The second Hospital of Shenzhen has successfully treated a 93-year-old woman with radical lung cancer

2022-06-13 0 By

Read and create/Shenzhen Business Daily reporter Xiong Chuyue a few days ago, a patient Mr. Lu who was deeply troubled by the pain attack of degenerative knee joint came to shenzhen Second People’s Hospital for treatment, and during the examination, chest CT showed a 4cm mass in the lower lobe of Mr. Lu’s left lung. After further examination, he was diagnosed as lung cancer.It is worth noting that Mr. Lu is 93 years old this year, but because he used to be a medical worker, usually pay more attention to self-care, the current physical function remains good.Professor Qian Youhui, head of the thoracic surgery department of the 93-year-old patient who was diagnosed with lung cancer, said it is not easy to formulate an appropriate treatment plan for such an old patient.First of all, accurate preoperative staging of lung cancer, accurate assessment of the prognosis of the patient, but also a comprehensive assessment of the current health status of the patient, predict the natural life of the patient;The risks and benefits of possible lung cancer treatment should be fully considered to ensure that patients can get the maximum benefit from the treatment during their lifetime.After the patient was admitted to the thoracic surgery department, a series of examinations were completed. Pet-ct showed that the patient’s tumor was large but still in the local stage, and no signs of metastasis were found in other organs or distant lymph nodes.This means he can get a radical cure with surgery and does not need systemic treatment such as chemotherapy.At the same time, the cardiopulmonary function examination showed that although the patient was older, the vital organ function was still at a good level.The department of thoracic Surgery, together with anesthesiology, cardiology and other related departments, formed a multidisciplinary team to comprehensively analyze and discuss the elderly’s condition.For lung cancer, the main treatment methods include: surgery, radiotherapy, chemotherapy, targeted and immunotherapy.Surgery is the main treatment for radical lung cancer, radical lung cancer surgery refers to the removal of the lung lobe and lymph nodes in the corresponding region of the tumor.For older patients or smaller lesions, the scope of resection can be appropriately reduced to preserve more lung function and improve the postoperative quality of life of patients, which is called partial lobectomy.After multidisciplinary discussion, experts believed that the patient’s lung cancer was in a limited period, and surgical resection was highly likely to cure the tumor radically, and the harm to the patient’s life and quality of life caused by other postoperative adjuvant therapy could be avoided.The patient is currently functioning well, has a good life expectancy and is expected to be able to tolerate the risks associated with surgery.Experts finally confirmed that radical surgery to remove lung cancer is the best treatment at present.Director Qian Youhui believes that thoracoscopic radical lung cancer surgery has been very mature, the technology has little trauma, less interference to the body’s physiological function, low incidence of postoperative complications, fast recovery, very suitable for the old man.The surgical team developed a detailed surgical plan, including technical details and possible scenarios.With the full cooperation of the anesthesiology department and the operating room, the operation was very smooth. During the operation, Mr. Lu’s vital signs basically remained stable. The operation time and postoperative resuscitation time were 140 minutes.Postoperative recovery was also very smooth, the patient could eat within 6 hours, various drainage tubes were removed on the 1st postoperative day, and the patient had recovered to the preoperative activity and was ready to leave the hospital on the 3rd postoperative day.No lymph node metastasis was found in the patient’s postoperative pathology, confirming the judgment of preoperative limitation of his lung cancer. In the future, routine postoperative review is only required, and other adjuvant treatments such as chemotherapy and radiotherapy are not needed.It is known that lung cancer is the first major killer in malignant tumors and the mortality rate ranks the first.In the past 20 years, with the enrichment of treatment methods and the progress of technology, the survival of patients has been greatly improved.With the popularization and maturity of minimally invasive thoracic technology, the safety and comfort of surgery have been greatly improved, and the scope of application of surgery has been continuously expanded. The previously considered “surgical exclusion zone” has been continuously broken through, and advanced age is no longer a contraindication for surgery.With increased capacity, thoracic surgeons are more able to tailor more “individualized” treatment plans for their patients.Relevant data show that lung cancer is the most common malignant tumor, but there are often no symptoms at the early stage. Only regular chest CT examination can effectively detect early lung cancer, and realize the “early diagnosis and early treatment” of cancer.Experts suggest regular CT examination under guidance for high-risk groups.Declaration: This article copyright belongs to the original author, if there is a source error or infringement of your legitimate rights and interests, you can contact us through the mailbox, we will promptly deal with.Email address: jpbl@jp.jiupainews.com