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Condition analysis: Hello, lung cancer bone metastasis, at this time, if the physical condition is good, then chemotherapy combined with radiotherapy is possible, but these methods are relatively large, it is best to combine traditional Chinese medicine to consolidate, so that the effect will be better.
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I work in a provincial cancer hospital. Chemotherapy combined with radiotherapy is helpful for bone metastases from lung cancer. At the same time as chemotherapy, zolescophospic acid can be used to prevent bone destruction and bone lysis, once a month, for half a year.
Radiotherapy of bone metastases with a linear accelerator can relieve pain and prevent further bone destruction, 5 times a week, 2 weeks of treatment.
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It can be combined with life protectors, which can reduce toxicity and increase the effect.
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1. It is currently in an advanced stage;
2. The operation is only to remove the tumor visible to the naked eye, but the cancer cells are not clean, and metastasis is the characteristic and law of cancer, which should be further consolidated and prevented after surgery.
3. It is best to use traditional Chinese medicine to consolidate the disease, the main thing to see a doctor is to see a doctor, it is best to find a professional and experienced Chinese medicine oncologist, according to the specific condition, on the one hand, kill cancer tumor cells, reduce, alleviate and control the disease, prevent further deterioration of the disease, on the other hand, it can be symptomatic, the whole body is conditioned, improve immunity, survive with the disease, prolong life, etc.
4. Pay attention to the rules of life, keep the stool smooth, psychological adjustment, family care, prevent colds, fatigue, anger, etc.;
5. Pay attention to dietary health care, you can eat more nutritious, easy to absorb and digest food, light taste, eat less and more meals, eat more fresh vegetables and fruits, mushrooms, pork, duck meat, pigeon meat. Do not eat spicy foods such as beef and mutton, dog meat, chicken, fish and shrimp, chili peppers, and do not eat raw and cold, greasy, fried, pickled, smoked foods, etc.
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Clinical practice has proved that high-dose radiotherapy and chemotherapy for patients with advanced stage of the disease, or re-administration of chemotherapy for drug-resistant patients can only lead to more dying of weak lives and accelerate the death of patients. Chemotherapy drugs are often "unclear" and "friend and foe", killing tumor cells and normal cells of the human body at the same time. Often, after the patient's chemotherapy is completed, the body collapses.
The patient's condition is not suitable for Western medicine such as chemotherapy**, and it is recommended that you choose Chinese and Western**.
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What is the significance of radiotherapy and chemotherapy that has been metastasized, and now the best way is to use traditional Chinese medicine immune products, protect the liver and lungs, inhibit the spread and metastasis of cancer cells, and alleviate the pain of patients is a wise choice.
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The best way to recuperate is to use traditional Chinese medicine to consolidate**, the traditional Chinese medicine formula is more flexible, mainly according to the patient's condition at any time to adjust the prescription is better, it is best to find a doctor who specializes in this aspect of the disease to prescribe medicine, the effect is relatively ***, I hope the answer will be helpful to you.
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Cancer has gone to bone metastasis, and some people may feel that they are hopeless at the moment, but bone metastasis does not mean that the cancer is terminal, but only indicates the risk of pathological fracture. Although fractures do not directly cause death, Lin Gaotian, president of the Osteoporosis Society, said that if you stay in bed for a long time after a fracture, you are prone to pneumonia, urinary tract infection, or other complications, so it is best to avoid the beginning of the fracture.
Tumor compression of bone metastasis may erode the bone itself, resulting in pathological fractures, or compression of spinal nerves, or endocrine disorders, resulting in hypercalcemia; High blood calcium can lead to nerve conduction problems, fatigue, muscle weakness, constipation, kidney stones, anemia, arrhythmia, and blood calcium over 15 mg dl (normal is 8 10 mmol L), there is a risk of death.
In addition to the inconvenience of the fracture, the pathological fracture is more difficult to operate because the tumor is more invasive to the bone, so compared with the fracture caused by the trauma caused by the main object, the empty bone must be filled by foreign substances, so the operation is also more difficult.
Of course, it is now possible to use bisphosphonate drugs to curb bone loss, alleviate the symptoms caused by bone metastasis, or use painkillers and radiation** to control discomfort and stop the spread of tumors, but the effect is not good, surgery should be considered, otherwise the situation will worsen, and the risk of surgery will be higher.
