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Thursday, June 3, 2021

Gene of lung cancer , lung cancer gene examination , lung cancer gene detection project , lung cancer gene targeted treatment

 Gene of lung cancer , lung cancer gene examination , lung cancer gene detection project , lung cancer gene targeted treatment

Non-small cell lung cancer susceptible gene

ADH1BEGFRPLCE1PTEN

Non-small cell lung cancer targeted therapy
AKT1ALKBRAFDDR2
EGFRFGFR1HER2KRAS
MEK1METNRASPIK3CA
PTENRETROS1

Non-small cell lung cancer chemotherapy gene
BRCA1CDACYP2C8CYP2C9*3
DYNC2H1ERCC1ERCC2GSTP1
GSTT1RRM1STMN1Tau
TOP2ATPMTTUBB3TYMS
UGT1A1*28UGT1A1*6XPCXRCC1

Carcinogenic mechanism




Lung cancer treatment method ,lung cancer targeted treatment ,lung cancer has those best treatment (3) - Radiation Therapy

 Radiation Therapy

   First, the treatment principle

    Radiotherapy is the best in small cell carcinoma, squamous cell carcinoma, the worst adenocarcinoma. However, small cell carcinoma is easily metastasis, so many large-area irregular wild uses, the irradiation area should include primary stoves, longitudinal bilateral clavicle, or even liver brain, etc., while supplemented by drug treatment. Squamous cell carcinoma is sensitive to rays, and the lesions are mainly affected, and the transfer is relatively slow, so the use of radical treatment. Adenocarcinoma is poorly sensitive to rays, and it is easy to transfer, so fewer radiotherapy.


    Second, radiation side effects

    There are many complications, even cause loss of partial function; for advanced tumor patients, radiotherapy effect is not good. At the same time, the patient's physical fitness is poor, and the age is not suitable for radiotherapy.


    Third, the adaptation of radiotherapy

    According to the purpose of treatment, score treatment, palliative treatment, preoperative radiotherapy, postoperative radiotherapy and inner radiotherapy.

    

    1. Root treatment

    1) Early cases of surgical taboo or reject surgery, or lesion ranges limit at 150 cm IIIA case;

    2) Heart, lung, liver, kidney function is basically normal, blood white blood cell count is greater than 3 × 10 ^ 9 / L, hemoglobin is greater than 100g / L;

    3) KS ≥ 60 points must be carefully developed carefully, strictly implement, do not change the treatment plan, even if there is a radiation reaction, it should be targeted by root tumors.


    2. Palliative care

    Its purpose is very different. There is a palliative treatment close to the treatment to alleviate the patient's pain, extend life, improve the quality of life; there is only the symptoms of life, or even cause comfort, such as pain, paralysis, coma, anger and bleeding. The number of illuminated times of palliative treatment can be determined from several tens of times, and should be determined according to the specific circumstances and equipment conditions. However, the treatment plan can be modified as appropriate, when the patient does not increase the patient's suffering, when the treatment has a large radiation reaction or the KS score dropped, the treatment plan can be modified as appropriate.

    

    3. Surgical radiotherapy

    It is designed to improve the surgery resection, reduce the risk of tumor spread in intraoperative surgery, and patients with no difficulty in estimating surgery, less divided radiotherapy; such as tumors huge or inverse, it is estimated that surgery is difficult to use. Conventional separation radiotherapy. Radiotherapy is generally less than 50 days from the operation time, and it is not allowed for more than three months.


    4. Surgical radiotherapy

    Used in preoperative estimation, surgery resection of tumor is not thorough. Silver clips should be placed on a local residual leather to accurately position when radiotherapy.


    5. Short-distance radiotherapy in the cavity

    It is suitable for use in the cementation of the large bronchi, which can be placed at a bronchial lesions by a back-mounting technique, and the treatment effect can be improved by iridium (192IR) with ruthenium (192IR).

Lung cancer treatment method ,lung cancer targeted treatment ,lung cancer has those best treatment (2) - Chemotherapy

 Chemotherapy

    Tumor chemotherapy has been rapidly developed in the past 20 years. Chemotherapy for small cell lung cancer, regardless of early or late reports, even have a few revolutions of cure; there is a certain effect on non-small cell lung cancer, but only for palliative, the role is to be further improved. The role of recent chemotherapy in lung cancer is no longer limited to patients with advanced lung cancer that cannot be operated, and is often used as a comprehensive treatment plan for lung cancer in whole body. The chemotherapy will inhibit the bone marrow hematopoietic system, mainly the decline in white blood cells and platelets, combined with traditional Chinese medicine and immunotherapy effect.


