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Palliative Care^*

^* From the Division of Pulmonary, Critical Care, Allergy, Immunology, and Sleep Disorders Medicine (Drs. Kvale and Simoff), Henry Ford Health System, Detroit, MI; and Division of Thoracic Medicine (Dr. Prakash), Mayo Clinic, Rochester, MN.

Correspondence to: Paul A. Kvale, MD, FCCP, Division of Pulmonary, Critical Care, Allergy, Immunology, and Sleep Disorders Medicine, Henry Ford Health System, 2799 West Grand Blvd, Detroit, MI 48202; e-mail: pkvale1{at}hfhs.org

The majority of patients who acquire lung cancer will have troublesome symptoms at some time during the course of their disease. Some of the symptoms are common to many types of cancers, while others are more often encountered with lung cancer than other primary sites. The most common symptoms are pain, dyspnea, and cough. This document will address the management of these symptoms, and it will also address the palliation of specific problems that are commonly seen in lung cancer: metastases to the brain, spinal cord, and bones; hemoptysis; tracheoesophageal fistula; and obstruction of the superior vena cava.

Key Words: bone metastases • brain metastases • dyspnea • hemoptysis • interventional bronchoscopy • pain management • pleural effusions • spinal cord metastases • superior vena cava syndrome • tracheoesophageal fistula

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