Liver cancer has metastasized to the lungs for more than 4 years. What is going on? What should I do?

Liver cancer has metastasized to the lungs for more than 4 years. Appropriate treatment methods can be selected according to the specific conditions of the metastatic lesions. Generally, thoracoscopic resection can be performed for single or small number of metastatic lesions. For patients with diffuse lesions, timely medical treatment can be achieved through targeted drugs, palliative radiotherapy or chemotherapy, immunotherapy, symptomatic supportive treatment, etc.

1. Thoracoscopic resection: If the metastatic lesion is single or very small, and the liver lesion has been well controlled, thoracoscopic partial lung resection can be considered to remove the metastatic lesion.

2. Targeted drug therapy: For patients with diffuse lesions or patients whose liver cancer itself is not well controlled, surgical treatment is often not possible and only systemic treatment can be considered. Under the guidance of a doctor, targeted drugs such as sorafenib, lenvatinib, and regorafenib can be used for treatment.

3. Palliative radiotherapy or chemotherapy: Lung cancer patients can also take palliative radiotherapy or chemotherapy to control the disease.

4. Immunotherapy: This method activates the patient's own immune system to attack cancer cells. These therapies include the use of immune checkpoint inhibitors, cancer vaccines, and CAR-T cell therapy.

5. Symptomatic supportive treatment: Symptomatic supportive treatment should be given according to some of the patient's symptoms. For example, patients with dyspnea can be given oxygen inhalation as prescribed by the doctor. Patients with pain can use analgesics under the guidance of a doctor, such as ibuprofen sustained-release capsules, diclofenac sodium sustained-release tablets, morphine hydrochloride injection, etc. These treatments can improve the patient's condition and improve the patient's quality of life.

Patients with advanced liver cancer should pay attention to a reasonable diet, enhance their appetite, and provide them with non-irritating, easily digestible food. At the same time, they should also receive psychological counseling, try their best to keep a good attitude, and actively accept treatment.