If there is a risk of pathological fractures, or if the pain is already unbearable, surgery should be considered. Among the people who have fractures due to osteoporosis, the most feared are hip bone and vertebral fractures, because it will directly affect the ability to move, cause bed rest, and will compress other organs, compress the tumor of the spine, and more likely because of the compression of spinal nerves, resulting in half of the patient's body and whole body, and pathological fractures caused by cancer bone metastasis, the most worrying is the problem of bed rest and spinal cord compression.
Therefore, if the location of bone metastasis is in the hip bone, or spine, lower limbs, it is recommended to enter the consideration of surgery, and if the tumor is highly aggressive and is constantly eroding the bone, it has significantly damaged the bone, and the erosion reaches more than 2 3 bone width, and the risk of fracture can reach 50 or even 80 according to the patient's physical condition, unless there are other physiological insuitability, surgical resection is recommended.
Because considering the physical condition of cancer patients, unless the prognosis is very good, most of the surgical resection of the tumor will choose to only remove the tumor and preserve the bones and limbs, so after the operation, radiation must also be carried out ** to remove the surrounding tumor cells, and it is also necessary to pay attention to the problem of postoperative wound infection and weakened immunity, which must be taken care of.
Therefore, in the event of bone metastasis, it is best to discuss with the doctor as soon as possible whether surgery is necessary, otherwise once a fracture occurs, both care and surgical treatment will increase the difficulty and risk. If the doctor thinks that the patient can observe first, or the physical condition is not suitable for surgery, it is also necessary to pay attention to the possibility of preventing fractures at all times, avoid weight bearing on the site of bone metastasis, and use assistive devices to support the body if necessary.
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Bone metastases from lung cancer**:
Systemic anti-tumor** (chemotherapy, biological targeting**, etc.): Systemic chemistry** can also play a role in controlling the development of bone metastasis and relieving pain while ** the primary lesion in the lungs, so it can not only relieve pain, but also kill cancer cells and control their growth. In particular, the combined chemical ** scheme based on high-dose cisplatin has a significant effect.
Molecularly targeted ** drugs such as Elbitux, Iresa and Trokai have also been widely used in clinical practice.
Surgery**: local metastasis resection, bone cement fixation and repair, etc.
Radiation** (including internal irradiation of radioisotopes**): Radiation** can be divided into several methods, such as 60 cobalt irradiation, deep X-ray machine and linear accelerator. For solitary bone metastases, after the lung lesions are chemically controlled and stabilized, a large dose and a short course of radiation** can be given to relieve pain, kill cancer cells, and control the development of lesions.
About 50% of patients experience complete pain relief after radiation**, and about 75% of patients experience significant pain reduction. Radiation is not appropriate for patients with multiple systemic bone metastases**, and radionuclides** may be used. At present, strontium-89 is used at most, and radionuclides can reduce bone destruction and dissolution caused by bone metastasis, and can eliminate or alleviate severe pain caused by bone metastasis, while inhibiting the development of bone metastases.
However, because it can also cause myelosuppressive reaction, in principle, it is not used with chemical **, and the changes of white blood cells must be observed regularly.
Analgesia**: Narcotic analgesics such as morphine hydrochloride, morphine sulfate, dihydroetofi tablets and Dorigi patches can significantly relieve the pain caused by bone metastases and improve the quality of life of patients.
Bisphosphonate**: such as bone phosphorus (disodium chloroformphosphonate), Boning and Adda (disodium pamidronate), Zetai (zoledronic acid) and other phosphoric acid drugs, as well as dense calcium. These drugs can counteract the osteolytic effect of metastatic bone tumors and reduce the risk of pathological fractures.
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There is no need to do a biopsy, there is an advanced bone metastasis of lung cancer, presumably the whole body is in pain, and the more the patient tosses, the weaker the body becomes. Doing a biopsy is to see if it is benign and malignant, and advanced bone metastasis of lung cancer does not need to be done to know that it is malignant "Common Sense Doctors Know".
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Bone metastases in advanced lung cancer are usually painful and can be treated with local radiotherapy.
Radiotherapy is the most commonly used method, and then combined with the ** of traditional Chinese medicine, so that the effect will be better.
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