Tuesday, January 13, 2009

Comprehensive treatment of lung cancer patients

At present, the treatment of lung cancer is surgery, and other therapeutic measures have radiation therapy, chemotherapy, immune therapy, Chinese medicine treatment.

(1) surgical treatment:

We all know that in addition to the surgical treatment, as well as cryosurgery, high temperature, laser, chemical surgery, electrocautery and other tumor surgery. Surgery, including radical resection and palliative resection. To surgery in early stage patients, the total number of patients accounted for 40 percent below the late surgery for palliative surgery.

Surgical excision is the treatment of lung cancer is still the primary means of effective, surgical indications and surgical types of choice primarily on the basis of tumor location, scope and the patient's general condition, especially heart and lung function reserve situation. Operation principle is the complete removal of lesions, and to maximize the retention of healthy lung tissue.

Early lung cancer should be as far as possible the implementation of radical lobectomy, in complete resection of primary tumor and removal of hilar lymph nodes at the same time, we should try our best to retain a healthy lung tissue, so as to achieve the purpose of survival; more advanced lung cancer patients need to try our best surgical resection of primary cancer, has been transferred as far as possible, remove the lymph nodes, supplemented by radiotherapy and chemical therapy and other treatments. Generally speaking, 20% of patients suitable for surgery.

To have distant metastasis, neurological violations and extensive mediastinal lymph node metastasis, the superior vena cava obstruction pressure and cardio-pulmonary function poorly or with other major organ systems can not tolerate serious surgical operation should be regarded as taboo.

Surgical resection of the overall 5-year survival rate of 30% -40%, the effect of surgery and pathology in the major cell type and TNM stage.

(2) radiation therapy:

Intracavitary radiation therapy, including in vitro irradiation; use of equipment, including radium, X-ray machine, cobalt artillery, are multi-purpose accelerator, as well as in recent years after the development of capacity, all kinds of \ "photon knife \" \ "X knife \" and so on.

Before and after surgery can be used as adjuvant therapy to improve surgical resection and postoperative long-term survival rate of inoperable or recurrent squamous cell carcinoma metastasis can be used to radiotherapy;

Simple radiotherapy and radiotherapy at a comprehensive radiotherapy. Simple radiotherapy at radical radiotherapy and palliative radiotherapy. According to pathological types of lung cancer, the scope of disease, whether the transfer of lung function and systemic conditions. Integrated radiotherapy is combined with radiation surgery, chemotherapy for the treatment, than simply a treatment can improve survival rate.

(3) chemical treatment:

In lung cancer treatment has an important position, according to the current point of view, regardless of early or late, whether surgery or radiotherapy, both in combination with chemotherapy can improve survival rate.

Clear in the diagnosis of small cell lung cancer, should be a preoperative induction chemotherapy treatment, surgical resection again. Continue after chemotherapy. Adenocarcinoma and large cell carcinoma after regular chemotherapy. Can not be advanced or lesions can be surgically removed by partial bronchial artery infusion chemotherapy;

(4) Immunotherapy:

Immunotherapy is the use of immune agents to improve the body's immune capacity, the elimination of the body anti-tumor immune suppression or elimination of residual tumor cells. Can be used as post-operative adjuvant chemotherapy and radiotherapy treatment.

Is still not mature enough as a treatment, there are many issues to be resolved, so only in clinical treatment as other adjuvant therapy.

(5) treatment by Chinese medicine:

At present, Chinese medicine for lung cancer is not satisfactory, it is not suitable for surgery, radiotherapy and chemotherapy for advanced patients. It can alleviate symptoms, relieve pain and improve the quality of life, in the clinical applications of more general use.

(6) bio-gene therapy:

The current biological gene therapy of cancer, mainly from the formation of tumor blood vessels have a close relationship between the theoretical approach, mainly the use of biological gene technology, using anti-angiogenesis inhibitor to prevent blood vessel growth, so that occurred in the capillaries and cut off the tumors to shrink nutrient supply, in order to achieve the treatment of cancer of the head, the best at home and abroad, such as: hydroxy it in Nanjing, it is the raw material from Cinobufotalin isolated and synthesized to target the complete human body to kill tumor cells and inhibit tumor angiogenesis monomer components generated.

(7) other forms of treatment:

Cryotherapy, heat treatment, laser treatment, although there is a certain effect on lung cancer, but due to restrictions on a variety of reasons, the application is not universal, the exact effect is also a lack of convincing information.

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