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Sudden onset of symptoms or disease

A type of non-small cell lung cancer that begins in the cells that form the lining of the lungs and has gland-like properties

Adjuvant Therapy:
A treatment used in addition to primary therapy to increase effectiveness of treatment; for example, adjuvant chemotherapy following surgery

Adverse Reaction:
An unintended or unexpected negative reaction to treatment; for example, low blood counts

Hair loss, a side effect of some cancer treatments

Tiny balloon-like sacs in the lungs where oxygen, carbon dioxide, and other substances are exchanged between the lungs and bloodstream

Plural of Alveoli

A drug that relieves pain

A decrease in the number of red blood cells; anemia be a result of the cancer itself or from the treatments; symptoms include fatigue and shortness of breath

Drugs that control pain during surgery and other procedures

The process in which cancer cells develop new blood vessels that supply them with oxygen and nutrients, which allow them to grow; treatment designed to stop this process and to starve the cells to slow or stop growth is called anti-angiogenesis therapy

Loss of appetite or strong lack of interest in food, a result of the cancer itself, from treatments, or from emotional reaction to the diagnosis

A drug that kills or reduces the growth of bacteria

Anti-angiogenesis Therapy:
Drugs that prevent the development of new blood vessels supplying a tumor with nutrients it needs to survive, thereby killing the tumor

Antibody Therapy:
Treatment designed to induce an immune response against cancer cells; antibodies that recognize antigens (substances on cancer cells) have been developed to induce this immune response

A protein in the immune system that identifies and destroys foreign substances such as bacteria and viruses

Drugs that reduce or prevent nausea and vomiting

Collapsed lung; failure of lung to inflate properly

Without obvious signs or symptoms of disease

Abnormal or not usual

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Not cancer (see also Malignant [link])

Biomarkers (molecule marker, signature molecule):
A biological molecule (the basis for all human cells), found in blood or other bodily fluids or tissue, which is a sign of normal or abnormal process or of a condition or disease

The removal and examination of tissue or fluid, used to confirm the presence of cancer and to determine the type of lung cancer

Blood Cell:
The cells of the blood; there are two types, white blood cells [link], red blood cells [link] (see also Platelets)

Blood Count or Complete Blood Count (CBC):
A test that examines the amounts of different parts of the blood, such as white blood cells [link], red blood cells [link], platelets [link] and hemoglobin [link]

Bone Scan:
A type of scan used to determine if cancer has spread to the bones

Brachytherapy Radiation:
A cancer treatment in which radioactive material sealed in needles, seeds, wires or catheters is placed directly into or near the tumor

Plural of bronchus, used when referring to both the air tubes

Bronchiogenic Carcinoma:
Another name for lung cancer

Bronchioaveloar Carcinoma (BAC):
A rare subtype of adenocarcinoma [link] that begins in the alveoli [link]

The very small tubes that lead into the alveolus

A thin, usually flexible lighted tube used during a bronchoscopy

A procedure in which a bronchoscope is inserted through the nose or mouth, into the lungs, which allow the doctor to look directly into the airways and lungs. A needle inserted into the bronchoscope can be used to obtain samples of the tumor or fluid for biopsy [link] testing.

One of the two main breathing tubes branching off from the windpipe; one bronchus leads into each lung

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Loss of body weight and muscle mass, leading to weakness that may occur in patients with cancer;most often seen in patients with advanced cancer

A disease characterized by cells that change, grow and divide in an out of control manner, and then interfere with the body’s normal functioning

Cancer Cell:
A cell that divides and reproduces abnormally

Carcinoma in Situ:
Earliest stage cancer in which the disease is confined to the original cells or tissue in which it started

A substance that causes cancer; something that is carcinogenic is cancer causing

The process by which cancer develops

A form of cancer that develops in tissues covering the external or internal surfaces

Tiny blood vessels

The basic building block of all living tissues; comprised of a nucleus (the “brain” of the cell), the cytoplasm surrounding the nucleus, and a cell wall

Centimeters (cm):
A measure of length in the metric system; 3 cm is just over an inch; 5 cm is nearly 2 inches; 7 cm is 2 ¾ inches

