Is it good to have chemotherapy before surgery in the early stage of lung cancer???

1. Surgery can be performed before chemotherapy, and the effect of surgery first and then chemotherapy is better.

2. If surgery is not possible, chemotherapy is needed before surgery is possible, then chemotherapy is needed first.

You can refer to the 2010 NCCN Guidelines for the Diagnosis and Treatment of Lung Cancer.

Analysis:1Chinese medicine**.

Traditional Chinese medicine also has a good application in lung cancer, due to the use of dialectical methods, traditional Chinese medicine can improve symptoms, improve the quality of life, stabilize the lesion, prolong survival, in the process of surgery, radiotherapy and chemotherapy can reduce toxicity and improve efficacy. In the first case of lung cancer, methods such as nourishing yin and generating jin, nourishing qi and strengthening the spleen, nourishing qi and nourishing yin, nourishing yin and warming yang are used, and are used together with anti-cancer drugs such as dissolving phlegm and softening firmness, regulating qi and removing stasis, clearing heat and detoxifying.

2.Targeted drugs.

Targeted drugs are currently the most advanced drugs for **cancer. Targeted drugs (targeted

Medicine) is developed for the unique genes of tumor cells, which can recognize and kill tumor cells with high specificity, so its effect is good and small, especially suitable for patients with poor constitution. At present, the targeted drugs that can be used for ** non-small cell lung cancer in China are Iressa and Tarceva, both of which are epidermal growth factor receptor tyrosine kinase inhibitors (EGFR).

TKI), its principle and efficacy are not much different. Targeted drugs** are high, and economic affordability should be considered. Suggestions:

The early symptoms of lung cancer are generally not obvious, the early stage can be operated first, the postoperative use of radiotherapy and chemotherapy combined with anti-cancer traditional Chinese medicine, chemotherapy is toxic, can only eliminate the surface of the tumor, can not be the first tumor, it is recommended that the patient through some Ganoderma lucidum preparations The effect is better, the effect is fast, and the advanced malignant tumor and lung cancer have a unique effect after surgery, and it is safe, will not cause any harm and toxicity to the body, so that the patient can see the effect in a short time, reduce the pain, such as the patient cooperates well,** There is also hope. The combination of Chinese and Western methods gives full play to the advantages of each method to effectively control the growth of tumors.

Hello, malignant tumors are local manifestations of systemic diseases. **Different approaches to oncology have their indications and limitations. For example, surgery can achieve ** effect on early and localized tumors, but the effect is poor when local**, the tumor is large or there is metastasis.

Radiation** can achieve ** effect on some tumors, but it is a local**. Chemotherapy is a systemic method, but most chemotherapy drugs do not have a strong selective inhibitory effect, and often have a certain amount of ***.

Traditional Chinese medicine believes that the principles of ** tumor are: clearing heat and detoxifying, invigorating blood and removing stasis, dissolving phlegm and dampness, softening and dispersing knots, replenishing qi and nourishing blood, nourishing yin and cultivating yuan, improving immunity and promoting the early recovery of health of patients.

How long chemotherapy is after lung cancer depends on the situation. Lung cancer patients with stage B after surgery, if there are ** and metastasis risk factors, must do chemotherapy, stage II, stage IIA to stage IIIA, and even stage IIIB patients, must do postoperative adjuvant chemotherapy, then when is the best chemotherapy, generally it is better to start chemotherapy as soon as possible within 4 cycles after surgery, but some patients may not be able to carry out chemotherapy within 4 weeks due to objective reasons, then it is okay to prolong it as appropriate, such as some patients have poor nutritional status, If the heart and lung function is not good or the liver and kidney function are not good, the duration of postoperative chemotherapy may be prolonged, and chemotherapy can be started when the nutritional status returns to mild or moderate conditions, which may take at least two weeks. In addition, patients with poor liver and kidney function, such as liver insufficiency and transaminases higher than twice the normal value, can not do chemotherapy, at this time, oral drugs or oral hepatoprotective food, to restore to normal and then chemotherapy, if it is less than twice the normal value of transaminases, then chemotherapy will not be affected.

Patients with renal insufficiency should calculate the creatinine clearance rate, if the creatinine clearance rate is below 30, basically chemotherapy can not be done, at this time, it is necessary to protect the renal function after recovery, it is best to be able to recover to more than 50 ml per minute, and then you can do conventional normal chemotherapy.

To put it in layman's terms, what is the difference between benign diseases and malignant diseases? To put it simply, it can be said that benign diseases can be achieved after surgery, and malignant diseases have the possibility of metastasis after surgery. Therefore, follow-up is still necessary after malignant diseases.

There is still a debate about whether and how many courses of chemotherapy are needed for postoperative treatment. However, it is generally recommended that patients with stage IA can consider not chemotherapy after ** and only have regular follow-ups. However, it is not possible to confirm whether the surgery is complete** or whether the lymph node dissection is indeed in place, which will directly affect the accuracy of postoperative staging. Therefore, chemotherapy should still be considered, and 2 courses can be done.

If the stage is late, 4-6 courses of treatment are required.

Patients with small cell lung cancer must undergo chemotherapy after surgery. Although the pathological classification of non-small cell lung cancer patients is not very sensitive to chemotherapy after surgery, the purpose of postoperative chemotherapy is to reduce the probability of metastasis, so postoperative chemotherapy is still very meaningful for lung cancer. As long as there are no contraindications to chemotherapy in the physical condition, it is still necessary to choose to do it.

If the patient is unable to tolerate chemotherapy, targeted therapy may be considered**.