    First, small cell lung cancer chemotherapy

    Due to the biological characteristics of small cell lung cancer, there is currently recognized that in addition to a few full evidence indicates that there should be chemotherapy in the chest lymph node metastasis.

   

    1.Adaptation

    1) Small cell lung cancer diagnosed by pathology or cytology;

    2) The KS score is 50-60 minutes or more;

    3) The expected survival time is more than one month;

    4) Age ≤70 years old.


    2. Contraind

    1) Annual old body decrease or malignanosis;

    2) Heart liver and kidney function severe obstacles;

    3) Pleard of bone marrow function in 3 × 10 ^ 9 / L below bloodwheel at 80 × 10 ^ 9 / L (direct count);

    4) There are complications and infection hemorrhage tendency.


    Second, non-small cell lung cancer chemotherapy

    Although non-small cell lung cancer has a lot of effective drugs, it is effective and rarely reaches complete relief.

    

    1. Adaptation

    (1) Patients with pathogenic or cytology confirmed squamous carcinoma or large cell carcinoma but not surgical, and postoperative recurrent metastasis or other reasons for non-surgery III patients;

    (2) Surgical exploration, pathological examination has the following people: 1 has residual stove; 2 lymph node metastasis in the chest; 3 lymphatic or thrombosis cancer; 4 low-differentiated cancer;

    (3) Topical chemotherapy needs to be used with chest or heart-packaged liquid.


    2. Contraindication

    Same small cell carcinoma.

Lung cancer treatment method ,lung cancer targeted treatment ,lung cancer has those best treatment (1) - surgery

surgery

    In the treatment of lung cancer, in addition to surgery or surgical treatment, it is based on surgery, according to different periods and pathological tissue types, the comprehensive treatment of radiotherapy, chemotherapy and immunotherapy. Regarding the survival period after lung cancer surgery, the three-year survival rate is approximately 40% to 60%; the five-year survival rate is about 22% ~ 44%; the surgical mortality rate is less than 3%.


    First, the surgical indication 

    Has the following conditions of the following conditions, generally can be treated:

    1. There is no transfer person, including substantial organs such as liver, brain, adrenal, bone, chest lymph nodes, etc .;

    

    2. Cancer tissue does not have a proliferator adjacent to organs or tissues in the chest, such as aortic, superior venous, esophagus, and cancer van.


    3. No serious heart and lung function is low or the auto-pour pectoris of the near future;


    4. There is no serious and liver and kidney disease and severe diabetes.


    The following conditions should generally be careful for surgery or further examination of treatment:

    1. The year-old bulk is poor;


    2. Small cell lung cancer is preferably chemotherapy or radiotherapy in addition to I, and then determine whether it can be treated;


    3. There are also a few suspicious transferrs seen from the X-ray.


    At present, the academic community is relaxed for the instructions of lung cancer surgery, for some patients who violate the vaschers in the chest and the persistence of isolated from the distance, as long as the physical conditions permit, some scholars also believe that can be surgery, and related explorations. the study.


    Second, the perturbation

    Any surgery taboo, clearly diagnosed as lung cancer or high suspected of lung cancer can select the speculation according to the specific situation, if the lesion has been discovered by the lesion, the original carcinogenesis is still eliminated. In order to reduce the surgery, it does not make a total lung resection so that other treatment is adjusted after surgery.


    Third, the choice of lung cancer

    According to the II and III lung cancer cases in 1985, there is a surgical treatment. The principle of surgical resection is: thoroughly cut lymph nodes that may be transferred in primary stoves and chest, and to keep normal lung tissues as much as possible, all pulmonary resection should be careful.


    1. Local resection: means that the wedge-shaped carcinoma resection and pulmonary resection can be considered for pulmonary local resection of weakness of weakness or low cancer differentiation of the body of the primary carcinogenesis.


    2. Lung leaves: For isolated surrounding lung cancer, there is no obvious lymphadenopathy in a lungs. If the cancer swelling and two-leaf or intermediate bronchi can be vented or lower or lower leaves two leaf pulmonary


    3. Sedied pulp leaves: This type is used in the right lung lung lung cancer, such as cancer swelling in the Ye Yarani, and the viable sleeve pulp is removed;


    4. All lung resection: Where the lesion is widely used by the above method, it can be carefully considered to take care of the whole lung resection when reducing the lesion;


    5. Bronoma and reconstruction: Zum tunoma exceeds the main bronchial tired or tracheal side wall but does not exceed 2 cm: 1 can be made of rhizophore, in addition to reconstruction or cuff-type full lungs; Strive to keep it. The surgery can be determined according to the situation at the time.


