals can be searched by city, state and category.

      Association of Community Cancer Centers (ACCC):
      Cancer Centers & Member Profiles

          Geographic listing of ACCC members with contact information, and
          description of cancer program and services as provided by the member
          institutions.     

      Lung Cancer Programs (Lung Cancer Online)
          
Directory of NCI-Designated Cancer Centers and other hospitals with
          lung cancer programs.  Links to specific lung cancer resources are
          included where information is available. (n.b., Directory is not a
          complete listing, but a work-in-progress.

      HMOs and Other Managed Care Plans (Cancer Care)
          Discusses the advantages and disadvantages of HMO care.

      Best HMOs Finder (U.S. News & World Report)
          U.S. News guide to choosing a managed-care option.

       top of page     home              


 achbull1.gif (883 bytes) SECOND OPINIONS

       General Information
       Second Opinions: Why, When, and Who
(Cancerguide)
          
Offers an excellent overview from Steve Dunn, a kidney cancer survivor,
           on the reasons why you may want to get a second opinion and the
           considerations involved. [12/01]

       Second Opinions (Cancer Supportive Programs)
       from Cancer Supportive Care, 1998
       by Ernest H. Rosenbaum, MD & Isadora R. Rosenbaum
           Offers three views on second opinions: "Does Everyone Need a Second
           Opinion?" by Ernest H. Rosenbaum, MD; "Second Opinions: A Valuable
           Part of Supportive Care," by Malin Dollinger, MD; and "Multidisciplinary
           Second Opinion Fundamentals," by Richard & Annette Bloch.

      Multidisciplinary Second Opinion Institutions (R.A. Bloch Cancer
       Foundation)
           List of institutions that will, by patient request, provide a multidisciplinary
           second opinion within 3 weeks of diagnosis or recurrence.  Institutions are
           listed by state, and include contact information. 

      Second Pathology Opinions
      Armed Forces Institute of Pathology Consultation (Armed Forces Institute
      of Pathology)

          The Armed Forces Institute of Pathology is a world leader in pathology
          diagnosis, education, and research.   It offers consultation for second
          pathology opinions and describes this service on its website.

      FindCancerExperts (findcancerexperts.com)
          Privately-funded referral service to nationally recognized pathologists for
          second opinions.  Website offers educational information on the benefits
          of second pathology opinions.

      top of page      home


achbull1.gif (883 bytes) YOUR HEALTH CARE TEAM

      Role of the Oncologist (American Society of Clinical Oncology)
         
Briefly describes the types of clinical oncologists: medical oncologists,
          radiation oncologists and surgical oncologists.  Discusses the role of
          the oncologist in cancer patient care and offers tips on what to look for
          when selecting an oncologist and treatment facility. [undated]

      Your Health Care Team: Your Doctor is Only the Beginning (NCI
      Cancer Facts)
          Describes cancer health care professionals and their roles: social
          workers, psychiatrists, psychologists, nurses, home health aides,
          rehabilitation specialists, dieticians, clergy, hospice care specialists.
          [4/00]

      Preparing for Your First Oncology Consultation (Oncolink)
         
Describes the different types of oncologists that patients see for evaluation
          and treatment.  Offers a checklist of things patients can do to prepare for
          an oncology consultation that can make the experience easier. [11/01]

      Medical Social Workers (CancerLynx)
          
Describes social workers and the varied social services they provide
           patients/clients: e.g., supportive counseling, psychosocial assessment,
           long and short term care planning, financial and legal counseling, among
           others. [10/00]

      What is a Respiratory Therapist? (American Association for Respiratory
      Care)
           Briefly addresses the role of a respiratory therapist and offers tips on
           respiratory health concerns. [undated]

      What You Should Know About Your Doctor's Education (JAMA Patient
      Page/Medem)

          Outlines the education and training involved in becoming a doctor.
          Intended to help patients better understand physician qualifications
          so that they can take a more active role in managing their health care.
          [9/98]      

      top of page      home


achbull1.gif (883 bytes) ISSUES THAT IMPACT CARE

      Communication/Self Advocacy
      Information for the Asking: Questions to Help You Get the
      Information You Need from Your Healthcare Providers
(ALCASE)
          Excellent ALCASE guide addresses issues related to patient-physician
          communication.  Topics include: identifying your personal decision-
          making style, finding an advocate, and assessing your information
          needs.  Provides a lists of questions to ask when selecting a new
          physician, when evaluating your physician's bedside manner, prior to
          and after testing, about treatment options, and about clinical trials.

