Clinical top general is divided into 4: lung cancer.Usually again will front three match to be called non- cellule lung cancer(the cell carcinoma of the Non-small), but the cellule lung cancer is mostly take place in bigger bronchus, development extremely quick, and with smoke cigarette of the relation be more close.The cellule lung cancer sufferer has already spread to transfer when cellule lung cancer sufferer usually discovered, after prepare badly.
1.The scale form cell cancer:(call a scale cancer again)The most familiar in various type lung cancer around have 50% fall ill age mostly at 50 years old above male have most to mostly originate bigger bronchus often is central type lung cancer although the scale is cancerous of divide degree to have different general growth development speed the more slow-moving course of illness be longer to project and chemotherapy compare the sensitive is through the lymph first transfer a blood line to transfer occurrence to compare night
2.DO not divide a cancer:The outbreak rate only next to scale cancer is see in male more to be taken bad the age more and lightly and generally originates older bronchus to reside a central type lung cancer according to organization cell appearance again can is divided into oaten cell a young circle a category type with several cell and old cell etc. among them with oaten cell most for familiar didn't divide a cancer a malignant degree a high growth quickly and more early appear lymph and blood to go to extensively transfer to project and chemotherapy compare after each lung cancer win prepare the sensitive be the most bad
3.Gland cancer:Originate the bronchus glues a film a top skin a minority to originate the liquid gland outbreak rate ratio scale cancer of the glue of big bronchus and doesn't divide a cancer low outbreak age more my daughter is much more opposite see most gland cancers originate younger bronchus for surroundings type in early days lung cancer general have no obviously clinical symptom usually disheveled hair when the chest x line check now express for the circular or the oval lump to generally grow more and slowly but sometimes in early days namely blood line happen to transfer lymph to transfer to then take place to compare night
4.The lung steeps a cell cancer:Originate the bronchus glues a film a top skin again be called thin bronchus lung a bubble cell cancer or thin bronchus gland cancer part wild in the lung around in each lung cancer outbreak rate lowest female more and much see generally divide the degree higher growth more slowly cancer cell follow thin bronchus lung bubble the tube and lung steep a wall growth but don't infringe upon a lung bubble partition lymph and blood line to transfer occurrence to compare night but can through the bronchus sow spread other lobe of lungs or invasion chest film lung a bubble a cell cancer at appearance last nodosity type with fill the air a type two types of formers can be single knot stanza or many knot stanza;The knot stanza that the latter appearance similar pneumonia pathological changes scope limit type the surgical operation cut off curative effect better
Lung cancer of clinical express and the cancer swollen part size whether the oppression invade and close by organ and didn't transfer an etc.'s circumstance a germane cancer swollen grow in the bigger bronchus, often appear stimulative a cough a cancer swollen ggrandizement influence bronchus to lead to flow, after deliver a lung department an infection can have Nong phlegm another familiar symptom be a blood phlegm, usually for take blood to order a thrombus or interrupted jot to spit blood in the phlegm;Some patients even appear 12 blood phlegms to also have an important reference to the diagnosis the value have of patient because the tumor results in bigger bronchus jam, can appear chest stuffy air short have fever with chest pain etc. symptom
Can produce when the later period lung cancer oppresses close by organ organization or distance happens to transfer:
The ① oppress or infringes upon Ge nerve and cause together a side Ge muscle to paralyze
The ② oppress or infringes upon a larynx to return nerve and cause vocal cord to paralyze voice hoarse
The ③ oppresses the last chamber vein to cause arms and the top chest vein of the face neck Nu Zhang Pi2 to descend the arms vein of the organization dropsy to press to heat up
The ④ infringes upon a chest film, can cause chest to accumulate a liquid and have another is a guts
The ⑤ cancer is swollen invade the Zong separate, oppress oesophagus, can cause to swallow a difficulty
Leaf on the ⑥ coping lung cancer, also call Pancoast tumor or the lung top ditch lump, can invade with oppression Be located on chest Kuo fluently of organ or organization, such as the first rib lock the bone top artery and vein arm cluster nerve neck sympathetic nerves etc., creation the chest painful neck vein or the arms vein Nu piece dropsy arm the pain and arms exercise obstacle, together side top the bottom of the eyelids hang, the eye pupil contract, sink inside eyeball, face have no sweat etc. neck sympathetic nerves comprehensive advertise for
A handful of lung cancers, swollen creation endocrine because of cancer material, clinical up present don't transfer sexual whole body symptom:Such as bone joint comprehensive advertise for(the Chu form point the joint painful periosteum to increase to living etc.) Cushing comprehensive advertise for an advanced case muscle have no dint male mammary glands the aggrandizement delivers sex muscle neuralgia more etc. lung external disease form these symptoms may disappear after cut off lung cancer
The later period of the lung cancer can appear transfer of each different and dirty machine, can cause homologous symptom, usually bring patient tremendous pain and sufferings and even threaten life.Clinical most familiarly transfer to have a few parts as follows:
1.The lung cancer brain transfer:The lung cancer patient appears to have no causal headache, vomit, sense of vision obstacle and personality, temper change may transfer for the lung cancer the brain cause of high pressure inside the Lu or the brain nerve damaged with the result that.Familiar type at the cellule lung cancer, gland cancer.The headache is the most familiar symptom, vomit to much appear while have a headache vehemence, characteristics for jet sex to vomit;Sight obstacle explains then that the tumor has already influence oppress or infringes upon to see nerve, in addition to above-mentioned familiar symptom outside, the lung cancer brain transfers and can also appear to reply to see, the hair be black to receive, the Cu pour, consciousness the obstacle, blood pressure increase Gao, the pulse reduce slowly and the serious can oppress creation brain Shan to cause breath to stop because of the tumor and endanger the patient's life.Moreover, in recent years because of being to the widespread application of the member brain CT check of lung cancer disease discover many have no symptom of the brain transfer a sufferer and won time for the treatment.Therefore should list as a normal regulations check for the member brain CT of the disease of lung cancer to the diagnosis to as early as possible discover that the brain transfer.
