Lung Cancer Frequently Asked Questions

Typically, it is best to begin treatment sooner rather than later, but it's also important to feel confident in your lung cancer treatment plan. After a lung cancer diagnosis, many patients choose to seek a second opinion. In many cases, there is time to consult with at least two different oncology teams to compare their recommended treatment options and determine which is best for you. It is also common for additional testing to be done before treatment begins. This helps your oncologist determine the extent of the lung cancer and which treatments are most likely to be effective. 

When you're ready to take the next step, we encourage you to schedule a consultation with one of the lung cancer doctors at Compass Oncology. Our experienced team will review all your test results, guide you through their recommendations, and explain the timing for your treatments.

A personalized cancer treatment plan is critical because it’s specific to each patient’s type and stage of lung cancer. Genetic changes also impact the recommended therapies. The Compass Oncology doctors utilize all this information to create a treatment plan that will be most effective for each patient. 

If genetic changes are identified through biomarker testing, the treatment plan will likely include targeted therapy drugs that counteract the genetic changes and slow the cancer’s growth. Our team takes the time to discuss your specific type of lung cancer, explain the recommended treatment plan, and ensure you understand what to expect.

For most patients, the main goal of lung cancer treatment is to achieve remission by eliminating all lung cancer cells from the body. Often, remission is possible for patients diagnosed with early-stage lung cancer, especially if the cancer has not spread beyond the lungs. Curative treatments may include surgery, radiation therapy, chemotherapy, and targeted therapy. The best approach depends on several factors, including the type, stage, and location of the lung cancer, as well as your personal preferences and overall health.

If the cancer has spread throughout the body, your oncologist may recommend palliative (maintenance) treatment. This approach focuses on slowing the cancer's progression, alleviating symptoms, and improving your quality of life rather than eliminating all of the cancer cells.

You and your care team will work together to choose the lung cancer treatment plan that best suits your needs and goals. 

Even after successful treatment, there is always the chance that the cancer could return. The likelihood of lung cancer recurrence depends on the type of lung cancer and the stage when it was originally diagnosed.

• Patients diagnosed with non-small cell lung cancer (NSCLC) typically have a lower risk of recurrence, especially if the tumor was completely removed through surgery.
• Patients diagnosed with small cell lung cancer (SCLC) usually respond well to initial treatments but have a higher likelihood of recurrence, particularly within the first one to two years.
• Advanced-stage lung cancers are generally more likely to recur than those detected and treated at an early stage.

Making healthier lifestyle choices and keeping all follow-up appointments can help reduce your risk of recurrence. Your oncology team will monitor you closely with tests and scans to detect any potential recurrence early, when it is more manageable.

Read our blog to learn more about lung cancer recurrence.

Compass Oncology is committed to delivering the most advanced treatments to patients. This includes providing access to clinical trials that evaluate new lung cancer drugs or combinations of drugs. There are several participation requirements for clinical trials, which are closely monitored. Your oncologist may recommend participating in one if you qualify. Talk with your care team if you’re interested in learning more about clinical trials that may be available for you.

Learn more about lung cancer clinical trials at Compass Oncology.

The stage of lung cancer describes how far the cancer has spread and is one of the most important factors in determining patient outcomes. 

Earlier stages (I or II) typically offer a better prognosis compared to more advanced stages (III or IV). Lung cancers that have spread beyond the lungs to other parts of the body require more aggressive treatments and usually result in poorer outcomes.

While some factors are beyond your control, you can take proactive steps to support your health and help your body fight cancer. We encourage you to:

• Quit smoking.
• Eat a balanced, anti-inflammatory diet rich in whole foods, lean proteins, low or no sugar, and plenty of water.
• Follow your lung cancer treatment plan and attend all appointments.
• Stay active by engaging in light exercise or gentle movement to maintain strength and reduce fatigue.
• Manage stress through mindfulness techniques, counseling, or support groups.
• Consider participating in a clinical trial if you're eligible to access promising new therapies not yet widely available.

Our patient benefits representatives will help you understand your insurance coverage and any out-of-pocket expenses. They will work with you to create a manageable financial plan based on your unique situation.

If you’re at the point of choosing your cancer care team, you might also consider that treatment at a community cancer center like Compass Oncology costs less than treatment provided by a hospital-based oncology department. You will receive the same high-quality care and have access to the latest lung cancer therapies at Compass Oncology, but you will pay less out-of-pocket. According to the Community Oncology Alliance, cancer treatment can cost up to 50% more in a hospital-affiliated outpatient department than in independent oncology practices.

Compass Oncology has been a leader in cancer care in Portland and Vancouver for over 25 years. Patients throughout Oregon and Southwest Washington can expect high-quality care from expert lung cancer physicians who use the latest treatments and technologies. We are here to ensure you receive comprehensive cancer care and support close to home.