Central Nervous System (CNS):
The control center for the body; includes the spinal cord and the brain

The use of chemicals, vitamins, or minerals to prevent cancer

A drug which makes tumor cells more sensitive to the effects of chemotherapy drugs

A drug or combination of drugs used to fight cancer

A strand of DNA and related proteins that carries the genes and transmits hereditary information

Lasting for a long period of time or marked by frequent recurrence [link]

Tiny, hair-like projections located on cells; in the lungs, they clean by sweeping out mucus containing contains dust, germs, etc

Clinical Trials:
Studies that evaluate new treatments or possible improvements in current treatments

Combination Chemotherapy:
A treatment that uses two or more anti-cancer medications

Combined Modality Therapy:
The use of two or more types of treatment; may include combinations of radiation, chemotherapy, surgery, or others

Complementary and Alternative Medicine (CAM):
Complementary medicine is the use of techniques or approaches used in addition to standard treatment, such as meditation or diet (also called integrative medicine or treatment); alternative medicine refers to treatment outside standard therapies that have not been proven by clinical trial to be effective

Complete Blood Count (CBC) – see Blood Count

Complete Response, Complete Remission:
The disappearance of all cancer in response to treatment.

Unexpected symptoms or problems resulting from medical treatment

Computed Tomography Scan (CT or CAT Scan):
An imaging test that can detect extremely small tumors and helps doctors understand more about the tumor and if it has spread

Consolidation therapy:
Treatment given to further treat the cancer with the goal of complete remission [link]

On the opposite side of the body; in lung cancer this term is generally used to refer to cancer in the lung or lymph nodes opposite that of the primary tumor (see also Ipsilateral)

A professional who helps in coping with life issues such as emotional or social difficulties

The study of cells, their origin, structure, function and pathology

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DNA (deoxyribonucleic acid):
The part of the cell that contains and controls genetic instructions used in the functioning of the cell

The process of identifying a disease by its characteristic signs, symptoms, and through tests

Diagnostic Procedure:
A method used to identify a disease

The muscle below the lungs and heart that separates the chest from the abdomen and assists with breathing

The degree to which tumor tissue resembles normal tissue; differentiated cells resemble normal cells and tend to grow and spread at a slower rate than undifferentiated [link] or poorly differentiated [link] cells

A type of clinical trial in which neither the medical staff nor the patient knows if the patient is receiving the investigational drug or drug combination

Drug Resistance:
The failure of cells to respond to treatments; this can happen at the beginning of treatment or after exposure to the drug

Difficulty or pain in swallowing

Shortness of breath

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The swelling of a body part caused by an abnormal build-up of fluids

A disorder which results in the inability of the lungs to exchange oxygen for carbon dioxide and other gases, making it difficult to breathe

Epidermal Growth Factor Receptors (EGFR):
A protein receptor that exists on cell surfaces and controls a number of cell activities such as growth and division; certain mutations of this protein can lead to a malfunction of EGFR and cause cancerous cells to multiply rapidly

Epidermal Growth Factor Receptor (EGFR) Inhibitor:

A drug designed to prevent protein mutations in EGFR from rapidly multiplying

The tube through which food travels from the mouth into the stomach

Removal, usually by surgery

A medicine that helps a person cough up secretions from the lungs

Extensive Stage Small Cell Lung Cancer:
One of the two ways small cell lung cancer is staged; indicates the cancer is in both lungs or has spread to other parts of the body

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Constant and extreme tiredness

Scarring of the lung; may occur due to treatment and/or disease

First Line Treatment:
First therapy given after the diagnosis of cancer

Food and Drug Administration (FDA):
The governmental agency that reviews and approves all clinical trials for drugs and other procedures that might prevent or treat cancer as well as other diseases

The division of a total dose of radiation into several smaller, equal doses delivered over a period of several days

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The functional and physical unit of heredity passed from parent to offspring. Genes are pieces of DNA [link], most contain the information for making a specific protein

Gene Therapy:
A treatment that replaces an abnormal gene in a cancer cell with a normal gene

