Moderator: friends, Hello everybody!
People's doctors welcome to watch the large auditorium, this issue we interview to talk with the prevention and treatment of lung cancer, and lung cancer and smoking. Lung cancer has become the world's number one cancer killer, according to a World Health Organization statistics, the report said, with 120 million people worldwide each year are diagnosed with lung cancer, there are about 40 million people in China each year are diagnosed with lung cancer, lung cancer incidence is rising year by year a development trend, more and more people's attention. lung cancer deaths is also high, than breast cancer, prostate cancer, and cancer combined death toll even higher.
Today we go to Xuanwu Hospital, Capital Medical University director of thoracic surgery, lung cancer clinic director of the Center of Capital Medical University, China's leading experts in thoracic surgery and lung cancer prevention, Professor Zhi Xiuyi.
support Professor Hello! welcome you to the PRC's studio.
Zhi Xiuyi : Moderator good! you friends, Hello everybody!
Moderator: Would you please tell us what factors lead to lung cancer?
Zhi Xiuyi: Every year in December is the International Lung Cancer Awareness Month. the world in many countries the holding of a variety of activities to governments, so that the community and the public have come to care about tobacco control and prevention of lung cancer. Today, through the International Lung Cancer Awareness Month we feature interviews, want the community to enable the Government to help people, so that people , in particular, to understand the smoking and lung cancer patients with lung cancer, understanding what the current treatment of lung cancer. As we put more energy into the treatment of lung cancer at the same time, the cancer prevention front forward.
are many ways to prevent lung cancer , but is associated with the common people away from tobacco, away from the smoke. The main factor is the risk of lung cancer smoking, including passive smoking. the fact that a large number of clinical studies show that smoking is closely related with lung cancer, 87% of patients with lung cancer death associated with smoking and passive smoking. After decades of tireless efforts and research and exploration, we found that cigarette, tobacco companies produce low soot and coke we often face a want to stay away from lung cancer, we should reject tobacco.
tobacco is one aspect of lung cancer is an important development of lung cancer related factors. Of course there are other factors, such as environmental carcinogens. Gejiu and Xuanwei is world famous high incidence of lung cancer, radon, tin, arsenic, carcinogenic substances such as toluene to make this region a high incidence of lung cancer. With an aging population and the urban modernization process accelerated process of urbanization and industrialization increase, environmental pollution and Air pollution also bring harm to our health. unhealthy lifestyles and poor the same health hazards, especially in some smokers do not feel comfortable, the cause of underdevelopment, life is not happy, the family is not happy, marital instability , pumping stuffy smoke, drink alone will be greater health risks. Another aspect of the rapid development of medical technology, diagnosis and treatment of lung cancer increased, so that we know of lung cancer, lung cancer diagnosis and treatment of lung cancer was significantly increased; the same time, several countries years of health education and popularization of knowledge of prevention and treatment of lung cancer, lung cancer treatment rate, in short, from the subjective and the objective reflect the incidence of lung cancer on the rise.
Moderator: How can early detection of lung cancer do? < br> Zhi Xiuyi: Unlike other types of cancer lung cancer, lung cancer, there is no specific clinical symptoms in early, especially peripheral lung cancer. We were divided into central lung cancer and peripheral lung cancer, early central lung cancer can be some irritating cough, or and bloodshot sputum, the vast majority of these smokers are the clinical symptoms do not care, thinking that might not smoke much, working too hard, and these symptoms really easy to be ignored. Over the years, the discovery of early peripheral lung cancer mostly due to attend a health check, or incidental to the hospital for treatment opportunities, such as the hospital is to look at heart disease, the doctor take pictures of the chest, only to find early lung cancer.
