What are the diagnostic criteria for central lung cancer? There are three diagnostic criteria for central lung cancer

Generally speaking, central lung cancer refers to lung cancer that occurs near the hilum of the lung. Early diagnosis is based on pathology, that is, puncture or transnasal fiberoptic bronchoscopy can be performed under safe conditions. In addition, patients also need to check other organs, such as liver, adrenal glands, bones or brain imaging screening to determine whether lung cancer has metastasized.

Central lung cancer depends on whether the patient has symptoms such as coughing up phlegm, blood in phlegm or chest tightness. When going to the hospital, the first thing to do is to have a CT scan to see if there is a mass. Then a bronchoscopy is needed to determine the size of the mass. After all, a biopsy is done to determine whether the mass is central lung cancer. Therefore, the diagnosis of central lung cancer is of great significance. Let's learn about it below.

First, the staging standards for central lung cancer can be judged based on the size of the primary tumor, regional lymph nodes, and distant metastasis. In the early stage of lung cancer, the primary tumor is 1 to 7 cm, with no lymph node or distant metastasis. The primary tumor is 1 to 5 cm long, with metastasis to the ipsilateral peribronchial or ipsilateral hilar lymph nodes and intrapulmonary lymph nodes, including direct invasion of the intrapulmonary lymph nodes by the primary tumor.

Second, in the middle stage of lung cancer, CT should be used to determine whether there is distant metastasis, contralateral mediastinum, contralateral hilum, ipsilateral or contralateral anterior scalene muscle and supraclavicular lymph node metastasis, as well as primary tumors of all sizes, ipsilateral mediastinal and subcarinal lymph node metastasis.

Third, the diagnosis standard of central lung cancer lies in pathological diagnosis. For patients, it is necessary to combine the location of lung lesions with chest CT for pathological diagnosis. If necessary, fiberoptic bronchoscopy and biopsy should be performed for pathological analysis. If the examination is peripheral lung cancer, lung puncture biopsy and pathological diagnosis should be performed. If there is no metastasis, surgical treatment can be used. The occurrence of metastasis requires radiotherapy, chemotherapy and targeted drug treatment according to the pathological type.

Central lung cancer is generally difficult to operate on, so it is necessary to consider whether chemotherapy is appropriate. What can be done now is to strengthen symptomatic treatment and combine it with traditional Chinese medicine treatment. Traditional Chinese medicine has almost no side effects, can absorb the efficacy of the medicine well, improve immunity, and improve respiratory function. At the same time, patients should strengthen anti-infection in their lives. Of course, regular check-ups should also be emphasized during treatment. If necessary, a puncture biopsy can be performed to understand whether the cancer cells have been completely eliminated; if not, treatment should continue for a period of time.