The complete genetic information of a species

A method of classifying a tumor of the basis of how aggressively it is growing

Growth Factor:
A protein that promotes cell production

Growth Factor Receptor:
A protein found on the surface of a cell that binds to a growth factor; growth factor receptors in lung cancer include epidermal growth factor receptors (EGFR) [link] and vascular endothelial growth factor (VEGF) [link]

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The study of blood, blood-producing organs, and blood disorders

The iron protein component in the red blood cells that carries oxygen to body tissues

Coughing or spitting up blood

The transmission of information from parent to offspring through genes

High Risk:
When the chance of developing cancer is greater than normally seen in a population

End-of-life care that focuses on pain control and comfort rather than treatment of the disease; generally available when the person has six months or less to live

Nutritional support given through a vein

Abnormally high concentrations of calcium in the blood

Hyperfractional Radiation:
A division of the total daily dose of radiation into smaller doses that are given more than once a day

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Procedures that produce pictures of areas inside the body; includes x-ray, CT and PET scans and MRIs

Immune System:
The system within the body that recognizes and fights foreign cells and disease

The study of the body’s natural defense mechanisms against disease

The treatment of disease by inducing, enhancing, or suppressing an immune response

Induction Therapy:
Often the first step in treating more advanced lung cancer. May be followed by consolidation treatment [link] and/or maintenance therapy [link]

The number of new cases of a specific disease in a defined population during a set period of time

A cut, usually in reference to surgery

When harmful and disease-producing germs and organisms enter the body

Informed Consent:
A legally required procedure to make sure patients understand potential risks and benefits of a treatment before it is started

The administration of fluids or medications into the blood through the veins

The use of a syringe and needle to deliver medications to the body; a shot

Intensity Modulated Radiation Therapy (IMRT):
A type radiation treatment that uses computer-generated images to show the size and shape of the tumor and helps reduce damage to healthy tissues near the tumor

Through a vein, as opposed to intramuscular (through the muscle)

Invasive Cancer:
Cancer that has spread beyond its site of origin and is growing into surrounding, healthy tissues

On the same side of the body; in lung cancer this term is generally used to refer to cancer in another lobe or lymph nodes in the lung on the same side of the primary tumor (see also Contralateral)

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Large Cell Carcinoma:
A subtype of non-small cell lung cancer; cells are large and poorly differentiated [link] meaning they have none of the features that would allow it to be diagnosed as another type of non-small cell lung cancer

The voice box; located above the windpipe

Limited Stage Small Cell Lung Cancer:
One of the two ways small cell lung cancer is staged; indicates that the cancer has not spread beyond one lung, the tissues between the lungs and/or nearby lymph nodes

Living Will:
A legal document explaining a person’s desires regarding the use of life sustaining equipment and treatments

Section of a lung; there are two lobes in the left lung and three lobes in the right lung

The surgical removal of one lobe of a lung

Localized Cancer:
A cancer confined to the site of origin, usually the organ where it began

Locally Advanced Cancer:
Cancer that has spread only to nearby tissues or lymph nodes

Lung Metastases:
Not primary lung cancer; tumor cells that have spread from the original tumor to the lung

Lymph Fluid:
An almost colorless fluid that travels through the lymph system to help fight infection and disease

Lymph Node:
Part of the lymph system, a small bean shaped gland that filters bacteria and other foreign substances

Lymph Vessel:
Similar to blood vessels, help to circulate lymph fluid throughout the body

Lymphatic (Lymph) System:
A collection of fluid, vessels, and nodes that are found throughout the body; one of the way lung cancer spreads to other parts of the body is through the lymph system

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Magnetic Resonance Imaging (MRI):
A type of imaging scan that uses magnetic fields to create clear images of body parts, including tissues, muscles, nerves, and bones and show the presence of tumors

Maintenance Therapy:
A treatment used to maintain remission and prevent a recurrence

Also called cancerous; cells that exhibit rapid, uncontrolled growth and can spread to other parts of the body (see also Benign [link])