      Fighting Cancer: Physician-Patient Communication (R.A. Bloch
      Cancer Foundation)
          Offers guidelines for improving communications between patients and
          physicians.

      Communication is the Key to an Excellent Doctor-Patient
      Relationship (CancerSource.com)
          Stresses the importance of communication in the doctor-patient
          relationship.  Topics include: information that might be helpful to
          your doctor, how much information do you want, asking questions,
          and understanding and remembering what the doctor says. [1/01]

      How to Talk with Your Doctor (JAMA Patient Page)
         
Discusses the importance of open and honest patient-physician
          communication and the issue of confidentiality.  Suggests ways to
          prepare for an office visit and what to expect from your doctor.

      The Importance of Becoming Your Own Best Advocate
     
(CancerSource.com)
        
Discusses why it is important to become your own best advocate and
         offers tips on how to learn self-advocacy.  Suggests ways that cancer
         survivors can use their cancer experience to help others. [1/01]

      top of page      home


      Managing Your Medical Records
      Patients' Perspectives: Managing Your Medical Records
(yana.org)
          Shares the patient experience of managing medical records.  Details the
          basic information you will need for your cancer journey: personal, physician,
          legal, and medications.  Describes the various kinds of medical records you
          are likely to accumulate and provides suggestions on how to manage them.
          Aimed at breast cancer patients, but this helpful advice applies to all
          cancer patients.

      Patient Resource Center: Your Health Record (American Health Information
      Management Association)
         
Discusses patient health information, also known as medical records.
          Describes what medical records are, who owns them, how to access them,
          and what they are used for.   Provides a list of documents common to most
          health records.  Offers guidelines for protecting the confidentiality of your
          health record and for keeping your own records.

      Know What's In Your Medical File (Cooper Institute)
         
Addresses the issue of confidentiality of medical records.  Describes
          how medical histories are investigated by insurance companies and
          others.  Explains how the Medical Information Bureau (MIB) allows
          insurance companies to share information about patients.  Recommends
          that you find out what's in your medical records and provides information
          on how to request a copy of your MIB information. 

      top of page      home


      Miscellaneous Issues
      "Specialists Achieve Better Outcomes Than Generalists for Lung Cancer"

      CHEST, September 1998; 114(3):675-680
          Abstract of a CHEST article reporting the results of a 1991-1995 study
          that concluded mortality is lower for lung cancer resection when the
          surgery is performed by a thoracic surgeon.

      
"Impact of Hospital Volume on Operative Mortality for Major Cancer
      Surgery"   
      
JAMA, November 25, 1998; 280(20):1747-1751
          Abstract of a JAMA article concluding that when complex surgical
          oncological procedures are provided by surgical teams in hospitals
          with specialty expertise, mortality rates are lower.

      top of page      home                                                                            last modified: 12/21/02

       

Symptoms, Side Effects & Complications


            achbull1.gif (883 bytes) BLOOD CLOTS & PULMONARY EMBOLISM
            achbull1.gif (883 bytes)
CONSTIPATION
            achbull1.gif (883 bytes) DIARRHEA
            achbull1.gif (883 bytes) FATIGUE
            achbull1.gif (883 bytes) FEVER
            achbull1.gif (883 bytes) FLUID COMPLICATIONS
                 
Pericardial Effusion, Pleural Effusion
            achbull1.gif (883 bytes) HAIR LOSS (ALOPECIA)
            achbull1.gif (883 bytes) HEMATOLOGIC (BLOOD) COMPLICATIONS
                 
Overview, Anemia, Neutropenia
            achbull1.gif (883 bytes) NAUSEA & VOMITING
            achbull1.gif (883 bytes) NEOPLASTIC & PARANEOPLASTIC SYNDROMES
                  Pancoast Syndrome, Superior Vena Cava (SVC) Syndrome,
                  Clubbing and Hypertrophic Osteoarthropathy, Hypercalcemia,
                  Hyponatremia and Syndrome of Inappropriate Secretion of Antidiurectic
                  Hormone (SIADH)
            achbull1.gif (883 bytes) NEUROTOXICITY
                 