Unlike lung cancer, esophageal cancer, nor such as liver and stomach cancer, screening methods are simple and easy. popularization of several decades, so that more women master the breast self-examination methods. in the high incidence of esophageal cancer in Henan County, the the Government's strong support and project implementation, screening of early esophageal cancer has achieved fruitful results, the high incidence of early esophageal cancer detection rate increasing, the clinical cure rate has increased year by year. screening and early detection of lung cancer is still relatively difficult, is still not a particularly good way to early detection of lung cancer screening. an annual physical examination can detect early lung cancer, if you are 40 years of age, smoking history of more than 20 years, have family history of cancer, but also life in lung cancer prone areas, we hope that you have to attend an annual physical examination, through effective health reflects to find lung disease. before the medical examination of all lung chest fluoroscopy, chest would miss a lot of early lung lesions. hope that the health of around medical center is lateral chest radiograph to be carried out low-dose spiral CT or chest physical examination items, so you can find small pulmonary shadow node, the discovery of early lung cancer health benefits is quite amazing, the effect of early lung cancer but also for the treatment of satisfactory. but if you are a doctor because of chest pain and diagnosed with lung cancer, you may lose a best time of their treatment. Of course there are still a lot of advanced lung cancer treatment for, but if early detection, not only their own benefit, your family also benefited, in fact, countries also benefit.
Moderator: Could you specifically tell us what kind of checks through the investigation and confirmed that it got lung cancer?
Zhi Xiuyi: I would like to add that this: according to tumor location, lung cancer in two types, one is the central type of lung cancer, one peripheral lung cancer. Growth in the trachea, bronchus and segmental bronchi or more, through the bronchoscope to see the tumor we call biopsy (TTNA) to find disease, to diagnose disease. Some of the clinical symptoms of lung cancer cases than by treatment found, such as the lungs, there is a 3X3 cm mass in the lung by CT-guided biopsy can be accurately diagnosed.
close appeared two years later of lung cancer diagnostic tools, inspection of glucose metabolism in the lungs that means people are talking about mm PET-CT, to lung cancer in terms of diagnosis and differential diagnosis, PET-CT compared with CT has been further improved. China Some large health examination centers are conducting blood tumor marker screening, the chest radiograph, chest CT, PET-CT and blood tumor markers combined, create a set of diagnostic staging of lung cancer new method.
Moderator: The cure rate of lung cancer in today's how high it?
Zhi Xiuyi: On the clinical cure rate of lung cancer, the first thing worth mentioning is the clinical stage of lung cancer. lung cancer in four, I period, II phase, III and VI of the of, I have lung cancer according to tumor size and Ib of the period is divided into Ia, II period is divided into IIa and IIb of the period, III lung cancer is divided into IIIa and IIIb of the period, This calculation of the other seven points of lung cancer. screened by physical examination of early lung cancer, 10-year survival rate after surgery in 90%. clinical stage of lung cancer according to tumor size, there is no lymph node metastasis, No pulmonary metastasis, there is no brain metastasis, there is no bone metastasis, there is no peritoneal metastasis. According to the clinical stage, we decide the treatment strategy, we come to judge the prognosis, five-year term survival. lung cancer of other earlier five-year survival rates of clinical cure rate and higher. in advanced lung cancer, surgical resection alone can not solve the problem, even after surgery and chemotherapy, some patients still need surgery and radiotherapy, the crowd this year with some specific targeted therapy , the combination of these treatments can make long-term survival of lung cancer patients, access to clinical cure.
but more locally advanced lung cancer, particularly in patients with advanced lung cancer, we do not emphasize the cure rate, such as hypertension and diabetes chronic diseases, did not cure; hypertension network and hi every one, a shot of fasting insulin to control diabetes well. for cancer, we promote, promote, promote philosophy. lung cancer, we are not going to kill you, we want to control you, and you co-exist, let me free to trouble you, let you give me greater health threat, which is our current treatment of cancer One of the goals.
Moderator: You talked about lung cancer patients can live like a normal person, if the man diagnosed with lung cancer, how patients and their families about mental attitude should be established?