A type of cancer of the lining of organs and not only can originate in the lungs but also the abdomen, heart, and chest; associated with exposure to asbestos

A growth that may or may not be cancerous

Measurable Disease:
An accurate measurement of a tumor’s size; changes in measurable disease indicate a response (or lack of response) to treatment

A surgical procedure for examining the lymph nodes and area in the middle of the chest (mediastinum)

The area in the middle of the chest behind the breastbone and in front of the heart; organs in this area include the heart, windpipe, esophagus, bronchi, mediastinal lymph nodes

A change in cells from normal to abnormal

The spread of cancer cells from the original site to other parts of the body; the pleural of metastasis is metastases

Metastatic Cancer:
Cancer that has spread from one part of the body to another

An instrument that gives an enlarged view of an object

Too small to be seen without a microscope

Monoclonal Antibody:
Proteins that attach to substances called receptors on the surface of the cell and block signals that tell the cell what to do; can be used alone to target defects in cancer cells or to make the cells more receptive to the body’s immune system; also used to carry drugs or other substances directly to a cancer tumor

The inflammation of mucus membranes (for example, the mouth) that causes pain, soreness, and/or excessive mucus production

Multi-modality Therapy:
A therapy that combines more than one method of treatment such as chemotherapy and radiation

Change in the DNA [link] of a cell; caused by mistakes during cell division, or exposure to DNA-damaging agents in the environment

A reduction in the ability of bone marrow to produce blood cells

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National Cancer Institute (NCI):
A governmental agency that is part of the National Institute of Health (NIH); conducts research on cancer and helps to set national policy regarding cancer

A feeling of sickness or discomfort in the stomach that may come with an urge to vomit

Needle Aspiration or Needle Biopsy or Needle Aspiration:
A procedure in which a hollow needle is inserted through the skin to draw out tissue or fluid for testing

Neo-adjuvant Therapy:
A therapy given before the main treatment to improve the effectiveness of the primary treatment, usually chemotherapy and/or radiation therapy given before surgery

Abnormal mass of tissue, may be benign or cancerous

Involving the nerves or nervous system

A problem of the which causes numbness, tingling, weakness, or burning in the arms, hands, feet, and/or legs; a side-effect of some chemotherapy

A low number of white blood cells

A type of white blood cell that attacks bacteria

No Evidence of Disease (NED):
Any disease, if present, is not detectable by imaging tests

A small solid mass; may be benign or cancerous

Non Small Cell Lung Cancer:
One of the two main types of lung cancer; includes subtypes, most common of which are adenocarcinoma, squamous cell, and large cell carcinoma

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Watching the patient and offering treatment only when symptoms increase or change

A physician who specializes in the study, diagnosis, and treatment of cancer

The study of the development, diagnosis, treatment, and prevention of cancer

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Palliative Treatment:
Treatments designed to reduce the symptoms of a disease or side effects of treatment

Pancoast Tumor (Superior Sulcus Tumor):
A tumor occurring near the top of the lung; may cause shoulder pain and weakness or another group of symptoms including droopy eyelids, dry eyes, and lack of sweating on the face

Partial Response:
Indicates that tumors have shrunk, but not completely disappeared as a result of therapy

The study of the nature of disease and its causes, processes, development, and consequences

A physician trained to examine and evaluate cells and tissues

Pericardial Effusion:
The accumulation of fluid inside the sac (pericardium) surrounding the heart

Phase I Trial:
A clinical study designed to evaluate the safety and dosage of a new drug or treatment

Phase II Trial:
A clinical study designed to continue testing the safety of a new drug and to begin to evaluate how well it works

Phase III Trial:
A clinical study designed to confirm the effectiveness of the study drug or treatment and compare it to the current standard of care

Photodynamic Therapy (PDT):
The use of a drug called a photosensitizer and a laser light to kill cancer cells; approved to treat lung cancer to reduce obstructions and as a palliative treatment

An inactive substance or treatment that looks the same and is given in the same way as an active drug or treatment being tested

Liquid part of the blood, lymph, and intracellular fluid in which cells are suspended