Cognitive Dysfunction (due to chemotherapy, radiation and/or cancer),
                  Peripheral Neuropathy
            achbull1.gif (883 bytes) NUTRITIONAL PROBLEMS & WEIGHT LOSS
            achbull1.gif (883 bytes) ORAL COMPLICATIONS
            achbull1.gif (883 bytes) PAIN
            achbull1.gif (883 bytes) RESPIRATORY COMPLICATIONS
                 
Shortness of Breath (Dyspnea),
                  Lung Collapse (Pneumothorax & Atelectasis)
            achbull1.gif (883 bytes) SEXUAL & REPRODUCTIVE SIDE EFFECTS
           
achbull1.gif (883 bytes) SKIN PROBLEMS
           
achbull1.gif (883 bytes) SPINAL CORD COMPRESSION
           
achbull1.gif (883 bytes) VOCAL CHORD PARALYSIS

            achbull1.gif (883 bytes)CHEMOTHERAPY SIDE EFFECTS - INDIVIDUAL DRUG FACTSHEETS
                
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
            achbull1.gif (883 bytes)RADIATION SIDE EFFECTS
           
achbull1.gif (883 bytes)SURGICAL COMPLICATIONS


           achbull1.gif (883 bytes) BLOOD CLOTS & PULMONARY EMBOLISM

                 What is Pulmonary Embolism? (Canadian Lung Association)
                    
Discusses pulmonary embolism, its causes, symptoms, diagnosis,
                     and treatment. [5/02]

                 Coumadin Consumer Information (coumadin.com)
                    
Offers manufacturer's information on Coumadin, an anticoagulant.
                     Addresses possible side effects and complications. Suggests steps
                     to take to ensure successful treatment with Coumadin.

                 V/Q (Ventilation/Perfusion) Scan Information (Lung Cancer Online)
                    

                 top of page    home


           achbull1.gif (883 bytes) CONSTIPATION

                "Assessing and Managing Narcotic-Induced Constipation in Adults
                with Cancer"
                 by Susan C. McMillan, PhD, RN, FAAN
                 v.6, no.2 Cancer Control: Journal of the Moffitt Cancer Center
                 (March/April 1999): Special Report
                     Addresses the problem of narcotic-induced constipation, a common
                     condition in patients with cancer.  Aimed at the health care
                     professional, this article defines constipation, its etiologies and
                     discusses methods for assessing and managing constipation. [4/99]

      Constipation, Impaction and Bowel Obstruction (PDQ) (NCI's cancer.gov)
          Describes the differences between constipation, impaction, and bowel
          obstruction, and discusses their causes and treatment.  Patient and
          physician versions available. [6/02]

        top of page    home


achbull1.gif (883 bytes) DIARRHEA

      Managing Symptoms: Diarrhea (OncoLink)
         
Offers suggestions for managing diarrhea, a common side effect of
          chemotherapy and radiation therapy.   Describes diarrhea, its causes
          and its treatments.  Advises on when to contact your doctor or nurse.
          [2/02]

      top of page    home


achbull1.gif (883 bytes) FATIGUE

     
Fatigue (PDQ) (NCI's cancer.gov)
          Addresses fatigue, its causes, and factors related to fatigue.  Discusses
          its assessment and treatment.  Post treatment considerations are also
          addressed.  Patient and physician versions available. [6/02]

      CancerFatigue.org (Oncology Nursing Society)
         
Comprehensive website aimed at patients offers quick tips for coping
          with fatigue, information about cancer and treatment related fatigue,
          frequently asked questions, a fatigue scale and a searchable
          database of fatigue awareness events.  Of interest is the Lung
          Cancer Information Center which specifically addresses fatigue as
          it relates to lung cancer.

      Resolving the Frustration of Fatigue (American Cancer Society)
      by Wendy S. Harpham, MD
      CA: A Cancer Journal for Clinicians
      v.49 (1999): 178-189
          Describes how cancer-related fatigue can persist following treatment and
          affect family dynamics, job responsibilities, social interactions, finances,
          and intimacy.  Advises clinicians to search for treatable medical conditions,
          and to take fatigue and its frustrations seriously.  Reassures patients that
          the fatigue they feel is real and that by personal energy conservation, they
          should be able to improve their abilities to function, to socialize, to interact
          with others, and ultimately to adjust to a "new normal" baseline. [5/99]

      Sleeping with the Enemy: Treatment of Fatigue in Individuals with
      Cancer (The Oncologist) 
      by Robert H. Wharton, MD
      v.7, no2 The Oncologist (April 2002): 96-99
          Excellent, comprehensive article by lung cancer patient and physician,
          Rob Wharton, addressing the impact and treatment of cancer-related
          fatigue.  Examines the medical conditions that cause fatigue in cancer
          patients, and elucidates the problems it creates in the lives of patients
          and their families.   Discusses the potential benefits of using psycho-
          stimulant medication to treat fatigue. [4/02]

      Cancer-Fatigue (Association of Cancer Online Resources)
          Online discussion group for cancer patients dealing with fatigue.