Zhi Xiuyi: The current situation is: whether you like it or not, you are happy or not, cancer has approached our lives. is not only the factors of population aging, environmental carcinogens and occupational carcinogens, there are many other unhealthy factors that have approached our lives. We must as a common cancer, a frequently-occurring disease. If you are a smoker, smoked cigarettes for decades has been nothing healthy, people went to the 60 years of age, there may be disease. Why are we in the Labor Party and the government policies so that women retire at age 55, male 60-year-old retirement? that to 60 years of age, our organs should rest it! components of the tight screws a tight, Some parts of the ho oil, go check the car! this time of illness, especially in middle-aged comrades who suffered this or that disease, should be treated openly.
Second, cancer may be preventable and curable, we have to strive to do to the early discovery, early detection of many good ways to future treatment. We must believe in science, I believe that the application of high technology in the medical field, to have confidence in the treatment of cancer, as patients and their families are not afraid of cancer. last year and the year before, we In the PRC to do interviews, then I say close to 1 / 3 of cancer patients is to He did not good at doing counseling and psychotherapy m responsibility of doctors to cancer patients calculated by the understanding of cancer, especially high-tech knowledge to understand the field in the widely used cancer treatment, give us more confidence in cancer patients. We want to tell the patient to tell our society, the means of diagnosis and treatment of lung cancer with 20 years ago, 10 years ago, even 5 years ago with a qualitative change, rapid changes have taken place, the weapons in our hands can cure cancer. This is very important!
Moderator: We next turn to lung cancer, you just talked about the stage of lung cancer, lung cancer, clinical stage before treatment How important do?
Zhi Xiuyi: As the biological behavior of lung cancer-specific, it can transfer to the brain can transfer to the abdominal cavity can also be transferred to the body bone. What is cancer, cancer that flows around the crab can be kind of different objects. since it can have a lung metastasis and pulmonary metastasis, we must first be completed in minutes before treatment of the inspection. needs to be emphasized is this: before the first stage of lung cancer is not clear, not all of the shadow of the lung is lung cancer, there is inflammation, tuberculosis, and benign possibilities. Once lung shadows, we First, it is not clear to lung cancer by fiberoptic bronchoscopy, sputum cytology passed through the lymph node or lung biopsy, clearly it is not lung cancer. If it is lung cancer, must be clear which type of lung cancer, lung cancer in small cell and non small cell lung cancer into two categories, different types of biological behavior of lung cancer is different, a different degree of malignancy, treatment in different ways. So the first step, clearly is not lung cancer, which type of lung cancer, the second step and then clear which a lung cancer. by chest CT, to determine the size of the tumor, we tumor less than 2 cm, 2 and 3 cm, 3-5 cm, 5-7 cm were defined as T1a, T1b, T2 and T3. that is based on tumor size We define T1, T2, T3, T4, there is no lymph node metastasis according divided into the N0, N1, N2 and N3.N What is the idea? such as the 201 rooms occupied by cancer, and if there are cancer cells of the 202 rooms is N1, if there are cancer cells of the 203 rooms is defined as a N2, N is a node in English the first letter acronym. there is distant metastasis M, M is the abbreviation of the English alphabet the first letter of transfer, we mainly want to see There is no pulmonary metastasis, there is no lung metastases. upper lobe of lung cancer can be transferred down the leaves, the right lung can be transferred to the left, which helped to clarify whether the pulmonary metastasis of lung cancer examination should be done, Check if you do not do it in phases will make mistakes, big mistakes!
