A 27 -year -old woman has found late -stage experts from lung cancer reminding: early screening is critical
Author:Our Su Time:2022.06.15
According to the latest cancer report released by the National Cancer Center, lung cancer has become the leading cause of malignant tumor death in my country, and the incidence and mortality rate continues to rise. At present, the incidence of lung cancer in my country increases by 26.9%per year. It is estimated that by 2025, the number of new lung cancer will reach 1 million each year, becoming the world's largest lung cancer country.
Today (June 14), Professor Zhou Xianmei, director of the Department of Respiratory and Critical Medicine of Jiangsu Provincial Hospital of Traditional Chinese Medicine, emphasized in an interview that "lung cancer has shown a younger trend, and early screening of lung cancer is the key. Survival. "
The woman suddenly had chest pain, and she found the advanced lung cancer
27 -year -old Jiahui (pseudonym) came to Nanjing to work from her hometown Wenzhou a few years ago. One day in June last year, she suddenly felt chest pain. Then she went to the nearby hospital to check the electrocardiogram. If you have a good improvement, he thinks it is too much to be overwhelmed.
But a week later, chest pain occurred again, so Jiahui accompanied the local hospital to make a chest CT accompanied by his family. However, he did not expect that the results showed that the right lung occupied positions. Considering lung cancer, the right pulmonary and longitudinal lymph nodes metastasis.
"I don't smoke nor drink. How can I get lung cancer so young?" Jiahui couldn't believe it. Later, after inquiring from many parties, Jiahui decided to go to the Jiangsu Hospital of Traditional Chinese Medicine in Jiangsu Province to take a clinic again.
"The patient's chest enhanced CT showed the shadow of the right lung in the right lung, and it was really considered lung cancer in combination with the history of the medical history. The late stages of lung nerve endocrine tumors. "Deputy Chief Physician of Chen Shi introduced, this is a kind of physical tumor with neurofexia function that originated from the lungs, which belongs to lung cancer. Early comprehensive treatment of surgery can also be performed, but the patient is already late and accompanied by metastasis. Fortunately, the patient's lung cancer has a special gene mutation point and can be treated with targeted therapy. At present, after the patient is treated with oral targeted drugs, the condition is stable and ordered to review them regularly.
The high incidence of lung cancer and younger, early screening is critical
"The incidence of lung cancer is getting higher and higher, and there is a trend of youth. It is mainly related to smoking, environmental pollution, genetic genes, and large work pressure." Director Zhou Xianmei introduced.
The incidence of lung cancer for long -term smokers is 10 to 20 times that of non -smokers, and the number of young people and women's smokers has continued to increase. The age of smoking is low, and the population of passive smoking is also expanding.
With the acceleration of industrialization, environmental pollution is intensifying, and asbestos, heavy metals, and ionizing radiation exposure are also the cause of increased lung cancer.
The use of solid fuel cooking and heating can cause indoor environmental pollution. Indoor exposure to indoor 氡 gradually becomes one of the reasons for inducing lung cancer. Each concentration of 氡 is 100 BQ/m3, and the risk of lung cancer increases by 16%.
"Patients Jiahui just married and had children two or three years ago. There was no problem during the marriage examination and pregnancy examination. In just one or two years, chest pain was suddenly found. It was found that patients like Jiahui were not in the small number of patients. There were symptoms of the tumor early, and many patients were found when they were medical examination or watching other diseases. However, because the chest tablets had a certain resolution, the tumor could only be seen to a certain size. "Director Zhou Xianmei said.
Early screening of lung cancer is the most effective method is low -dose spiral CT scan, which can detect lung cancer earlier more accurately than lung thoracic thoracic and X -ray tablets. In particular, smokers who smoke for more than 20 years or smoke more than 20 smokers per day, and people who start smoking under 20 years of age; those who often come into contact with oil smoke or cigarettes; people who have lived in severe air pollution for a long time, are recommended to check CT once a year.
Multi -disciplinary comprehensive treatment, extend the survival of patients
Director Zhou Xianmei introduced that surgical, chemotherapy, radiotherapy, targeted therapy, biological immunotherapy, and traditional Chinese medicine and traditional Chinese medicine can be selected according to the precise lung cancer stages. Surgical treatment is the best solution for patients with lung cancer with surgical indications.
Targeting therapy is one of the effective methods for precision therapy of lung cancer. Driving gene testing is the basis for achieving targeted therapy; immunotherapy is an effective treatment method for the rapid development of lung cancer research in recent years. One of the traditional treatment methods of lung cancer, what kind of chemotherapy schemes choose should be based on the type of lung cancer tissue.
In addition, the organic combination of chemotherapy and radiotherapy has also increased the survival rate of patients. Today, while emphasizing individual chemotherapy treatment of lung cancer, we must not forget the comprehensive treatment of multidisciplinary disciplines, and traditional Chinese medicine treatment has a certain effect in the comprehensive treatment of lung cancer.
Although there is no good treatment for lung cancer at present, early found that surgical treatment, combined with chemotherapy, radiotherapy, and immunotherapy, most patients can achieve good efficacy for targeted therapy with genetic mutations. Greatly increase efficiency and poison, reduce side effects, regulate the body's resistance, improve the function of anti -cancer and quality of life, and extend the survival period.
It is worth noting that in recent years, with the increase in the awareness of people's physical examinations and the increase in checking levels such as chest CT, many people find out that there are lung nodules, and they are afraid that they are lung cancer, causing unnecessary panic.
"Most of the clinical lung nodules are benign. Only a small part of the lung nodules belong to the premium lesions and early lung cancer. Treatment of the lung nodules can not be delayed treatment, nor should they avoid excessive diagnosis and treatment." Director Zhou Xianmei said, a lot of Summary no surgery is required, and regular follow -up review can be followed. It is understood that Jiangsu Provincial Hospital of Traditional Chinese Medicine has a "Joint Clinic of Multi -Disciplinary Pulmonary Nodules" every Tuesday afternoon. Patient diagnosis and treatment, based on a comprehensive judgment of the patient's nodule size, shape, density, etc., formulate an individualized diagnosis and treatment plan to avoid detours of patients with pulmonary nodules.
Experts point out that lung cancer is a disease that seriously threatens human beings. It needs to prevent and treat combination, develop a good lifestyle, actively control tobacco, and maintain an optimistic attitude. Especially people over 40 years of age are regular medical examinations every year. CT examination, early diagnosis and early treatment. At the same time, actively study new diagnosis and treatment methods and drugs to improve the quality of life of patients. Multi -disciplinary comprehensive collaboration is the future direction.
(Source: "Zero distance" reporter/editor of Wang Huasu/Gao Ruoting)
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