      Exercise in Cancer-Related Fatigue Management (Medscape)
          Reports research studies presented at the 2001 Oncology Nursing
          Society meeting on the use of exercise for managing cancer-related
          fatigue.  One study found that patients suffering from cancer
          treatment-related fatigue can benefit from a prescribed exercise
          regimen.  The study exercise program helped patients to overcome,
          manage, or reduce fatigue after, or even during, chemotherapy and
          radiation. [5/01]

      Cancer Fatigue: Frequently Asked Questions (Virtual Hospital)
          Answers to frequently asked questions about fatigue.  Aimed at
          patients. [5/00]

         top of page    home


achbull1.gif (883 bytes) FEVER

      Fever, Sweats and Hot Flashes (PDQ) (NCI's cancer.gov)
        
Describes fever, its causes and its treatment.  Discusses infection-
          associated fever, tumor-associated fever and drug-associated fever,
          among other topics.  Patient and physician versions available. [6/02]

       top of page    home


achbull1.gif (883 bytes)FLUID COMPLICATIONS

     Pericardial Effusion
     How is Palliation Provided in the Case of Pericardial Effusion?
    
(smokinglungs.com)
        
Describes pericardial effusion and notes treatment options.  Written by
         thoracic surgeon, Fred Grannis, MD, Head, Thoracic Surgery, City of
         Hope, Duarte, CA.         

     top of page    home


     Pleural Effusion
     Pleural Effusion
(CancerBACUP)
         Answers questions about pleural effusions: what is a pleural effusion,
         what causes a pleural effusion, signs and symptoms, drainage of a
         pleural effusion, pleurodesis and possible side effects of draining a
         pleural effusion. [7/01]

     Malignant Pleural Effusion
(smokinglungs.com)
         Describes malignant pleural effusion and discusses its diagnosis
         and treatment.  Written by thoracic surgeon, Fred Grannis, MD,
         Head, Thoracic Surgery, City of Hope National Medical Center,
         Duarte, CA.  Aimed at physicians. [undated]

      Chemical Pleurodesis for Pleural Effusion (Cancer Supportive Care)
       
Detailed description, written by Carolyn Clary-Macy, RN,  of pleural effusion
        and the procedures used to treat pleural effusions secondary to lung cancer.
        Aimed at patients.  [1/02] 

      Hospitalization Not Needed for Management of Malignant Pleural
      Effusion
(Doctor's Guide)
          
Reports on a study presented at the 9th World Conference on Lung
          Cancer that examined the use of an in-dwelling catheter to palliate
          lung cancer patients with malignant pleural effusions.  Study results
          found that the in-dwelling catheter eliminates the prolonged hospital
          stay associated with chest tube insertion and chemical pleurodesis, and
          and offers a less invasive treatment approach than standard methods.
          [9/00]

      Thoracentesis (WebMD)
          Describes thoracentesis, the process of extracting fluid from the pleural
          space.  Discusses the purpose of thoracentesis, how it is performed,
          factors affecting the results, interpretation of results and its advantages
          disadvantages.

      Chest Tube Thoracostomy (Critical Care Assembly of the American
      Society)
          Describes chest tube thoracostomy, a procedure performed to drain
          fluid, blood or air from the space around the lungs (pleural space).
          Lists common reasons for its use, including pleural effusion and
          pneumothorax.  Covers risks and benefits of the procedure. 

