Summary
Lung cancer is one of the most common malignant tumors in the
world, and its high recurrence rate is the main cause of treatment failure and death of patients. The choice of treatment strategy after lung cancer recurrence is essential to improve the survival time and quality of life of patients. The purpose of this article is to explore the comprehensive treatment strategies for recurrent lung cancer, including surgery, radiotherapy and chemotherapy, and targeted drug therapy, in order to provide a reference for clinical decision-making.
Introduction
Lung cancer is a very malignant and serious cancer with a very high incidence. With the continuous progress of medical technology, the treatment of lung cancer is becoming more and more abundant, but the recurrence rate of lung cancer is still high. The choice of treatment strategy for recurrent lung cancer has an important impact on the prognosis of patients. Therefore, this article will discuss the treatment strategy of recurrent lung cancer in detail, in order to provide guidance for clinical practice.
Causes and mechanisms
of
lung cancer recurrence The main causes of recurrence of
lung cancer are as follows: 1. Biological characteristics of tumor cells: Lung cancer cells have high proliferation ability and strong invasiveness, and are easy to form new tumor lesions at the primary site or distant sites. 2. Incomplete treatment: The tumor cells were not completely removed during the initial treatment, resulting in the continued proliferation of residual cells. 3. Low immune system function: The immune system function of lung cancer patients is impaired, and tumor cells can not be effectively identified and eliminated. 4. Environmental factors: Smoking, air pollution and other environmental factors may contribute to the recurrence of lung cancer.
Treatment strategies
for recurrent
lung cancer
1. Surgical treatment is one of the preferred methods for patients with local recurrence of lung cancer if their physical condition permits and the tumor does not metastasize widely. Surgical resection of tumor tissue can effectively control the development of the disease. The survival period is prolonged, and the effect is remarkable. However, because patients with recurrent lung cancer are often accompanied by varying degrees of lung function impairment and increased surgical risk, surgical treatment requires careful assessment of the patient’s physical condition and surgical risk. 2. Radiotherapy and chemotherapy are important treatment methods for recurrence of lung cancer. Radiotherapy is a local treatment to kill residual cancer cells by irradiating the tumor site with radiation. Chemotherapy, which uses specific drugs to kill rapidly growing cancer cells, is more effective in patients with extensive metastases. 3. Targeted drug therapy Targeted drug therapy is a precise attack method designed for tumor surface markers, which can reduce the impact on healthy tissues. For lung cancer patients with specific mutant genes, targeted drug therapy can be used to improve the therapeutic effect. However, there are also some problems in targeted drug therapy, such as drug resistance, side effects, etc. It is necessary to evaluate the specific condition of patients individually and select appropriate drugs and treatment programs. 4. Immunotherapy The purpose of immunotherapy is to activate the body’s own immune system to identify and attack cancer cells with persistent anti-tumor activity. For some cases of recurrent lung cancer, immunotherapy can achieve the goal of tumor control by restoring T cell activity and enhancing anti-tumor. 5. Traditional Chinese medicine treatment plays an important role in the treatment of lung cancer recurrence. Traditional Chinese medicine can be used alone or combined with surgery, radiotherapy and chemotherapy. However, the effect and mechanism of TCM treatment still need to be further studied and clarified.
Comprehensive treatment strategy
The treatment strategy of recurrent
lung cancer needs to consider a variety of factors, including the specific condition of the disease, such as tumor stage, pathological type, physical condition and medical history. Comprehensive treatment strategies include: 1. Individualized assessment: according to the specific condition of the patient, make personalized treatment plan. 2. 2. Multidisciplinary cooperation: combined with surgery, radiotherapy, chemotherapy, targeted drug therapy, immunotherapy and other means of comprehensive treatment, to form a multidisciplinary collaborative treatment model. 3. Comprehensive supportive treatment: strengthen the comprehensive supportive treatment of nutritional support, psychological support and pain management to improve the quality of life of patients.
Conclusion
The choice of treatment strategy for recurrent
lung cancer has an important impact on the prognosis of patients. The key point is to improve the therapeutic effect, prolong the survival time of patients and improve the quality of life. With the improvement of medical research and the improvement of medical technology, the treatment of lung cancer recurrence will be more diversified and precise, bringing better treatment effect and survival experience to patients.
