Lung metastases - examination


        LUNG METASTASES - EXAMINATION
While this examination can give useful clues, a clear examination does not always mean that the lungs are normal. For example, if a number of small secondary deposits are scattered throughout the lungs, most of the lung is actually working quite normally. There may be no symptoms nor abnormalities on clinical examination. A chest X-ray is always necessary when looking for lung secondaries.
You'll remember that the air in the lungs makes it quite easy to see any abnormalities. The secondaries can take the form of fluid outside the lung or solid deposits in the lung. With fluid on the lung, the cancer cells are not actually in the lung itself but in the outer covering. This covering is called the pleura—you will have heard of pleurisy which is the name for inflammation of this covering. If cancer cells (or germs or other types of inflammation) damage it, the pleura reacts by producing fluid which lies outside the lung itself. On an X-ray the fluid forms a white patch right across the side of the chest that it is on. In severe cases it can even make one whole side of the chest look white. This happens if the fluid takes up so much space that there is no room for air itt the lung. Both to relieve symptoms and to confirm that it is due to cancer, your doctor might recommend removal of some of the fluid. This is usually easily done through the chest wall using a needle or rubber tube. If it is due to cancer, microscopic examination of the fluid will usually show cancer cells.
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Cancer
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