About the lung cancer prevention guidelines

Lung cancer is a common primary lung malignancy. Most lung cancers originate from the bronchial mucosal epithelium, so it is also called bronchial lung cancer. In the past 50 years, the incidence and mortality of lung cancer have increased rapidly in countries around the world, especially in industrially developed countries. Lung cancer has ranked first among male patients who died of cancer. More than 40 years ago, among patients who underwent surgical treatment for lung diseases in China, the vast majority were tuberculosis, followed by purulent lung infections such as bronchiectasis and lung abscesses, and there were few cases of lung cancer. There are ten key points in the prevention and treatment of lung cancer:

1. The key to preventing lung cancer is to stay away from tobacco (including passive smoking and secondhand smoke)

Not smoking, quitting smoking, staying away from secondhand smoke pollution and keeping a good mood are the best preventive measures. At the same time, pay attention to the green decoration of the house, the exhaust facilities in the kitchen and the scientific cooking methods, pay attention to occupational protection, improve air pollution and control environmental pollution.

2. Early diagnosis is important

Adults should have routine health check-ups every year, and chest X-rays must be taken during the check-ups. Smokers with a 30-year smoking history should undergo low-dose spiral CT scans of the chest, which can aid in early detection.

At the same time, pay attention to the clinical symptoms of lung cancer such as irritating cough, bloody sputum, chest pain, hoarseness, etc.

3. If you have lung cancer, you must seek medical treatment scientifically

Don't believe in "pseudoscience"! Once lung cancer is diagnosed, you must go to a regular hospital for treatment, go to the regional lung cancer diagnosis and treatment center or the thoracic surgery, oncology and respiratory departments of a tertiary hospital. Don't believe in pseudoscience such as "family secret recipes" and "special abilities", and don't pin your hopes on health products. Make medical consumption scientific and rational.

4. Once lung cancer is diagnosed, it must be staged first and then treated

Before treating lung cancer, you must undergo chest CT, brain MRI, fiberoptic bronchoscopy, whole-body bone scan, abdominal ultrasound or abdominal CT, and blood tumor markers! Start treatment after clarifying the clinical stage, and decide on surgical treatment after excluding metastasis outside the lungs! Never perform "emergency" surgery! Because the treatment strategies for lung cancer at different stages are different, and the treatment effects are also different.

5. Surgery is indicated

Stage I, II, and IIIa non-small cell lung cancer can benefit from surgery, but stage IV lung cancer should not be treated with surgery in principle. In recent years, with the popularization of minimally invasive thoracic surgery and the application of effective chemotherapy drugs and targeted drugs, extended resection of lung cancer is no longer advocated. For more information, please visit the websites of relevant lung cancer centers and professional societies.

6. Lung cancer chemotherapy can be divided into first-line chemotherapy and second-line chemotherapy.

Chemotherapy drugs: Nivea, Gemcitabine and Taxotere plus platinum drugs (platinum and cisplatin), second-line chemotherapy drugs: Taxotere, Lipitor, Iressa and Tarceva. The simultaneous use of drugs such as Catelex during chemotherapy can prevent and treat nausea and vomiting caused by chemotherapy drugs, and drugs such as Huierxue can correct the decrease in white blood cells caused by bone marrow suppression caused by chemotherapy.

7. Great progress in lung cancer radiotherapy technology

There are new surgical techniques such as conformal intensity-modulated radiotherapy, gamma knife, and X-knife.

8. Targeted therapy creates miracles

In recent years, targeted therapy drugs have brought good news to thousands of Chinese non-small cell lung cancer patients. Iressa has been on the market in China for three years, and Tarceva has been on the market in China for one year. It brings hope of life to patients who have failed chemotherapy and middle-aged and elderly lung cancer patients who cannot tolerate chemotherapy. It is hoped that the medical insurance department will start the "green channel" as soon as possible and include it in the medical insurance reimbursement catalog.

9. Carefully select new technologies for lung cancer treatment

In recent years, some investors have invested in purchasing new lung cancer treatment equipment in major hospitals, using commercial means to attract major hospital oncology departments to introduce lung cancer patients. Most of them are checked by oncology experts, and a few medical institutions are only for the purpose of making money. There are no professional oncologists, no comprehensive treatment methods, and no guarantee of medical quality. Please be cautious when choosing the so-called "new technology".

10. Lung cancer emphasizes multidisciplinary comprehensive treatment

With the continuous accumulation of knowledge about tumor cell biology, clinical data and clinical experience, experts and scholars in the field of lung cancer have emphasized that lung cancer should be treated with multidisciplinary comprehensive treatment! Small cell lung cancer is treated with multidisciplinary comprehensive treatment mainly based on chemotherapy, and local early and middle stage non-small cell lung cancer is treated with multidisciplinary comprehensive treatment mainly based on surgery. Clinical research results in recent years have shown that effective preoperative neoadjuvant chemotherapy and postoperative adjuvant chemotherapy can prolong the five-year survival rate of non-small cell lung cancer.