2.The lung cancer bone transfer:The bone which about has 50% lung cancer patients the end meeting to appear several parts transfer.The bone transfer general had no symptom in early days, the bone isotope scan can discover sick change of skeleton.The bone transfers the part, amount that the symptom transfers with tumor relevant, transfer causable chest such as the lung cancer rib pain, much express to limit for the chest wall part of, definitely press a little bit painful ache.The spinal cord transfers to cause back behind exact center or pathological changes part ache, but the bone of arms and legs or torso transfer to cause that limit of part sex ache.The bone transfers not the direct reason of the member life of threaten the lung cancer disease, but transfers a machine body to accept a heavy bone such as the tumor like cervical vertebra, thoracic vertebrae, waist Zhui etc. the part can then result in paralytic serious result.Therefore appearing a bone to transfer a sufferer to the lung cancer should cure in time.
3.The lung cancer liver transfer:The liver is familiarly also a lung cancer to transfer part and have around 28-33% lung cancers appear liver to transfer.The liver passes blood circulation incursion liver after transfer is the cancer cell which delivers sex lung cancer at first to shed off and plant a growth in the liver, the liver transfers and can be a list to deliver or many knot stanza to transfer cooking stove.The most familiar symptom is a liver area ache, for keep on sex to rise pain, in the meantime can the companion has already have a poor appetite, indigestion etc. the liver function be damaged of performance
4.Lung cancer kidney and adrenal glands transfer:Kidney and adrenal glands all are lung cancers later period appear the blood way result for transfer, there is 17% around-20% members of lung cancer diseases appear kidney and adrenal glands to transfer, the sufferer often has no symptom, have parts of diseases of the member can appear kidney area to rise a pain, but few emergence influence kidney function.
5.The lung cancer other parts transfer:Lung cancer in addition to a few above-mentioned familiar transfer part, less see of transfer part to have a skin, skin to descend inside organization, muscle, belly cavity, heart etc. transfer of part, symptom often with transfer part related.If transfer heart can appear chest stuffy, the heart palpitates even annoys symptoms, such as nasty and dizzy Jue and heart Lyu mess...etc..
(A)the treatment principle put to treat the best to cellule cancer, the scale form cell cancer time, the gland cancer is the most bad.But the cellule cancer easily take place to transfer, much paster adopt big area irregular and wild irradiation, project light upon the area should include to deliver cooking stove, Zong to separate a pair of sides lock bone top area at first, even liver brain etc. part, want to assist to cure by medicine in the meantime.The scale form cell cancer to shoot the sensitivity that the line has medium etc., pathological changes with the part infringe upon for lord, transfer opposite more slow, so much use to cure for good a treatment.The gland cancer transfers towards shooting line sensitivity differ, and easily blood way, past the less adopt pure emanation a treatment.Tumor to shoot linear sensitivity in addition to under the influence of pathologic type outside still is divide by the size, lump cell of tumor the circumstance of the composing comparison, tumor bed of degree, the lump body cells etc. the influence of various factor, so establish to put to treat a plan should cautiously analyze ago, weigh gains or losses completely, can't easily draw a conclusion.
(Two)project complications more, even cause parts of functions to lose;For the tumor sufferer in later period, project treatment effect not intact.Patient's physical endowment is worse in the meantime and age's be partial to greatly isn't suitable for to put to treat.
