Issues that should be noted during the treatment of patients with lung cancer bone metastasis

Issues that should be noted during the treatment of patients with lung cancer bone metastasis

Lung cancer is a common malignant tumor of the respiratory system. Lung cancer is prone to bone metastasis, especially small cell lung cancer and adenocarcinoma. The incidence of bone metastasis is 20% to 40%, of which 86% is osteolytic destruction, 6.9% is osteoblastic destruction, and 6.9% is mixed destruction. There are no symptoms in the early stage of bone metastasis, but in the late stage, it manifests as local intractable pain, causing serious pain to patients. How to treat bone metastasis after it is discovered?

1. Three-step analgesia: You can choose appropriate analgesic drugs according to the degree of pain of the patient, improve the patient's symptoms, promote sleep, and improve the quality of life.

2. Intravenous administration of phosphate drugs ? After bone metastasis occurs, the patient's bones are invaded by the tumor for a long time, and the bones become brittle. The intravenous administration of phosphate drugs can effectively inhibit bone destruction, promote ossification, and reduce adverse events such as pathological fractures.

3. Radiotherapy ? Depending on the patient's condition, radiotherapy can be selected for bone metastases in important areas to reduce the possibility of fractures or paraplegia.

4. Chemotherapy ? While treating bone metastases, chemotherapy also has a therapeutic effect on other potential metastatic lesions, thus reducing unnecessary harm.

5. Surgery ? Cancer can metastasize to the spine, and long-term adverse damage can cause paraplegia. For single spinal metastasis, surgical resection and filling with bone cement can be used to restore the integrity of the spine.

6. Treatment with Traditional Chinese Medicine ? Traditional Chinese medicine, as a systemic treatment, also plays a positive role in the treatment of bone metastasis of lung cancer. Combined with radiotherapy and chemotherapy, it can alleviate symptoms, reduce the toxicity of radiotherapy and chemotherapy, improve treatment effects, and enhance the body's immune function. The effect is better than radiotherapy and chemotherapy alone and can increase the patient's survival time.

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