    Fourth, the treatment of re-hair or recurrent lung cancer

    1. Treatment of multi-protocker lung cancer: Operation can be removed from cancer, but there is also residual cancer, or region lymph node metastasis, or in vascular suppression, etc., the recurrence transfer chance is very high. Any diagnosis is treated with the second primary stove.


    2. Treatment of recurrent lung cancer: The so-called recurrent lung cancer is a cancerous stove in the scar of the original surgical scar or recurrence with the primary stove, called recurrent lung cancer. The principle of treatment should determine the surgical range according to the patient's cardiopulmonary function and whether it can be removed.

Tuesday, June 1, 2021

Lung cancer marker , lung cancer tumor marker , lung cancer marker test project

Main serum markers of small cell lung cancer

1. CEA, Carcinoembryonic antigens

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

3. Progrp, Progastrin-release peptide

4. NSE, Neuron-Specific Enolase


Main serum markers of non-small cell lung cancer

1. CEA, Carcinoembryonic antigens

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

3. CYFRA21-1, Cytokine Fragment 19 (CytoKeratin Fragment)

4. Ferritin, iron protein

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

Early symptoms of lung cancer , symptoms of lung cancer , lung cancer pre-symptoms

    Early symptoms of lung cancer include: dry cough, hemoptysis, chest tightness, hoarseness, weight loss, loss of appetite, shortness of breath, weak tired, and persistence repeated

    1. Stimulating cough: dry cough, sputum or a small amount of white foam, the most common early symptom, 30% to 40% of lung cancer cases are first symptoms. Especially for 2-3 weeks of dry cough in the high-risk population of lung cancer, routine treatment is not good, and it is necessary to be highly vigilant.


    2. Hezochipysis: bloody, 20% of lung cancer cases, this is the first symptom


    3. Chest tightness: early


    4. Sound hoarseness


    5. Diffury, loss of appetite


    6. Weak, easy to tired


    7. Continuous repeated low heat

TCM treatment of lung cancer , lung cancer Chinese medicine nursing plan , lung cancer Chinese medicine treatment method

 Lung cancer Chinese medicine treatment:

    The advantages of traditional Chinese medicine to treat lung cancer:


    1. Chinese medicine treatment of lung cancer while killing cancer cells, does not damage normal cell tissue, and has a significant effect on radiotherapy, recurrent cancer patients with diffusion transfer transfer transfer.


    2, re-realize the yin and yang balance in the body, controlling the growth of tumors, reducing the pain of patients. Fuzheng Ghent, Huangjing, clearing and detoxifying, soft and sinking, improving the body's own anti-cancer immunity. It can effectively control the replication, diffusion and metastasis of tumor cells.


    3, non-toxic, safety, anti-cancer effect, and have significant analgesic stop vomiting, enhanced appetite, eliminating strengthening water, improve the quality of life, extending life time, can be tumor-survived or tumor gradually, disappearing .


    4, this therapy is based on early, middle and late different tumors, and the tumor patients in different pathogenesis shall carry out targeted comprehensive medication, and a case of disorder is implemented, and a variety of doses are formulated.


Chinese medicine treatment of lung cancer drugs:

    1, raw jaundice, gantry, northern sand ginseng, day winter, stone, stone, white flower snake tongue, 衣, mountain bean root, summer obscener, seaweed, Kunb, santan star, melon, raw oysters . Shuijianbi, 1 dose day.

The parties benefit the lungs, anti-cancer sink, suitable for lung cancer.


    2, Danpi, Silitter, Houttuynia, Dandelion, Salvia, Wang, Wild, Wild Chrysanthemum, Schisandra, Chara, Seaweed, Kelp. Shuijianbi, day l agent, early evening.

This part is nourishing yin and hot, taking the tuned stasis, which is effective for lung cancer treatment.


    3, Houttuynia, melon skin, August, 生 苡, stone, white flowers, stone, stone, mountain bean roots 1, raw oysters, summer obscener, red peony 12 grams, Dragonfume 15 gram. Shuijianbi, 1 dose per day.

This party is the active side of lung cancer, the function is soft and chemical, and the detoxification is detoxified.