"Old smoke gun" found a big tumor in the lungs of the lungs, and the doctor asked the lung cancer to "downgrade" to help him regain the opportunity of surgery

Author:Changjiang Daily Time:2022.09.27

The Yangtze River Daily Da Wuhan Client September 27th (Reporter Qi Yan Correspondent Liu Shanshan) The 65 -year -old "old smoke gun" chest pain was half a month. Operation. The expert team of the Department of Respiratory and Critical Critical Medicine of Wuhan Central Hospital formulated an individualized comprehensive treatment plan for it, reduced the tumor to less than 2 cm, successfully achieved the tumor terminal, and allowed patients to regain surgery opportunities.

Grandpa Zhang, who lives in Hankou, is 65 years old. He has nearly 40 years of age and has at least one pack of cigarettes a day. The family always persuaded him to abstain from him, but he ignored it. On weekdays, he had no other symptoms of discomfort except for a few occasional cough, and he had not done a medical examination. In May of this year, Grandpa Zhang had symptoms of chest pain, and then the pain was unbearable. Then he went to Wuhan Central Hospital to take a doctor in respiratory and critical medicine. CT ct examination prompts that its left lung has a huge place with a diameter of about 7.5 cm, considering a malignant tumor. After admission, it was diagnosed with a left lung malignant tumor by a fibrous mirror. It was already in the middle and late stages. Due to the large tumor, the position of the left lung was close to the pulmonary, and the important blood vessels such as the left pulmonary arteries had lost the opportunity of surgery.

At this time, Grandpa Zhang finally regretted it and begged the doctor to find a way to save himself. Multi -disciplinary experts fully discuss the treatment plan. Under repeated communication with their families, Dr. Xia Dongping, the Department of Dr. Xia Dongping, Dr. Xia Dongping, the Department of Respiratory and Critical Critical Medicine, is the bronchial arterial irrigation chemotherapy. Send the catheter to the blood supply artery of the tumor, and the chemotherapy drugs are directly infused into the tumor, thereby killing tumor cells. At the same time combined with systemic chemotherapy and immunotherapy.

"The bronchial arterial irrigation chemotherapy for the blood supply of tumors for local chemotherapy, which has the advantages of high local drug concentration and less systemic response. It can reduce tumors for patients with advanced tumor, and can also be used as pre -surgery chemotherapy to reduce tumor staging. Opportunity. "Dr. Xia Dongping introduced.

Experts of respiratory and critical condition and radiation intervention center are interventional treatment for patients.

Surprisingly, after the comprehensive treatment of 4 courses, the tumor of "big fist" has been reviewed to less than 2 cm. After multi -disciplinary MDT consultation, the patient's tumor's tumor has been reduced from surgery to surgical removal from the original unable to surgery. In mid -September, the team of thoracic surgery experts performed minimally invasive thoracoscopic surgery for Grandpa Zhang. Experts during the operation carefully dissected and free, and eventually removed the tumor. At present, patients have been discharged smoothly.

Hu Yi, director of the Department of Respiratory and Critical Medicine of the hospital, introduced that from an irreplaceable tumor to the tumor that was cured by surgery, it provided patients with the possibility of new hope and survival. Early symptoms of patients with lung cancer are not necessarily typical, sometimes slightly cough, chest tightness, unknown weight loss, fatigue, etc., but some patients do not have any symptoms in the early stage of lung cancer. When there are obvious symptoms, it may often be the middle and late stages. So early screening of lung cancer is critical.

"Smoking is the main pathogenic factor that causes lung cancer. To prevent lung cancer from quit smoking first, it should also be regularly checked." Hu Yi suggested that citizens over 40 years old, especially in smoking or long -term exposure to smoking environment, family history of lung cancer family, there is a family history of lung cancer. The history of asbestos and arsenic or radiation occupation contacts, the living environment is severe air pollution, and the people who work in a closed environment for a long time, it is best to do early screening of low -dose CT lung cancer once a year. For those who smoke for a long time, they should be more vigilant. If there are symptoms such as cough, sputum or chest pain, they should be checked early.

[Edit: Yu Lina]

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