Clinical many such patients, found himself after the diagnosis of lung cancer, eager to find a friend Tuo Shuren surgery as soon as possible, and believe that the earlier the surgery the better. In actual fact, if you do not have an accurate pathological diagnosis, clinical stage, no one on the right thoracotomy, it is possible to operate on advanced lung cancer should not have carried out open heart surgery, the actual treatment might be worse than thoracotomy surgery, the patient requests must first staging specialist treatment. netizens here to remind us friends, if our loved ones, friends, colleagues later got lung cancer, do not rush to treatment, we must first stage, after the treatment. If you just said by inspection to determine, clear what type of lung cancer, lung cancer are few, we'll decide how to develop treatment strategies.
present the principle of our treatment of lung cancer: I lung cancer, II and IIIa lung cancer by surgery on treatment to obtain clinical benefit, if you are IIIB of the IV, that lung cancer metastasis to the brain and transferred to the bone, when transferred to the abdomen, surgery can be beneficial to these patients. other conservative treatment with surgery effect is exactly the same, our understanding of these patients should also master the knowledge to master this weapon. If you just charge a doctor in your hospital, what checks are not done in phases, to arrange for your surgery, I suggest you immediately transferred treatment, or for a doctor. because if he does not regulate this stage check, after multidisciplinary treatment will not standardized. I suggest that lung cancer patients before treatment should be to the other top three hospitals, cancer centers or cancer centers to consultation, Regardless of the region in which hospital you have lung cancer need to consult local experts know in the end is really good surgery? good medical treatment? or radiotherapy good? now is not what Section of lung disease, lung cancer is a disease, it needs with thoracic surgery, the need for respiratory, oncology needs, and the need for radiotherapy for patients with general practitioner consultations, sure he was one of lung cancer, what means of treatment needed, which required treatment with application of the center of such a combination of multi-disciplinary Our model is a standard treatment of lung cancer, the standard pattern.
Moderator: Now we have what lung cancer treatment, such as how to standardize the treatment of it?
Zhi Xiuyi: I should add about the previous problem. Just now you asked me how to do clinical staging of lung cancer. installments in addition to chest CT examination to exclude brain metastasis, bone metastases were excluded, have to do the appropriate checks, there are many new technologies, new means by CT, by MRI, by PET-CT, lymph node biopsy, mediastinoscopy can be clearly mediastinal lymph node metastases. If there is mediastinal lymph nodes must be done first chemotherapy, surgery again.
current lung cancer treatment of six treatment modalities, the traditional treatment model four, we all know, one surgery, not for the early transfer of patients, surgery is the only, means to be radical. Second, drug treatment, we call The chemical treatment. Third, radiotherapy, that is, kill the tumor by radiation. Fourth, traditional Chinese medicine. This is unique to China, cancer treatment, in the country, the global stage, cancer treatment has good results and voice our . With the understanding of disease, with areas of high technology applications in the treatment of lung cancer, we have in recent years, a more effective means, is targeted therapy. Targeted therapy is the only anti-cancer cells without damaging normal cells drugs. lung cancer patients, especially with bone metastases, brain metastases, or advanced lung cancer patients have varying degrees of mental disorder, the treatment in the treatment of somatic diseases, but also must pay attention to psychological treatment, including psychological counseling, psychological support and psychological treatment, there is now a good antidepressant effect. In particular, lung cancer patients had bone metastasis, brain metastasis after the fear of cancer, the treatment of lost confidence in the future, we must give positive attention and treatment.
lung cancer surgery used to be a large incision 30-40 cm, very traumatic, almost all manual operations are completed in the chest. Now we just have to use a minimally invasive lung cancer surgery completed the steps, in the past must look at the lung under direct vision to complete the operation, there are now two-and three-dimensional robotic endoscopic surgical techniques and operational procedures, so that lung cancer surgery has been very significant progress; minimally invasive surgical trauma, patients recover quickly. In the past if a patient take two weeks after receiving chemotherapy, because the wound is too large, too much trauma, a month to recover, but the final impact of subsequent adjuvant therapy. Minimally invasive surgery is currently the majority of the top three hospitals in China are very mature technology. of course, many places not simply using video-assisted thoracic surgery, small incision approach can be combined, we call hybrid operation. radiotherapy treatment of early and radiotherapy are killing good and bad, and now the precision guidance technology, radiation technology to improve a lot. chemotherapeutic agents are also upgrading the , increasing efficacy, reducing side effects, even if some negative effects we have the appropriate medication to alleviate. I think the current six treatment modalities, to be used in combination with each other, to organically integrated. For example, some early stage lung cancer patients may simply need surgery alone, and some medium-term lung cancer patients need surgery and chemotherapy, rehabilitation of Traditional Chinese Medicine to be done during the conditioning. So I think: the need for doctors in several disciplines together to discuss, make good use of these six treatment modalities.