Plasma Cell:
An antibody producing cell found in lymphoid tissue

Platelet (Thrombocyte):
Cell fragments (cells with no DNA) in the blood which cause clotting and help to control bleeding

Platelet Count:
The measurement of the number of platelets in the blood

Two thin membranes that surround the lung and line the chest cavity and protects and cushions the lung; the space between is called the pleural space, which contains fluid

Pleural Effusion:
The collection of excess fluid in the pleural space

A procedure that prevents recurrence of pleural effusion by draining the fluid and sticking the membranes of the pleural space together

The surgical removal of one lung

A respiratory condition that involves inflammation of the lung

Poorly Differentiated Cells:
Lack the structure and function of normal cells and grow uncontrollably; poorly differentiated cells grow faster than differentiated ones but not as fast as those that are undifferentiated

Used to deliver chemotherapy, ports are placed and left in the skin to protect the veins and prevent repeated needle sticks

Positron Emission Tomography (PET Scan):
A type of imaging scan that is used to tell if lung cancer has spread to other parts of the body

An early cellular change that may develop into cancer

Primary Tumor:
The original tumor, at the site the cancer began

A prediction of the probable course and outcome of a disease; based on averages calculated form a large population

The process of spreading or becoming more severe

Guarding against or preventing disease

Prophylactic Cranial Irradiation (PCI):
Radiation to the brain, done at a lower dose than those used for treatment, used after successful treatment of small cell lung cancer to try to prevent the disease from spreading to the brain

A detailed plan of treatment or procedure

Psychosocial Support:
Support designed to meet emotional, psychological, and social needs

Relating to the lungs

Pulmonary Embolism:
A blood clot that travels to the lungs, causing a full or partial blockage of one or both pulmonary arteries

A doctor specializing in the diagnosis and treatment of lung diseases

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Quality of Life:
Relates to the general ability to perform daily living tasks and to enjoy life

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Energy carried by waves or a stream of particles

Radiation Field:
The part of the body that receives radiation

Radiation Oncologist:
A physician who specializes in radiation therapy for treatment of cancer

Radiation Surgery:
A type of therapy that delivers a single high dose of radiation directly to the tumor, sparing the healthy tissue from the effects of the radiation; also known as radiosurgery, stereotactic body radiation therapy, and stereotactic external beam irradiation

Radiation Therapy:
A type of treatment that uses high-energy radiation to shrink tumors and kill cancer cells

A physician with training in reading diagnostic radiological tests and performing radiological treatments

The use of drugs that make tumor cells more sensitive to the effects of radiation therapy Randomized Clinical Trial:
Trial design in which participants are assigned by chance to a group for study

An invisible, tasteless, radioactive gas that occurs naturally in soil and rocks, exposure to which is a risk factor for lung cancer

When cancer returns

Recurrent Cancer:
Cancer that has come back after treatment; may occur in the original site or it may return elsewhere in the body

Red Blood Cell (RBC):
A type of blood cell that carries oxygen to the cells of the body and removes carbon dioxide

Red Blood Cell Count:
The measurement of the number of red blood cells present in the blood

Refractory Cancer:
Cancer that does not respond or stops responding to treatment

The plan that outlines the dosage, schedule and duration of treatment

Regional Involvement:
The spread of cancer from its original site to nearby surrounding areas

The complete disappearance of cancer cells and symptoms; does not always mean the patient has been cured

Resectable (Operable):
Able to be surgically removed

Surgical removal

The exchange of oxygen and carbon dioxide between the atmosphere and the cells of the body

Risk Factor:
Any factor that may increase a person’s chances for developing a disease

Risk Reduction:
Techniques used to reduce the chances of developing a disease

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Checking for disease before there are symptoms

Second-Line Therapy:
Treatment used after initial treatment

Secondary Tumor (Secondary cancer):
A tumor that develops as a result of metastases or spread beyond the original cancer

Segmental Resection:
The surgical removal of a segment or wedge of lung tissue

Side Effect:
A secondary effect caused by treatment

Small Cell Lung Cancer:
One of the two main categories of lung cancer; faster growing than non-small cell lung cancer

