In life, many people suffer from lung cancer due to various reasons. Once suffering from lung cancer, patients will not only suffer great harm, but also suffer psychological pressure. For a disease like lung cancer, patients should receive treatment in the early stage. So, what are the methods to treat lung cancer? Let's introduce it to you in detail below. 1. Chemotherapy of lung cancer In the past two decades, tumor chemotherapy has developed rapidly and has been widely used. The efficacy of chemotherapy on small cell lung cancer is relatively certain, whether in the early or late stages, and there are even a few reports of radical cure; it also has a certain effect on non-small cell lung cancer, but it is only palliative and the effect needs to be further improved. In recent years, the role of chemotherapy in lung cancer is no longer limited to patients with advanced lung cancer who cannot undergo surgery, but is often included in the comprehensive treatment plan for lung cancer as a systemic treatment. Chemotherapy will inhibit the bone marrow hematopoietic system, mainly the decrease of white blood cells and platelets, combined with traditional Chinese medicine and immunotherapy. (I) Chemotherapy for small cell lung cancer Due to the biological characteristics of small cell lung cancer, it is generally recognized that chemotherapy should be the first choice except for a few patients with sufficient evidence showing no intrathoracic lymph node metastasis. (II) Chemotherapy for non-small cell lung cancer Although there are many effective drugs for non-small cell lung cancer, the efficacy is low and complete remission is rarely achieved. 2. Radiotherapy for lung cancer (I) Treatment principles Radiotherapy is the best for small cell carcinoma, followed by squamous cell carcinoma, and the worst for adenocarcinoma. However, small cell carcinoma is prone to metastasis, so large-area irregular The irradiation area should include the primary lesion, the supraclavicular area on both sides of the mediastinum, and even the liver and brain, and should be supplemented with drug therapy. Squamous cell carcinoma is moderately sensitive to radiation, and the lesions are mainly local invasion, and the metastasis is relatively slow, so radical treatment is often used. Adenocarcinoma is poorly sensitive to radiation and is prone to blood metastasis, so simple radiotherapy is rarely used. In addition to being affected by the pathological type, the sensitivity of the tumor to radiation is also affected by many factors such as the size of the tumor, the degree of differentiation of the tumor cells, the proportion of the tumor cell population, and the condition of the tumor bed. Therefore, before formulating a radiotherapy plan, a careful analysis should be made, and the pros and cons should be weighed comprehensively, and conclusions should not be drawn lightly. (ii) There are many radiation complications, which may even cause partial functional loss; for patients with advanced tumors, the effect of radiotherapy is not perfect. At the same time, patients with poor physical condition and older age are not suitable for radiotherapy. (III) Indications for radiotherapy are divided into radical treatment, palliative treatment, preoperative radiotherapy, postoperative radiotherapy and intracavitary radiotherapy according to the purpose of treatment. 3. Surgical treatment of lung cancer The treatment of lung cancer should be based on surgery or strive for surgery except for stages IIIB and IV, and combined treatment with radiotherapy, chemotherapy and immunotherapy should be added according to different stages and pathological tissue types. Regarding the survival period after lung cancer surgery, domestic reports have shown that the three-year survival rate is about 40% to 60%; the five-year survival rate is about 22% to 44%; and the surgical mortality rate is below 3%. |
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