Moderator: How and how lung cancer multidisciplinary therapy, and surgical treatment with it?
Zhi Xiuyi: This is a good question. We have emphasized before the first patient responsibility, but the treatment in cancer patients process there have been some problems. Some of the first diagnosis of lung cancer patients was first thoracic surgery, thoracic surgery that whether or not the surgeon, the first made according to a series of preparatory surgery. had some chemotherapy patients should do first, and then assessed, based on assessment results and then to decide whether surgery, thoracic surgeon did not consult with the physician. Similarly, some patients clearly require surgery, some physicians give patients with cancer chemotherapy, so that part of the radical surgery should be the early loss of lung cancer patients surgical treatment. We emphasize the need for multidisciplinary treatment of lung cancer! lung disease, not a single subject, neither surgical disease, not a medical disease. medical experts in various disciplines, to sit together and discuss the establishment of a multi-disciplinary ward round The working mechanism. as we Capital University of Medical Center of lung cancer, the third week of each month Wednesday afternoon points (333), we respiratory medicine, thoracic surgery, radiology, pathology of sitting with the doctors. establish multi-disciplinary ward rounds and academic exchanges joint working mechanism is very important, not a single physician in the outpatient clinic made the diagnosis and treatment plan for patients, should we sit together as a lung cancer patient consultation. At present the hospital in many tumors, lung cancer centers are related disciplines doctors sit together and discuss a patient's treatment plan, which is the first step.
second step, as a specialist, should abide by the state to develop a Medical Association of the Professional Committee have developed a routine diagnosis and treatment of common diseases related to the Chinese Anti-Cancer Association has its own professional committees, such as lung cancer also have a Committee of routine clinical practice. We also discussed developing a clinical guidelines (Chinese Version) the actual situation, arranged and compiled into a Chinese version of the non-small cell lung cancer guidelines. With this guide as a blueprint, doctors sit together and discuss treatment options, this time multidisciplinary treatment in order to become possible.
Thirdly, I hope lung cancer patients and their families to pass some of the mainstream websites conventional cancer treatment and new technology. At the same time to not only look at the hospital oncology and respiratory, we recommend that you look at the thoracic surgery and radiotherapy, and even then to another, a lung cancer hospital consultation centers or contact . after the movie, you have mentally prepared, when making a decision. Some patients may due to family far away, either because the factors designated health care hospitals, it does not matter, you go to specialist hospitals and cancer centers do not always take advice consultation fee . I wish we could of lung cancer patients to lung cancer treatment center or cancer center consultation, a good and responsible to give you a little bit of expert advice on the right, put the entire treatment process to help you clear direction.
chair person: I see such a story, get the image data of a patient diagnosed him with advanced lung cancer, the patient has not been a comprehensive expert consultation to surgery directly to an acquaintance, the results did not let his condition improved , but more serious. So, I think is very important to multidisciplinary treatment.
Zhi Xiuyi: does the current level of diagnostic and treatment practices are inconsistent, the same patient, the same film in different hospital, different doctors, it diagnostic advice and treatment, there may be inconsistent! This can be seen that cancer centers and cancer treatment center path and specific treatment strategies, with the general hospital of thoracic surgery is not the same, there is a difference. because the treatment programs, treatment strategies not the same, you think about treatment as you can. We want to instill in the entire industry standardized diagnosis and treatment of lung cancer, I hope in two or three years, of course, I want a shorter time, after a patient get a film, whether it is A Hospital or B hospital or whether it is to find Vet Dr. Li, diagnosis, advice and basic treatment is the same, just a little fine-tuning is still possible. hope to master the norms of our patients after treatment knowledge, doctors can monitor irregularities.
