Many times, patients or their family members will ask: “Why do some people have lung cancer and can be cured by doctors? Why am I not so lucky?”
Case 1: Sister Li, 50 years old, is about to retire, and now she occasionally comes to the outpatient clinic for follow-up consultation. Every time she comes, the first sentence is “Thank you Director Qiao, a few years ago really Thanks to you.” This patient was diagnosed with lung cancer 4 years ago. At that time, her CT results showed that the tumor was about 4 cm, which was solid. Although it invaded the visceral pleura, it did not metastasize.
At that time, I had surgery to remove the tumor, and after a series of chemotherapy, she was finally discharged. It has been 4 years later and there is no sign of recurrence, which proves that the postoperative prognosis is good. This is a real case of “defeating” lung cancer.
Case 2: This patient is a bioengineering researcher, 47 years old. When the company organized a physical examination last year, it was found that there was a pathological image in the right lung. When he came to the hospital, it was found to be small cell lung cancer , there are signs of transfer. After inquiring in detail, he found out that he had been coughing for more than half a year, but he thought it was the cough and physical discomfort caused by the scientific research pressure and smoking addiction.
Unfortunately, this patient was in the advanced stage of lung cancer, missed the opportunity of surgery, and the effect of chemotherapy was minimal. He unfortunately passed away 2 months later. It has only been more than a year since he passed away, it can be seen how fast the small cells are transferred!
Can lung cancer be cured? The key point is this
Many people keep asking, is lung cancer just waiting to die? Why can some people be cured, while others die quickly? Because the survival time of lung cancer patients not only depends on the patient’s ability to bear the treatment, the key lies in the stage and type of lung cancer. Stage and type are different concepts. classification methods.
1. According to the progression of the disease: the stages of the disease process can be divided into early, middle and late stages.
2. According to pathological morphology: divided into small cell lung cancer and non-small cell lung cancer There are two types of non-small cell lung cancer, including adenocarcinoma, squamous cell carcinoma, large cell carcinoma, and undifferentiated carcinoma.
3. Location through lung cancer: It is divided into peripheral lung cancer and central lung cancer. Lung cancer is located in the periphery of the lung, not close to the center and hilum of the lung; central lung cancer refers to the tumor growing near the hilum. In most cases, squamous cell carcinoma is more common, and peripheral lung cancer is more common with adenocarcinoma.
If you want to answer whether lung cancer can be treated or not, what I can tell you here is that different lung cancers have different survival cycles, from the size of the nodule (lung cancer staging) to see:
1,
: Ground-glass nodules are completely curable by surgical resection.
2.
: 70%-80% can also be cured completely. After resection of lung cancer in the early stage of surgery, there will be no recurrence or metastasis. There may be no problems in the future, and it is completely cured.
3, >3 cm: or metastases have occurred, local lymph node metastases, distant organ metastases, may not be completely cured in theory Well, the only way to prolong life and prolong survival is through treatment.
The doctor helps you “find out” the most malignant type of lung cancer! Be vigilant
The above is about the staging of lung cancer. In addition to the staging of lung cancer, the type of lung cancer also greatly affects the survival of patients. Who has a better survival rate between cancer and non-small cell carcinoma? Who is more difficult to treat?
1. Non-small cell lung cancer: It is mainly limited growth in the early stage, and distant metastasis occurs later, such as blood metastasis or lymphatic metastasis, such as early stage If found, it is recommended to strive for surgical treatment, advanced according to the patient’s condition, it is necessary to chemotherapy, radiotherapy, targeted therapy and other comprehensive treatmenttreatment.
2. Small cell lung cancer: It is a more malignant tumor with a doubling cycle of only 30 days and very rapid growth .
In addition, small cell lung cancer is prone to distant metastasis in the early stage. Although it is sensitive to chemotherapy, its treatment is generally based on systemic chemotherapy, but it can usually be quickly relieved. , but relapse or metastasize very quickly.
So two different pathological types determine the way the tumor occurs, develops, and the options for later treatment are different.