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Tuesday, June 1, 2021

What are the diagnostic methods of lung cancer, ulficoma early diagnosis,ulfic cancer diagnosis criteria, How to symptomor is lung cancer?

1. Imaging examination

    1.1 Chest X-ray Check: X-ray chest is an important means of discovering advanced lung cancer, and is also the basic imaging examination method before and after treatment in advanced lung cancer.

    1.2 Chest CT examination: Chest CT is important for the diagnosis, installment, efficacy evaluation and treatment of advanced lung cancer, is the most important and most common imaging examination method of lung cancer.

    1.3 MRI inspection: MRI is particularly suitable for judging the brain, and there is no transfer in the spinal cord. In addition, the MRI check can be used to determine whether the chest wall or the mediastill is invasive; showing the relationship between pulmonary tumor tumors and armospanes and blood vessels. For patients with injection of iodine artifacts, MRI is the preferred examination method for observing mediastinal, pulmonary vessel invasion and lymphadenopathy.

    1.4 Ultrasound examination: Mainly used to find abdominal real importance organs and abdominal cavity, abdominal lymph nodes have no transfer, also for inspection of lymph nodes on bilateral clavicle; ultrasound is often used in pleural effusion and cardiac content. Positioning.

    1.5 Radioactive Nutrient Bone Scanning Check: It is a conventional inspection used to determine the metastasis of lung cancer. When the bone scan inspection suggests suspected bone suspected transfer, MRI, CT or PET-CT and other inspection validations are verified.

    1.6 PET-CT examination: It is the best way to diagnose, installment and re-disclosure, efficacy evaluation and prognosis evaluation of lung cancer.


2. Endoscope check

    2.1 Bribex mirror inspection: bronchoscope inspection technology is the most common method of diagnosing lung cancer, including bronchoscopy, biopsy, biopsy, needle suction, and bronchioma acquisition cytology and histological diagnosis. The above methods described above can increase the detection rate.

    2.2 Bronchial adhesion insurgents (TBNA) and ultrasonic bronchoscopy (EBUS-TBNA): contribute to lung cancer diagnosis and lymph node.

    2.3 Bronchial Pulmonary Localization (TBLB): It is an important means of non-surgical diagnosis of lung nodules.

    2.4 Longitudinal Mirror Check: As an effective method for deterging lung cancer and assessing lymph node stages, it is currently a preliminary assessment of a gold standard of lung cancer mediastinal lymph nodes.

    2.5 Thoracicoscopy: Decentralized lung cancer diagnosis and staging can be accurately carried out, and the early lung cancer of the pathological specimen cannot be obtained for TBLB and the chest flubsenes induced, and the early lung cancer cannot be obtained, especially the slight tone of the lungs. Less lens lesion wedge cut removal can achieve clear diagnosis and treatment purposes.


3. Laboratory examination

    3.1 General examination: Patients should be inspected before treatment, should be inspected in laboratory such as blood routine, liver and kidney function and viral indicators to understand the general conditions of patients and whether it is suitable for adopting corresponding treatment. Patients with innovation or surgical treatment also need to perform coagulation function detection.

    3.2 Tumor Markers, TMS, lung cancer related serum tumor markers include

1) CEA, carcinoembryonic antillars (Carcinoembryonic antigen)

2) CA125, sugar antigen 125 (Carbohydrate Antigen 125)

3) CA153, sugar antigen 153 (Carbohydrate Antigen 153)

4) CYFRA21-1, cytokine fragment 19 (CytoKeratin Fragment)

5) SCCA, squamous epithelial cell carcinogen (Squamous Cell Carcinoma Antigen)

6) Progrp, Progastrin-release peptide (PROGASTRIN-RELESING PEPTIDE)

7) NSE, neuron-specificuous enzyme,

8) CK-BB, creatine kinase BB (Creatine Kinase Bb Isoenzyme)

9) CGA, pheochromocyrin A

3. Gene mutation detection: For advanced NSCLC, adenocarcinoma or other types of lung cancer-containing ingredients, genetic testing should be performed while diagnosis

1) EGFR gene mutation

2) ALK fusion gene

3) ROS1 gene fusion

4) RET gene fusion,

5) K-Ras gene mutation

6) BRAF gene V600E mutation

7) HER2 gene amplification

8) MET gene high level amplification and exontion of exaggerators on the 14th


4. Other inspection technology

4.1 cytology examination: It is one of the simple and convenient diagnostic methods for diagnosing lung cancer.

4.2, TTNA: The chest mass or lymph nodes can be performed under CT or ultrasound.

4.3, chest puncture: Thoracic puncture can obtain pleural effusion, cytological examination.

4.4, pleural biopsy: For a diagnosed pleural effusion, pleural biopsy can improve the positive detection rate.

4.5, superficial lymph nodes and subcutaneous metastasis episodes: For the superficial lymph node and subcutaneous transfer nodules, it should be contracted or biopsy to obtain pathological diagnosis.

 

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