Moderator: We talk about minimally invasive surgery, what is the minimally invasive surgery, for which people, what are its advantages?
Zhi Xiuyi: Minimally invasive is a philosophy, if you do a small incision surgery for over ten hours, which can not be called minimally invasive, and of general anesthesia itself is traumatic, according to the patient's condition, choose the least invasive, less trauma, quicker recovery, regardless of the traditional incision, or minimally invasive surgery , Radical resection of the methods and results should be consistent and minimally invasive surgery must achieve the same with the traditional treatment of thoracic surgery, which can be called a good means of minimally invasive treatment. If there is no minimally invasive surgery to cure The purpose of lesions did not cut clean, no lymph node dissection should not be in this hospital, the regions of minimally invasive surgery.
endoscopic surgical techniques with the general clinical application, all surgical disciplines in carrying out minimally invasive surgery Now thoracic surgery, hepatobiliary surgery have entered the era of minimally invasive surgery. to the chest three to four centimeters large surgical incision into a dozen centimeters or even seven or eight centimeters of small incision; ago to cut a conventional, or even two ribs, the ribs can now be done without distraction various thoracic surgery, this minimally invasive surgery is the idea that technology updates, equipment and devices and updating the changes to us. In the past we had to use hand-operation, such as the lung section is standard suture a few stiches, no standard. traditional surgical skills to operate despite training standards, but it is not strict, with minimally invasive endoscopic surgical techniques and instruments to deal with pulmonary vascular closure device when a clip of vascular is complete, its intensity, length, pressure is the same. dealing with incomplete fissure splitting, we must take the upper and lower fissure apart, used to be hand-stitched, cross-section often oozing bleeding; now has staples, lead to bad results, minimally invasive brought us more update. especially the young thoracic surgeons, three or four-year-old doctor, are basically in clinical surgery minimally invasive surgery. Now the patients than in the past, patients Suffering little more, a lot of young patients with lung cancer elderly elders at home too because of lung disease, lung surgery done, to imagine such a big incision before the real fear! In fact, the actual situation is not to be, minimally invasive surgery is very small and small wounds, especially with the video-assisted thoracic surgery lung resection, with three to four holes to be cut down the lung, and lung resection results with traditional surgery is the same.
you just asked a very good , Minimally invasive surgery for various types of people? currently not all lung cancer patients for thoracoscopic lung surgery. The U.S. and China, the provisions of industries, but no lymph node metastasis of lung cancer suggested I do thoracoscopic lobectomy. Currently the Ministry of Health and the Chinese Medical Association Endoscopic Doctor Association are jointly developing technology access standards thoracoscopy, MD, thoracic surgeon training a few years later, how much do after surgery, go to participate in video-assisted thoracoscopic skills training, and then do the chest Mirror lung surgery. No matter how, the implementation of lung cancer surgery must be systematic lymph node dissection.
hospital we found that some primary lung cancer surgery thoracic surgeon lymph node dissection is not routine, and will combine with metastatic lymph nodes may remain in the chest, this five-year survival rate of patients and clinical cure rate of any good. At the same time, some thoracic surgeons are not trained to make direct use of thoracoscopic lung surgery, there have been many problems. I hope that our users and patients, during treatment in the hospital to confirm the surgeon's qualifications in due course, and now the national norms in several aspects of our medical industry in the behavior of our own societies and associations are also new technologies to enhance our industry's access management. hope New technology to benefit the people at the same time, so that people accept the new knowledge. need to stress that it is: minimally invasive surgery, especially video-assisted thoracic surgery, the patient recovered quickly, for those who need adjuvant chemotherapy for , followed by adjuvant therapy can be completed on schedule as planned.
