Lung cancer is one of the most intimate relationship with the people of the disease. Third Central Hospital of Thoracic Surgery, Han Hongli director told reporters at the recently held China lung North and South Summit released data show that lung cancer 30 years ago from the health hazards of people ranked fifth malignancy fly rose to the top, the mortality rate for 30 years rose 465%, and the morbidity and mortality rate is still rising rapidly. Even more worrying is that the growth trend of female lung cancer faster. If early detection and timely treatment, lung cancer is completely cured opportunities.
People over the age of 40 every year to do a chest CT
Previously always publicize early detection of lung cancer, but in fact, tend to "early detection" is advanced lung cancer, so the most important thing is to lung cancer screening. CT can find one centimeter below the small mass, the early diagnosis of lung cancer than chest X-rays, so the population over 40 years at least a year to do a chest CT, a family history of lung cancer in high-risk populations, including smokers (400 years) half should do a chest CT.
Optional full endoscopic lung lobectomy + mediastinal lymph node dissection
Zhang grandmother 70 years, CT was found left lower lobe nodule, 1.5 cm, does not rule out lung cancer, associated with the former mediastinal cysts . In the Third Central Hospital of Thoracic Surgery performed thoracoscopic surgery. Do first partial resection, intraoperative frozen section biopsy showed malignant. Row left lobectomy + mediastinal lymph node dissection + mediastinal cyst excision, a week after discharge, the current follow-up as usual.
A chance for lung cancer patients conditional surgery, surgery is the preferred treatment. Clinical status quo is that 80% of lung cancer at the time of discovery is terminally ill, there is no chance of operation. While only 20% of people who have surgery often also the chance to miss the timing of surgery for various reasons. In fact, early lung cancer surgery, 20% to 40% chance of cure is possible, therefore, conditional surgery or choose surgery.
Surgical procedure is optional. The traditional lung cancer surgery is major surgery thoracic surgery, to split sternum, ribs cut, cut large, trauma, chest and back muscle injury on big driving force behind the destruction breathing, lung damage, postoperative pain, heavy, slow recovery; whole thoracoscopic resection only need to cut two 1.5 cm in the chest in place, a 3-cm incision, can be carried lobectomy and mediastinal lymph node dissection. Lobectomy for lung cancer patients with thoracoscopy, the focus is on radical problem. Lobectomy should be rigorous, scientific, follow the principles of cancer resection, as cleaning the surrounding lymph nodes, which determine the condition, comprehensive guide and improve the cure rate after treatment is essential. Can be used for peripheral benign tumor diameter <3 cm; nature of peripheral lung cancer is unknown, the line lung biopsy ; early peripheral lung cancer patients with poor cardiopulmonary function, older persons can not tolerate thoracotomy. For stage I non -small cell lung cancer , thoracic surgery can be achieved with the same long-term effect.
Benign diseases such as bronchiectasis , pulmonary cyst involving the whole leaf or thoracoscopic lung also choose treatment.
Combined preoperative CT, MRI film, to determine the tumor is very important, if preoperative thoracoscopic resection think that there is not expected to be difficult or excision should not be considered thoracoscopic surgery, the preferred conventional thoracotomy surgery. The intraoperative tumor cross-leaf, need extensive lymph nodes were clear, microscopic bleeding is difficult to control and so on, must turn thoracotomy timely treatment.
For some patients may choose assisted thoracic small incision surgery, traditional surgical incision is 1/3, the operation carried out under thoracoscopy surveillance to avoid muscle and nerve damage traditional surgery, trauma, without cutting ribs, chest good lighting effects mirror, wide field of vision, and a certain amplification can complete the hilar and mediastinal conventional equipment operation under direct vision, anatomy clearer, revealing more clearly, operation time, rapid postoperative recovery, concurrency less disease, surgical safety, carry out increasingly widespread in recent years.
Experts advise: to prevent lung cancer is far from the first tobacco . For smokers, it's never too late to quit at any time. International study showed that quitting smoking for 10 years, the risk of lung cancer will be reduced by half. Quit smoking before middle age can reduce the risk of more than 90% of tobacco. Second is to improve indoor and outdoor air pollution, control the kitchen hood. For example, the kitchen should have ventilation measures and channels, etc.; small fry cooking, and more cooking; when cooking oil is best controlled at less than 200 ℃. Also you can intake of vitamin A, carrots vegetarian, vegetables, fruits and other anti-cancer substances containing rich foods.