      Malignant Pleural Effusions (Medscape)
      by Steven A. Sahn, MD
      22(6) Semin Respir Crit Care Med (2001): 607-615
          Comprehensive discussion of malignant pleural effusions, including
          causes and treatment options.   Aimed at physicians.  Registration
          required for free access to Medscape. [2001]   

      top of page    home


achbull1.gif (883 bytes) HAIR LOSS (ALOPECIA)

      Coping with Hair Loss (CancerBACUP)
         
Comprehensive guide to hair loss from chemotherapy or radiation
          therapy.  Topics include: can hair loss be prevented, your feelings,
          practical tips, choosing a wig or hair piece, tips for wearing a wig,
          alternative headwear, and changing the focus. [2/01]
   
    
Chemotherapy and Hair Loss (CancerEducation.com)
         
MedClip presentation by Ann Collins-Hattery that addresses hair loss
          (alopecia) from chemotherapy.   Topics covered include: why many
          chemotherapy drugs cause hair loss, preparing for hair loss, finding a
          wig, protecting the scalp after hair loss, and caring for hair as it regrows.
          Registration required for free access to CancerEducation.com.  [5/00]

      Look Good...Feel Better (lookgoodfeelbetter.org)
          Describes Look Good...Feel Better, a free program designed to teach
          women cancer patients beauty techniques to help cope with the
          appearance-related side effects of cancer treatment.  Discusses the
          various services offered and provides contact information.

        top of page    home


achbull1.gif (883 bytes)NAUSEA & VOMITING

     Nausea and Vomiting
(NCI's cancer.gov)
         Describes the nausea and vomiting experienced by cancer patients,
         including its causes and treatment.  Patient and physician versions
         available. [4/02]

    Nausea and Vomiting Treatment Guidelines (NCCN)
        
Excellent, comprehensive guide to prevention and treatment of
         cancer-related nausea and vomiting. [1/01] 

     Practical Tips for People with Cancer Who Are Experiencing Nausea
     or Have Lost Their Appetite
(Cancer Care)
         Offers suggestions, other than medication, that patients can use in order
         to relieve nausea and to increase appetite.

     Preventing and Treating Nausea and Vomiting Caused by Cancer
     Treatment - A Patient's Guide (ASCO)
         Provides a basic overview of the prevention and treatment of nausea and
         vomiting caused by chemotherapy and radiation therapy. [11/00]        

    
Frequently Used Anti-Nausea Medications for Adults Undergoing
     Chemotherapy or Radiation
(University of Michigan Comprehensive
     Cancer Center)

         A listing of medications used to minimize or prevent nausea during
         chemotherapy or radiation.  Includes a description of the medicines,
         how they might be used, and some common side effects.

       top of page    home 


achbull1.gif (883 bytes)NUTRITIONAL PROBLEMS & WEIGHT LOSS

     Nutrition (PDQ) (NCI's cancer.gov)
         Describes the effects of cancer and its therapy on nutrition, as well
         methods for maintaining nutrition in cancer patients.  Patient and
         physician versions available. [1/02]

    Nutritional Problems and the Cancer Patient: Psychosocial
    Considerations
(Medscape)
        
Discusses nutritional problems common among cancer patients and the
         potential for distress related to eating problems among patients and
         family members.  Recommends an interdisciplinary approach to
         nutritional care that includes a psychological assessment as well as
         support and education for patient and family.  Aimed at health care
         professionals. [2002]

    Eating Hints for Cancer Patients (NIH/NCI)
         Sections include: Eating Well During Cancer Treatment, Managing
         Eating Problems During Treatment, Special Diets for Special Needs,
         Glossary and Recipes for Better Nutrition During Cancer Treatment.    

    Nutrition (Cancer Supportive Care)
    from Cancer Supportive Care by Ernest H. Rosenbaum, MD &
    Isadora R. Rosenbaum, MA
         Addresses issues of nutrition and cancer including loss of appetite,
         diarrhea, when foods taste or smell funny, chewing or swallowing
         difficulties, and weight gain, among others.

    Megestrol Acetate (Megace) (CancerBACUP)
        
Factsheet on megestrol acetate (Megace), a hormonal therapy sometimes
         used as an appetite stimulant.  Includes discussion of how Megace works
         and possible side effects. [9/99] 

    Influence of Nutritional Status on Complications After Operations
    for Lung Cancer (Annals of Thoracic Surgery)
        Abstract of a study examining the role of nutritional status in patients
        undergoing an operation for lung cancer.   Results indicate that impaired
        nutrition is an important predictor of death and the need for reventilation
        after an operation for lung cancer.   Suggests that the selection of patients
        for lung resection might be improved by measuring simple nutritional
        indices. [3/00]

    Parenteral Nutrition Techniques Improve Cancer Patients' Status
    (cancernetwork.com)
    v.9, no.12 Oncology News (December 2000)
       