Moderator: In the past three to four centimeter incision in the surgery, the patient recovery time compared with the minimally invasive surgery recovery time, how much difference?
support Xiu Yi: at least one week before the large incision, usually about 10 days before discharge. now minimally invasive surgery goes well, can be discharged a week, and even then a simple endoscopic surgery, the patient to be discharged after three to five days the. minimally invasive surgical technique in the whole area of the world is something of a revolutionary, minimally invasive technique in the future if we do not control, it is not a qualified thoracic surgeon.
Moderator: We next turn to chemotherapy. Please tell us about new trends of chemotherapy, it is suitable for any crowd, what are the advantages, as well as asking friends, occurred during chemotherapy, some negative effect is not to stop?
Zhi Xiuyi: Chemotherapy is a chemical treatment, drug treatment is Some patients taboo efficacy significantly increased.
chemotherapy drugs for nausea and vomiting, gastrointestinal reactions and bone marrow suppression are appropriate for such drug treatment, chemotherapy, or current treatment of small cell lung cancer and advanced non-small cell lung cancer primary treatment, especially in China is not in place and early screening for lung cancer is not high proportion of the clinical diagnosis of eighty-seven percent of lung cancer is locally advanced, or advanced lung cancer patients, current treatments mainly chemotherapy. now upgrading of chemotherapy drugs After the targets of increasingly clear that the drug if the diagnosis is a problem with 204 rooms, this drug is only room for 204, 205 and 203 will not affect the room.]
chemotherapy were divided into two categories, one is before surgery neoadjuvant chemotherapy and adjuvant chemotherapy after surgery, the surgical treatment is a good supplement. Another is the advanced non-small cell lung cancer and small cell lung cancer chemotherapy, to chemotherapy as the mainstay of treatment. previous conventional chemotherapy is three to four drug combination, is now identified the two platinum drugs program is advanced non-small cell lung cancer standards program, the current clinical use of drugs vinblastine, paclitaxel, docetaxel and gemcitabine, as well as other chemotherapy ALIMTA new drugs are platinum-drug program as the two main treatment of lung cancer.
chemotherapy cycle, the previous experience of living into old age, two-drug combination chemotherapy regimen after failure, we will a new one chemotherapy regimen, which we call second-line chemotherapy, second-line chemotherapy have a very good drugs, including docetaxel and ALIMTA, targeted therapy can be when the second-line chemotherapy.
The third model is the maintenance therapy, is to choose specific groups of people to maintain chemotherapy, such as Seoul used gemcitabine + platinum chemotherapy given after the effect of a good video review also observable lesions, then select One of the drug maintenance therapy, single-agent chemotherapy once a month, has been replaced by second-line and then progress to disease treatment. but require multi-disciplinary research and discussion.
If severe side effects of chemotherapy will certainly disable our chemotherapy, how to call serious, almost can not eat, down to more than 1,000 white blood cells, or even below 1000, should stop. We now have a lot of measures, will not allow patients to nausea and vomiting. Second, we also make white blood cells quickly recovered the drugs, how such escort drug use well, for the patient to complete the full dose by cycle of chemotherapy we have established, it is very important. Now there are some very good medicine, and can alleviate the side effects of chemotherapy and to deal with.
so We emphasize here that the combination of Chinese and Western, play to our strengths of Chinese treatment of lung cancer and ethnic characteristics of subjects.
Moderator: There is a friends question his chemotherapy, he said the third, can not hold on, stopped, and the first four chemotherapy, even the half of perseverance, and he was very contradictory, and he asked can you stop chemotherapy, after you stop chemotherapy, there is no effect of chemotherapy in front of?
Zhi Xiuyi: as we Lung Cancer Center, this situation has been rare, because the drugs now has made him a good nausea and vomiting, so that he can adhere to four cycles of chemotherapy. the specific combination of the patient, two cycles of chemotherapy if it is effective, I recommend, or continue to complete ...
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