Progress in diagnosis and treatment strategies for multiple primary lung cancer
- VernacularTitle:多原发肺癌外科诊疗策略进展
- Author:
Yixiang ZHANG
1
,
2
;
Qiang XIE
1
,
2
;
Chundong GU
1
,
2
Author Information
1. 1. Department of Thoracic Surgery, The First Affiliated Hospital of Dalian Medical University, Dalian, 116011, Liaoning, P.R.China
2. 2. Lung Cancer Diagnosis and Treatment Center of Dalian, Dalian, 116011, Liaoning, P.R.China
- Publication Type:Journal Article
- Keywords:
Multiple primary lung cancer;
diagnosis;
simultaneous bilateral operation;
local ablation
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2021;28(05):609-614
- CountryChina
- Language:Chinese
-
Abstract:
Multiple primary lung cancer is a special type of lung cancer. Its detection rate is increasing year by year, and there is no clear diagnosis and treatment strategy, which makes the diagnosis and treatment become a hotspot in clinical work. The molecular genetics is gradually changing the status quo of relying only on imaging and tumor-free interval to distinguish lung metastasis from multiple primary lung cancer, and it is an effective method for differential diagnosis and prediction of biological behavior of lung cancer. Based on our experience and other studies, it is recommended that surgical treatment should be preferred when there is no contraindication. The advantages and disadvantages of bilateral thoracoscopic surgery for bilateral multiple primary lung cancer during the same period are discussed, and its feasibility and safety are confirmed. For the lesions that cannot be completely resected, active surgical local treatment is recommended. The diagnosis and treatment of multiple primary lung cancer is still a clinical difficulty, and we hope that our research can provide theoretical and practical guidance for clinicians.
