Need to do lung cancer surgery?

It is understood that many patients with lung cancer and lung cancer are the hearts of the families there is a question: lung cancer, non-surgical can not do? Want to know please read on.

A site editor calls, asking me to specifically talk about the need for surgical treatment of lung cancer issues. The problem seems a bit strange, because the obvious fact that, surgery is the only means of lung cancer can be cured. In accordance with our experience, surgical treatment of lung cancer, five-year survival rate around 40%, meaning that for every three patients received surgical treatment of lung cancer, there must be one or more of patients survive more than five years, there is no any other treatment, surgical treatment can achieve such results. Therefore, lung cancer, of course, require surgical treatment, this, can become a problem?

However, careful consideration, the question really is not that simple. Surgical treatment of 40% of survival rate, then the remaining 60%? Certainly survive five years, that is, the majority of lung cancer patients after surgical treatment, the effect is still unsatisfactory. In addition, statistics show that in all lung cancer patients can receive surgical treatment, no more than 30%, the vast majority of lung cancer patients is not surgery. Thus, both quantity and quality from the point of view, the need for surgical treatment of lung cancer, it really is a problem.

Where is the problem

Mr Ho is a naturally bright, clear non-smoking middle-aged man, in the case of very healthy conscious to do physical examination revealed right upper lung with a diameter of less than 2 cm in the small nodules, doctors suspected a high degree of early peripheral lung cancer. Mr Ho believes that since there is doubt, and lesions and very small, it should be operative as soon as possible. Doctors also agree with Mr. Ho's views, they would be arranged within the shortest time of surgery. Operative results proved to be lung cancer, and mediastinal lymph node metastasis have been. Despite the two years after all the normal, but, unfortunately, occurred in the third year after surgery, metastasis to the brain, the doctors exhausted all means still available antidote.

Mr. Zhou is another example. He was diagnosed with lung cancer found a huge violation of the great vessels and atrial lungs. If you want surgery, surgical techniques requires doctors Shih difficult technique, the local hospital, and there is no such operation conditions, so a very well-known outside the requested operation of domestic experts in surgery. Thankfully, surgery has been very successful very beautiful, patients and their families to the hospital and surgeon feel grateful that the world encountered by Hua Tuo again. Unfortunately, one year after the recurrence of lung cancer, and doctors, patients and their families began a race against time to combat death fighting.

Lung cancer, the traditional large incision surgery will gradually "withdraw from the shadows"

Why are these two examples of operation will fail? What kind of which the law implies that we need to know? For such cases, we need to how to treat?

Mr Ho is a mediastinal lymph node metastasis of lung cancer, in the staging of lung cancer belongs to Ⅲ A period, Mr. Zhou Although there is no mediastinal lymph node metastasis, but the tumor was a violation of the great vessels belonging to stage Ⅲ B stage, in both cases, tumor Studies on specialized terminology, known as locally advanced lung cancer. Clearly, this type of lung cancer can not simply all of the scalpel, because even if a doctor has superb skills, it is difficult to change soon after the outcome of recurrence or metastasis.

The problem lies in the staging of lung cancer on

The end of 2003, Professional Committee of Chinese Anti-Cancer Association, lung cancer, brought together dozens of the country's top experts in the wisdom, in the analysis of global best evidence of lung cancer diagnosis and treatment, based on the highly operational introduced the "China of clinical guidelines for diagnosis and treatment of lung cancer." The guidelines stress that treatment strategies must be based on lung cancer to develop in phases, different stages have different treatment methods, there is no technical means or treatment of a common form of lung cancer in any one. Very clear guidelines to tell us that only an early, that is, said the clinical stage Ⅰ, Ⅱ lung cancer (stage Ⅲ, including a small number of lung cancer), suitable for take immediate surgery. The majority of lung cancer in stage Ⅲ need to chemotherapy, and then under the circumstances to determine whether surgery. As for advanced lung cancer, basically not consider surgical treatment.

If carried out in accordance with phased assessment, lung cancer survival rate immediately after a change: Ⅰ period of five-year survival rate of lung cancer after more than 70%, of which Ⅰ A period of even up to 90%, Ⅱ period of long-term survival of lung cancer rate was about 50%. Admittedly, this part of the lung cancer, surgery is definitely necessary. As for stage Ⅲ lung cancer, five-year survival rate is only about 20%, is the preferred operation, of course, require careful consideration. You see, this ever-changing phases of lung cancer, lung cancer, how can the need for surgery can be summed up then?

Early lung cancer Small ≠

Write here, seem to be over, can I still get enough, must also talk about a few words on the staging of lung cancer. Mr. Ho told us that the above-mentioned examples, do not think that is necessarily small tumors early and thus ignore the need for preoperative examination. In the diagnosis of lung cancer is actually composed of two aspects, first confirmed on the pathology, the second staging of the disease. The former is qualitative, the latter is to determine the basis for the treatment, are indispensable. If the initial list of surgical treatment, the patients must be clear before the lymph nodes around the trachea, but also check the brain, bone, liver, adrenal glands have the transfer because the four parts of lung cancer the most common location of distant metastasis, no one Local problems are the performance of advanced lung cancer, should not take immediate surgery.

Abroad in recent years, lung cancer, the recommended diagnostic procedures, the chest CT examination, shall be called PET examination, can be more accurately assess whether there are systemic metastasis of lung cancer. Although there are a lot of places PET equipment, but they are expensive, not routine use. If economic conditions permit, then he should do this a check, it does the development of treatment strategies for lung cancer, there is a great help.