Lung Cancer Treatment


Management of lung cancer depends critically on the stage of disease and the pathological type of disease. Small cell lung cancer is a rapidly spreading tumor that is not cured by surgical resection, but can be treated with chemotherapy and radiation (34). The other forms of lung cancer can be collectively referred to as non-small cell lung cancer, as their management is similar (33). In early stage non-small cell lung cancer that has not spread beyond lymph nodes near the tumor (stage IIIA or less), the optimal treatment is surgical resection. In the earliest stage of non-small cell lung cancer (stage IA) treated with surgery, the five-year survival can be as high as 67% (34). Recent studies suggest that the use of chemotherapy after surgery for early stage disease can further improve outcomes (33). More advanced disease (stages IIIB and higher) is treated with chemotherapy and/or radiation therapy without surgery (33). 
Tumors that have spread to distant sites (stage IV) have a dismal prognosis, with a one-year survival of 20%, and five-year survival of 1% (33). Because the prognosis is so poor in stage IV disease, it is often treated with palliative care alone.

Comprehensive Cancer Control Plan

The Cherokee Nation Comprehensive Cancer Control (CNCCC) Project assists in the development of networks and collaboration that produce an infrastructure for a comprehensive approach to cancer within the Cherokee Nation. Since 2003, coalition members and partners have come together to discuss the burden of cancer in Cherokee Nation. Coalition members and partners include local, regional, state and national representatives committed to identifying areas of cancer concern, planning interventions, prioritizing greatest areas of identified need, and then implementing identified strategies and/or providing needed resources. This is the second edition of the Cherokee Nation Comprehensive Cancer Control Plan and will serve, like the first, as an information resource for health care professionals and community members, as well as a tool for the Cherokee Nation Comprehensive Cancer Control Coalition and its respective entities. The coalition is committed to the process of enhancing infrastructure for comprehensive cancer control in the Cherokee Nation with the ultimate goal of reducing morbidity and mortality among the Cherokee community.