Stereo-directional treatment: The important means of early lung cancer treatment have increased significantly in recent years with the improvement of screening methods, as has the detection rate of pulmonary knots, and the diagnosis rate of early lung cancer. When it comes to early lung cancer, most people must have thought of surgery. However, some of the patients may also suffer from more serious CPR underlying diseases that are not sustainable, or may not be able to undergo surgery due to other physical conditions. So is there any other option than surgery? Stereotherapy is one of the standard treatments for early lung cancer in addition to surgery.Stereo-directional treatment, popularly known as the concentration of X-rays on small-scale stoves at multiple angles (not on a plane), is as if more laser guns focused on a small object from different angles. This treatment, unlike other therapeutic techniques, can provide a high-level dose of radiation, based on precise positioning, to the tumour stoves in order to eliminate the damage, while the radiation dose of normal tissues in the surrounding area is expected to reach rapid decline and thus to achieve better protection. To be more imaged, if the casket centre were compared to the target, the edge of the cascading stove would be at the edge of the 10 ring, with 100 per cent of the dose within the 10 ring, with only below 60 per cent of the 8 and below, while the distance between the 10 and 8 rings would be only 6-7 mm. As you can imagine, X-rays are like cutting off a tumor with a sharp knife, “Quick, Right, Right,” so they’re called “X” for the 3D. This radiation technology is suitable for smaller stoves, which usually require less than 3 cm and do not move too much as they breathe. Pulmonary tumours are given a much higher dose of radioactivity to tumours than the regular tumours once, but usually only 4-8 sessions, so the treatment is much shorter than the routine tumour (about 30 sessions). The greatest advantage of stereodirectional treatment compared to surgery is that it is more resilient than surgery without anaesthesia, pain-free, scar-free and maximum preservation of lung function.So the question is: Should early lung cancer patients choose whether to be surgically excised or in a stereo-directed treatment?The first is to remind patients that, before making a choice, it is important to improve all stages of the examination (the chest CT, the abdominal CT or B super, the brain MRI, the bone scan, or PET/CT) to determine whether it is really early. In particular, the state of the lymph nodes must be clear, and if there is a suspicious lymph nodes on the CT, it is recommended that PET/CT be used to assist in identification and, if necessary, an ultrasound bronchary lens (EBUS) or an intersynthesis test to clarify its nature (especially PET/CT positive lymph nodes). Once the lymphoma is positive or there is a transfer of other parts of the body, there will be a significant change in the period and the treatment will change considerably.If it is confirmed that it is early, the surgeon should then assess the risk of undergoing surgery. In general, the following can be observed:1. If the patient is young, is in good physical condition, is free of serious CPR and is able to withstand the operation, the procedure shall be preferred. Here, the value of surgery must be certain. The greatest benefit is to reduce the psychological burden by cutting off everything. However, it usually takes some recovery time after the operation, and there is a risk that the patient will complain of long-term pain, which may vary from person to person. It is important to mention that there is now some international evidence that early surgical lung cancer patients can be treated at a rate and for life comparable to surgical hype, so if you are very worried about the risks of surgery or do not want to suffer from long-term pain, you can use it as another treatment option. 2. If the patient is of advanced age, is accompanied by a more severe heart disease, has a poor lung function (pulmonary blister, dispersive pulmonary emphysema, etc.), is unable to withstand the risk of surgery after an assessment by a surgeon, or the patient refuses the operation, he/she is subject to a stereodirectional treatment, which is comparable to the operation. 3. There may be an opportunity for surgical removal, but there is a certain risk, at a time when multidisciplinary discussions between surgeons and ex-surgeons are required to determine the treatment approach. 4. There is a special case of a small, but very close, disease stove that cuts through an important organ, the central one. Surgery may not be a problem from the technical point of view, but the removal of malignant tumours usually requires a combination of some normal tissues on the edges of the stove to ensure that no tumor remains on the outer edge of the specimens cut off. In order to retain this safe border, central-type stoves need to remove more pulmonary tissues, such as wedges from the wedge or pulmonary sections, to be upgraded to pulmonary foetal lobes, than external-type stoves (located on the outside side of the lungs, far from the peripheral organs). This means that more stocks of lung functions will be lost and that there will be greater trauma and risk. In this case, the stereo-directional treatment is a more “priced” option. Medical practitioners conduct professional assessments, and as long as the dose of critical organs is still within manageable limits, it is possible that the central-type stoves will undergo stereodirectional treatment, which may maximize the preservation of lung function. This situation, of course, also requires a combination of surgeons and ex-surgeons to discuss and develop treatment programmes, and to see which approaches can bring greater benefits to patients while at the same time causing small damage. If there are multiple knots in both sides of the lungs, one of the stoves has already been surgically removed, and if you do not want a “two-in-one” treatment, it would be wiser for the rest of the stoves to receive 3D treatment.
Finally, regular post-treatment review is necessary, both after surgery and after treatment.
Lung cancer