Reports on research presented at the 5th International Congress of the
        Society for Nutritional Oncology Adjuvant Therapy that addressed the
        nutritional needs of cachectic cancer patients.   Discusses attitudes
        efforts to improve patients' nutritional status via enteral and parenteral
        feeding to avoid the "needless near starvation of cancer patients."
        Registration required for free access to cancernetwork.com. [12/00]

    Dietary Antioxidants During Cancer Chemotherapy: Impact on
    Chemotherapeutic Effectiveness and Development of Side Effects
    (Medscape)
   
by Kenneth A. Conklin
    v.37, no. 1 Nutrition and Cancer (2000): 1-18
        Reviews several dietary supplements (vitamin E, Coenzyme Q10, GSH,
        vitamin C and others) with regard to their effects on response to
        chemotherapy and/or reduction of chemotherapy-induced side effects.
        [2000]   

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achbull1.gif (883 bytes)ORAL COMPLICATIONS

     Oral Complications of Chemotherapy and Head/Neck Radiation (PDQ)

     (NCI's cancer.gov)

         Describes oral complications caused by chemotherapy and radiation
         therapy.  Discusses specific oral complications and their treatments.
         Addresses pretreatment prevention. Patient and physician versions

         available. [1/02]

     Oral Health, Cancer Care, and You (National Institute of Dental
     and Craniofacial Research)
         Website promoting awareness of oral health and cancer sponsored
         by the National Institute of Dental and Craniofacial Research and
         several other nonprofits, along with the National Cancer Institute
         (NCI).  Includes two patient guides that address possible oral side
         effects from cancer treatments: Chemotherapy and Your Mouth,
         Radiation Treatment and Your Mouth.        

    Oral Mucositis - Recent MEDLINE Articles (PubMed)

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         achbull1.gif (883 bytes) PAIN

               Cancer-pain.org (Developed by the Association for Cancer
               Online Resources)
                   Patient-oriented site addresses issues related to cancer pain:
                   understanding cancer pain, assessing cancer pain, cancer
                   pain treatments.  Includes a caregiver's cancer pain guide and
                   links to additional pain resources.

               Managing Cancer Pain (American Pain Foundation)
                  
Provides a comprehensive overview of cancer pain: why pain
                   should be treated; what causes cancer pain; drug treatments;
                   treatment side effects; how pain medicine is taken; nondrug
                   treatments; benefits and risks of treatments; counseling and
                   peer support; and how to make a pain control plan.  Aimed at
                   patients.

     Cancer Pain Treatment Guidelines for Patients (NCCN)
         Excellent patient guide to treating cancer pain.  Offers comprehensive
         information and includes pain assessment tools. [3/00]

     Medscape Resource Center: Cancer Pain Management (Medscape)
         Aimed at physicians, this website offers the latest medical news
         and information on cancer-related pain, including conference summaries,
         articles, and other resources.   Registration required for free access to
         Medscape.

     Implantable Device May Offer Better Pain Management (cancer.gov)
        
Reports on a study in the October 1, 2002 issue of the Journal of
         Clinical Oncology
that found patients with advanced cancer who used
         an implantable drug-delivery device to control their pain had better
         pain relief, fewer toxic side effects, and better survival than patients who
         received intensive medical pain management. [10/02]


     Electrical Nerve Stimulation May Help Reduce Chronic
     Pain in Cancer Patients (Doctor's Guide)
         Summarizes the report by University of Texas-Southwestern
         Medical Center at Dallas in the December issue of The Clinical
         Journal of Pain detailing findings that percutaneous electrical
         nerve stimulation (PENS), produced significant acute pain relief
         in patients, including those with pain from bony metastases. [6/99]

     Get Relief from Cancer Pain (NIH/NCI)
        
Patient education brochure addresses misconceptions about cancer
         pain.  To get relief, patients are advised to communicate with their
         health care professionals and given tips on how to do so. 


     It Doesn't Have to Hurt! Tips for Managing Cancer Pain
     (Cancer Care)
         Discusses cancer-related pain, treatment-related pain, barriers to
         treatment for pain, steps to take to get early and effective pain

         treatment.