(Three)the proper application for put to treat according to treatment of the purpose puts to treat after is divided into cure for good a treatment, appease a treatment, puts to treat before the Shu, the Shu and put inside chamber to treat etc..
1.cure for good a treatment
(1)have surgical operation taboo or refuse an earlier period case of make the surgical operation, or the pathological changes scope limit in the IIIa case with 150 cms;
(2)the heart, lung, liver, kidney function be basic and normal, the blood elephant white cell counts more than 3 ×s 10/L, the hemoglobin is big is at the 100 gs/L;
(3)KS ≥ 60 cent the before the event want to careful and attentively establish a plan, strict performance, don't easily change a treatment plan, if ever project to respond to also should take curing for good tumor as a target.
2.appease a treatment:Its purpose difference very big.Have close cure for good to cure of appease a treatment to ease a patient pain and sufferings, extension life, exaltation life quality;Also have just in order to ease patient's symptom in later period, even cause to comfort the reduce of function disease treatment, like ache, paralyze, collapsed and fainted, spirit nasty and bleed.The irradiation number of times which appeases a treatment can from several times to several times, should the basis concrete circumstance and equipments condition etc. but settle.But have to take notting increase the patient's pain and sufferings as a principle, the under medical treatment meets bigger emanation to respond or when KS cent be worth to descend, can consider the feeling modification treatment project.
3.the surgical operation put to treat ago:The aim results in the tumor sow loose danger in the exaltation the surgical operation excision rate, the decrease the Shu and cut off to the estimate surgical operation have no difficult patient can before the Shu the big measure and the little partition put to treat;Such as tumor huge or have an outside to invade, the estimate surgical operation excision has difficulty that can adopt the normal regulations box off to put to treat.Put to treat to be apart from the surgical operation generally takes around 50 dayses as for time proper, the most long can not more than three months.
4.after operation put to treat:Used for estimating the case that the shortage, surgical operation cuts off tumor ill success before the Shu.Should remain cooking stove to place a silver to clip marking at the part, in order to put to treat hour ability accurate fixed position.
5.short distance inside the chamber put to treat:Be applicable to limit in the cancer cooking stove of big bronchus, pack a technique to pay a mirror to place pipe at the bronchus focus through a Xian after can adopt, make close quarter to put to treat to project light upon a match with body outside with the iridium(192 Irs), can raise treatment effect.
Near tumor chemotherapy of more than 20 in the last yearses development quick, application extensive.See currently from the domestic and international data, curative effect of chemotherapy to cellule lung cancer regardless in early days or the later period was more affirmative and even cured for good of a handful of reports;Also has certain curative effect to the non- cellule lung cancer, but only is an appeasement, the function needs a further exaltation.The recent years chemotherapy has already no longer been limited by in the function in the lung cancer can't the later period lung cancer of the surgical operation sufferer, but often Be the comprehensive treatment project that the whole body treatment is included in lung cancer.The chemotherapy will repress marrow to build blood system, mainly is white cell and descend of blood platelets, the Chinese herbal medicine and immunity treatment etc. of the consociation Chinese medicine, can make up the shortage of chemotherapy, lower a chemotherapy to the injury which builds blood system.
(A)the chemotherapy of cellule lung cancer is because of the biology characteristics have by cellule lung cancer, generally accepted currently in addition to a handful of full proofs express have no chest inside lymphoid knot assignor, choose a chemistry treatment in response to the head
One proper application for
(1)cellule lung cancer confirm by the pathology or the cytology sufferer;
(2)the KS record cent at 50~60 divide above;
(3)the expectation exist time's above a month;
(4)the age ≤ 70-year-old.
2.Taboo disease
(1)year old body Shuai or the quality of bad disease;
(2)the darling kidney function severity obstacle;
(3)the poor white cell of the marrow function is in 3 ×s 10/L following blood platelets in 80 ×s 10/l(directly count) following;
(4)there are complications and infection having fever issue of blood to incline to etc..
(Two)non- cellule the chemotherapy of the lung cancer to non- cellule although the lung cancer is valid the medicine be not a few, efficient and low and can seldom attain to completely alleviate.
1.the orientation advertise for:
(1)after the pathology or the cytology confirming for the scale cancer gland cancer or the big cell cancer but can't the Ⅲ of surgical operation expecting a sufferer, and Shu relapse the III of assignor or the not proper surgical operation of other reason a period a patient;
(2)Be fish for by surgical operation, the pathologic check have a following circumstance:The ① has already remained cooking stove;There is lymphoid knot inside ② chest transfer;The ③ lymphoid tube or blood bolt medium have a cancer to bolt;The ④ low mark turns a cancer;
(3)there are chest or heart pack accumulating a liquid to need to adopt a partial chemotherapy.
2.the taboo advertise for:Together cellule cancer.
