(1) Surgical treatment:
In addition we all know, surgical treatment, as well as cryosurgery, high temperature, laser, chemical surgery, electrocautery and other tumor surgery. Surgery, including radical resection and palliative resection. Able to surgery in early stage patients, accounting for 40% of the total number of patients less than late surgery for palliative surgery.
Surgical excision is still the main method of effective treatment of lung cancer, surgical indication and surgical selection of types of violations are based mainly on tumor location, scope and the patient's general condition, especially heart and lung function reserve situation. Operation principle is the complete removal of lesions, and to maximize retention and healthy lung tissue.
Early lung cancer should be implemented radical lobectomy, in the complete removal of the primary foci and hilar lymph nodes removed at the same time, we should try to keep healthy lung tissue, in order to achieve survival purposes; relatively late stage of lung cancer patients to strive for the primary surgery cancer, have been transferred as far as possible removal of lymph nodes, supplemented by radiotherapy and chemotherapy and other treatments. In general, 20% of the patients suitable for surgery.
Pairs of distant metastasis has been, nerves are violated and extensive mediastinal lymph node metastasis, superior vena cava compression or obstruction and poor cardiopulmonary function associated with other major organ systems, serious illnesses who can not tolerate the surgical procedure should be considered taboo.
Surgery to remove the overall 5-year survival rate of 30% -40%, results of operations mainly related to pathological cell type and TNM staging.
(2) Radiation therapy:
Radiation therapy, including cavity, in vitro irradiation; use of equipment, including radium, X-ray machine, cobalt guns, are now multi-purpose accelerators, as well as the development of post-installed in recent years, all kinds of "photon knife" "X knife" and so on.
Can be used as adjuvant therapy before and after surgery to improve the resection rate and postoperative long-term survival of inoperable or recurrent squamous cell carcinoma metastasis can be used to radiotherapy;
Simple and integrated sub-radiotherapy radiotherapy radiotherapy. Simple radical radiotherapy radiotherapy points and palliative radiotherapy. According to pathological types of lung cancer, extent of the lesion, whether the transfer, pulmonary function and systemic circumstances. Comprehensive radiotherapy is radiation therapy combined with surgery, chemotherapy, to carry out treatment, a treatment can be more than simply increase the survival rate.
(3) Chemical treatment:
The treatment of lung cancer has an important position, according to the present point of view, whether early or late, whether surgical or radiotherapy, should be in combination with chemotherapy can improve survival rate.
A clear diagnosis of small cell lung cancer, preoperative induction chemotherapy should be a course of treatment, then surgical resection. Continue after chemotherapy. Adenocarcinoma and large cell carcinoma after chemotherapy could be on a regular basis. For advanced or unresectable disease can be localized bronchial arterial infusion chemotherapy;
(4) immune therapy:
Immunotherapy is the use of immune agents to improve the body's immunity to eliminate the body's anti-tumor immune suppression or eradication of residual tumor cells. Can be used as post-operative chemotherapy and radiotherapy in adjuvant therapy.
Is still a less sophisticated treatment, there are many issues to be resolved, and therefore clinically only other treatment as adjuvant therapy.
(5) Chinese medicine treatment:
Efficacy of traditional Chinese medicine for lung cancer is currently not ideal, it is not suitable for surgery, radiotherapy, chemotherapy terminally ill. It can relieve symptoms and relieve suffering, improve quality of life in clinical applications are more common.
(6) Biological gene therapy:
At present the biological gene therapy of cancer, mainly from the tumor and blood vessel formation has a close relationship between the theory of starting, the main use of biological gene technology, with anti-angiogenesis inhibitor prevents blood vessel growth to shrink capillaries and cut off the tumor nutrient supply, in order to achieve the treatment of cancer of the head, the best results at home and abroad such as: hydroxyl it li-ning, it is the raw material from the Cinobufotalin isolated and synthesized to target the human body completely kill tumor cells and inhibit tumor blood vessels resulting monomer composition.
(7) Other treatment:
Freezing treatment, heat treatment, laser treatment, although there is some effect on lung cancer, but limited for various reasons, applications are not widespread, the exact effect of a lack of convincing information.
2009年9月18日星期五
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