     Pain (PDQ) (NCI's cancer.gov)
         Addresses pain topics including: pain assessment, pain management
         with drugs, physical and psychosocial interventions, anticancer
         interventions, invasive interventions and pain in elderly patients.
         Patient and physician versions available. [5/02]
          
     Questions and Answers About Pain Control: A Guide for
     People With Cancer and Their Families (ACS/NCI)
         Online booklet covers: Pain-What is it?, Relief of Pain, How to Relieve
         Pain with Medicines, Nonprescription Pain Relievers, Prescription
         Pain Relievers; How to Relieve Pain Without Medication, Other
         Methods of Pain Relief, Sources of Additional Information and a

         Glossary.

     Understanding Cancer Pain (NCI)
         Addresses patient concerns about cancer pain.  Presents four
         main assertions: most pain can be controlled; communication is
         important; pain can be measured; you can work together with your

         health care provider to control pain.

     Cancer-Pain (Association of Online Cancer Resources)
    
    Online discussion group for cancer patients dealing with pain issues.

     Side Effects of Pain Medication
     (MD Anderson Cancer Center)
        
Discusses the benefits and side effects of medications used to relieve
         cancer-related pain.  Includes a link to more in-depth information on
         opioid side effects (nausea, constipation, central nervous system effects)
         and how to manage them.
         [10/01]

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achbull1.gif (883 bytes)RESPIRATORY COMPLICATIONS

     Shortness of Breath (Dyspnea)
    
ACP Home Care Guide for Advanced Cancer: Shortness of Breath

     (American College of Physicians)
          Explains shortness of breath (dyspnea), when to get professional help,
          and what caregivers can do to help patients be as comfortable as
          possible. [1997]

     "Dyspnea is a Common Symptom of Lung, Breast Cancer"
     (cancernetwork.com)
     v.7, no.9 Oncology News International (September 1998)
         Discusses the possible causes, stepwise assessment and treatment
         of dyspnea.  Registration required for free access.[9/98]

      "Behavioral Interventions for Lung Cancer-related Breathlessness"
      (PubMed)
     
v.8, no.6 Cancer Pract (November-December 2000): 268-273
          Abstract of a report on behavioral interventions to assist in the management
          of breathlessness in lung cancer patients.  Provides literature citations to
          support the value of exercise in assisting patients to breathe more effectively
          and manage related anxiety.  Includes detailed instructions on breathing
          exercises that may help patients better manage their feelings of
          breathlessness and thus, also enhance their quality of life. [11/00]

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     Lung Collapse (Pneumothorax & Atelectasis)
     Pneumothorax (InteliHealth)
        
Describes pneumothorax, its causes and symptoms, how it is
         diagnosed, and possible treatments. Registration required for free
         access to InteliHealth.[1/00]

     Lung Collapse (InteliHealth)
        
Briefly describes the two forms of lung collapse, pneumothorax and
         atelectasis.  Registration required for free access to InteliHealth. [8/00]

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achbull1.gif (883 bytes) SEXUAL & REPRODUCTIVE SIDE EFFECTS

      Sexuality and Reproductive Issues (NCI's cancer.gov)
          Addresses the impact cancer and cancer treatment can have on all
          aspects of an individual's sexuality, including sexual desire and
          physical and psychological sexual dysfunction.  Patient and physician
          versions available. [11/01]

      Sexuality and Cancer (CancerBACUP)
         
Comprehensive guide to issues relating to sexuality and cancer,
          including how cancer and its treatment affect you sexually. Offers
          some solutions to sexual problems caused by cancer and answers
          common questions about sexuality and cancer. [04/01]

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achbull1.gif (883 bytes)SKIN PROBLEMS

     How to Deal with Skin Problems of Advanced Cancer (Mediconsult)
        
Describes how advanced cancer can affect the skin.  Notes that for
         lung cancer patients, nodules usually appear in the chest area.  Offers
         treatment suggestions.

     Radiation Recall (CancerSourceRN.com)
        
Describes radiation recall, a side effect of radiation therapy that may
         occur when chemotherapy is given after the radiation.  Radiation recall
         usually takes the form of patches of redness and shedding or peeling
         of skin that was irradiated.  Offers treatment suggestions. [12/99]

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achbull1.gif (883 bytes)SPINAL CORD COMPRESSION

     OncoLink FAQ: Spinal Cord Compression (OncoLink)
        
Describes the major causes and incidence of spinal cord compression.
         Discusses treatment options.

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 achbull1.gif (883 bytes)VOCAL CHORD PARALYSIS

      Vocal Chord Paralysis - Recent MEDLINE Articles (PubMed)