Small Molecule Drugs:
A kind of cancer treatment that can get inside the cancer cell to stop them from functioning normally, which usually causes it to die; one type of small-molecule drugs are tyrosine kinase inhibitors (TKIs)

Solid Tumor:
Cancer of the body tissues other than blood, bone marrow or the lymphatic system; lung cancer is a solid tumor

Mucus from the bronchial tubes; phlegm

Sputum Cytology:
The examination of cells in sputum; usually used to look of the presence of cancer cells

Squamous Cell Carcinoma:
A subtype of non small cell lung cancer; begins in the thin, flat cells that line the passages of the respiratory tract

Stable Disease:
A cancer that is not growing or shrinking

A determination of the extent of cancer (See Staging [link]

Standard Treatment:
Treatment that has been proven effective and is commonly used

Stereotactic Radiosurgery (STRS):
A type of external radiation therapy that uses special equipment to position the patient and precisely give a single large dose of radiation to a tumor; used to treat brain metastasis and, increasingly, to remove lung tumors that cannot be treated by regular surgery.

Adding nutrients, such as vitamins, to the diet

A physician who treats disease and injury by performing an operation

An operation

Surgical Biopsy:
The surgical removal of tissue to be examined under a microscope to determine if cancer is present

Something that indicates the presence of an abnormality in relation to the body and/or its functions

Systemic Disease:
A disease that affects the entire body rather than only one organ

Systemic Symptoms:
Symptoms affecting the whole body; fever, night sweats, weight loss

Systemic Treatment:
Treatment that reaches cells all over the body by traveling through the bloodstream; most chemotherapies for lung cancer are systemic treatments

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Taste Alteration:
Temporary change in taste that may be a side effect of chemotherapy, cancer, or radiation


The removal of fluid, by needle, from the space between the lungs and chest wall (pleural space)

Thoracic Surgeon:
A physician who specializes in performing chest surgery

An instrument fitted with a lighting system and telescopic attachment for examining the chest cavity

A surgical procedure in which an incision is made through the chest wall to examine structures in the chest for the presence of cancer or other disease and to remove tumors or sections of the lung

The upper part of the trunk between the neck and the abdomen

A group of similar cells that works together to perform a specific function

The ability to endure the effects of a drug without exhibiting the usually unfavorable effects

The degree to which something is harmful or poisonous

Windpipe; allows for the passage of air from the larynx to the bronchial tubes

The infusion of whole blood or blood components into the bloodstream

Mass of tissue formed by a new growth of cells; may be benign or cancerous

Tumor Board:
A group of specialists who meet regularly to discuss management of individuals who have cancer

Tumor Marker:
Proteins and other substances found in the blood that signify the presence of cancer somewhere in the body

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A medical test that uses sound waves to create an image of the inside of the body

Undifferentiated cells:
Cells that lack the structure and function of normal cells and grow uncontrollably; undifferentiated cells are faster growing than those that are differentiated or poorly differentiated

Unresectable (Inoperable):
Unable to be surgically removed

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A substance or group of substances meant to cause the immune system to respond to a tumor or to microorganisms, such as bacteria or viruses. A vaccine can help the body recognize and destroy cancer cells or microorganisms.

Vascular endothelial growth factor (VEGF):
A protein made by cells that stimulates blood vessel growth and makes cancer cells grow more rapidly

A blood vessel that carries blood to the heart

Video Assisted Thorascopic (Thoracic) Surgery (VATS):
A minimally invasive type of surgery that uses smaller incisions and typically requires less recovery time than typical lung cancer surgery (See Thoracotomy)

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Wedge Resection:
The surgical removal of the tumor and a small amount of lung tissue (a wedge) surrounding the tumor

White Blood Cell:
The cells that are part of the immune system and that fight infection, produce antibodies, and attack and destroy viruses, bacteria, and cancer cells

White Blood Cell Count:
The total number of white blood cells present in the blood

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Uses small amounts of radiation to take a two dimensional picture of the inside of the body

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Some definitions or portions thereof are derived from the National Cancer Institute’s Dictionary of Cancer Terms