Y*******n
发帖数: 4646 | 1 我叔叔是2012年7月在北京医院例行体检时诊断为右肺中叶混合玻璃结影（大小约2.5公
分左右），考虑肺癌可能。
当年10月份在北京三〇一医院手术切除右肺中叶，并确诊为右肺中叶侵润性高分化腺癌
(旧称细支气管肺泡癌)。
现在北大医院开的中药调理。
前不久又在北京医院做了定期复查，做了胸腹CT，腹部B超和验血查抗原指标，总体结
果正常，向好的方向恢复？
请问各位医生对治疗方案有什么建议？这个病的英文翻译是什么， 在哪里能找到突破
性新药，治疗的信息？ | l*i
发帖数: 5732 | 2 没有什么突破性新药， 主要是防止复发。 不过肺癌很容易复发转移。
在做化疗吗？
【在 Y*******n 的大作中提到】
: 我叔叔是2012年7月在北京医院例行体检时诊断为右肺中叶混合玻璃结影（大小约2.5公
: 分左右），考虑肺癌可能。
: 当年10月份在北京三〇一医院手术切除右肺中叶，并确诊为右肺中叶侵润性高分化腺癌
: (旧称细支气管肺泡癌)。
: 现在北大医院开的中药调理。
: 前不久又在北京医院做了定期复查，做了胸腹CT，腹部B超和验血查抗原指标，总体结
: 果正常，向好的方向恢复？
: 请问各位医生对治疗方案有什么建议？这个病的英文翻译是什么， 在哪里能找到突破
: 性新药，治疗的信息？
| M****0
发帖数: 877 | 3 今天有点空，用ld的ID上来帮你分析一下。
First, you need to know the stage (as you mentioned your uncle has
adenocarcinoma which belongs to non-small cell lung cancer. If is small cell
lung cancer, it will be a different story). For most of stage I and II,
even some IIIA, the intent for treatment is cure.
If your uncle's lung cancer is just 2.5 cm and no metastases, then his
cancer is stage IA. This stage can be cured with surgery only, followed by
imagine surveillance. But he does not need an abdominal ultrasound for this
purpose.
If the cancer is over 3 cm, without metastases, it will be stage Ib. Some
local invasion will be also considered as Ib or II. In addition to surgery,
chemotherapy is usually used for stage II; for Ib it is debatable.
For stage III, depending on where the lymph nodes are involved. It could be
treated with surgery, chemotherapy and radiation therapy. The use of those
treatment depends on the oncologist's knowledge, experience and the
resources available.
If the cancer spread distally, or metastasizes to the other side of lungs,
it is unresectable. Surgery will not be used in this setting. Without
treatment, those patients usually live 3-4 months. With palliative
chemotherapy, we can prolong the survival up to one year in general.
However, recent advances in adenocarcinoma of lungs provided very solid data
to improve the progression free survival and overall survival, particularly
in Asian patients, female, and no history of smoking. We can look at some
gene mutations, then use targeted medicines towarding those mutated genes
treat cancer. Some patients could live for years with stable disease.
Most recently, clinical trials with immunoadaptive therapy give us very
promising data. I believe the paper will be published in the next several
months in New England Journal of Medicine.
Hope the above information helps. | M****0
发帖数: 877 | 4 今天有点空，用ld的ID上来帮你分析一下。
First, you need to know the stage (as you mentioned your uncle has
adenocarcinoma which belongs to non-small cell lung cancer. If is small cell
lung cancer, it will be a different story). For most of stage I and II,
even some IIIA, the intent for treatment is cure.
If your uncle's lung cancer is just 2.5 cm and no metastases, then his
cancer is stage IA. This stage can be cured with surgery only, followed by
imagine surveillance. But he does not need an abdominal ultrasound for this
purpose.
If the cancer is over 3 cm, without metastases, it will be stage Ib. Some
local invasion will be also considered as Ib or II. In addition to surgery,
chemotherapy is usually used for stage II; for Ib it is debatable.
For stage III, depending on where the lymph nodes are involved. It could be
treated with surgery, chemotherapy and radiation therapy. The use of those
treatment depends on the oncologist's knowledge, experience and the
resources available.
If the cancer spread distally, or metastasizes to the other side of lungs,
it is unresectable. Surgery will not be used in this setting. Without
treatment, those patients usually live 3-4 months. With palliative
chemotherapy, we can prolong the survival up to one year in general.
However, recent advances in adenocarcinoma of lungs provided very solid data
to improve the progression free survival and overall survival, particularly
in Asian patients, female, and no history of smoking. We can look at some
gene mutations, then use targeted medicines towarding those mutated genes
treat cancer. Some patients could live for years with stable disease.
Most recently, clinical trials with immunoadaptive therapy give us very
promising data. I believe the paper will be published in the next several
months in New England Journal of Medicine.
Hope the above information helps. | Y*******n
发帖数: 4646 | 5 感谢！太有帮助了。英文的病名很重要。 这样我就可以搜索资料了。相信他是Ia
stage
cell
this
【在 M****0 的大作中提到】
: 今天有点空，用ld的ID上来帮你分析一下。
: First, you need to know the stage (as you mentioned your uncle has
: adenocarcinoma which belongs to non-small cell lung cancer. If is small cell
: lung cancer, it will be a different story). For most of stage I and II,
: even some IIIA, the intent for treatment is cure.
: If your uncle's lung cancer is just 2.5 cm and no metastases, then his
: cancer is stage IA. This stage can be cured with surgery only, followed by
: imagine surveillance. But he does not need an abdominal ultrasound for this
: purpose.
: If the cancer is over 3 cm, without metastases, it will be stage Ib. Some
| s*******2
发帖数: 1182 | 6 thanks for detailed answer.
cell
this
【在 M****0 的大作中提到】
: 今天有点空，用ld的ID上来帮你分析一下。
: First, you need to know the stage (as you mentioned your uncle has
: adenocarcinoma which belongs to non-small cell lung cancer. If is small cell
: lung cancer, it will be a different story). For most of stage I and II,
: even some IIIA, the intent for treatment is cure.
: If your uncle's lung cancer is just 2.5 cm and no metastases, then his
: cancer is stage IA. This stage can be cured with surgery only, followed by
: imagine surveillance. But he does not need an abdominal ultrasound for this
: purpose.
: If the cancer is over 3 cm, without metastases, it will be stage Ib. Some
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