肺癌多学科综合治疗的临床思维

The clinical thinking about general treatment of lung cancer

肺癌多学科综合治疗的临床思维涉及制定治疗方案、实施治疗方案和考核治疗方案三个方面。制定治疗方案时应依据肿瘤的生物学特性、病人的全身和局部情况以及各种治疗措施的特点。实施治疗方案时应处理好局部治疗和全身治疗的关系、疗效和副作用的关系以及抗癌治疗和辅助治疗的关系。考核治疗方案应凭借影像学改变。

The clinical thinking about general treatment of lung cancer includes three parts:(1)how to make a treatment protocal;(2)how to perform the protocal;(3)how to evaluate it.There are several factors which influece the treatment protocal of lung cancer,such as the biological characters of the tumors,the local and general condition of the paitents and the indications and contraindications of each therapy.When performing the protocal,those relations must be reasonably dealt,it local treatment and general threatment,benefits and side effects,anti tumoral treatment and adjuvant treatment.We can evaluate the effects of the protocal according to the size of the mass of CT or X ray film,the surviving duration and the quality of life.