非小细胞肺癌(nsclc) -一个全面的回顾

Rashmi Anupozu, Manidhar Vanamala
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摘要

非小细胞肺癌(NSCLC)是全球诊断最普遍的癌症类型,是男性癌症死亡的主要原因,也是女性癌症死亡的第二大原因。非小细胞肺癌患者中常见的亚型有腺癌、鳞状细胞癌和大细胞癌。肺癌,根据不同的阶段和类型,每个人的表现可能不同。通常的症状包括咳嗽、咯血、疲劳、哽咽、胸痛、体重减轻等,这些症状因转移部位而异。众所周知,吸烟是肺癌的主要加重危险因素。其他因素,如职业接触化学物质和电离辐射,被动吸烟,遗传,空气污染,饮食和酒精都可能导致个人患肺癌。不同的机制参与了体内肿瘤的发展。目前有大量的诊断方法可用于诊断肺癌。根据肿瘤的部位、类型、转移和大小选择合适的诊断程序。分期是癌症治疗的根本依据。患者的临床分期可通过其实验室结果、支气管镜检查结果、影像学检查和体格检查来确定。随后,患者被分为1期到4期。不同类型的治疗方案可用于治疗非小细胞肺癌,包括手术,放射治疗,化疗,靶向治疗,免疫治疗,姑息治疗。本综述的主要目的是提供最新的NSCLC流行病学,危险因素,诊断程序,分期和治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
NON-SMALL CELL LUNG CANCER (NSCLC) - A COMPREHENSIVE REVIEW
Non-Small Cell Lung Cancer (NSCLC) is the most commonly diagnosed type of cancer globally and is the leading cause of cancer death in men and second leading cause of cancer death in women. The frequently seen subtypes of NSCLC in patients are adenocarcinoma, Squamous cell carcinoma and large cell carcinoma. Lung cancer, depending on the stage and kind, it may act differently in each individual. The usual symptoms may include cough, hemoptysis, fatigue, SOB, chest pain, loss of weight etc. and these symptoms differ depending on the site of metastasis. Tobacco smoking is known to the main aggravating risk factor of lung cancer. Other factors like occupational exposure to chemicals and ionizing radiation, passive smoking, genetics, air pollution, diet and alcohol may all contribute in developing of lung cancer in the individuals. Different mechanisms are involved in the development of the tumor in the body. Large number of diagnostic procedures are available to diagnose the lung cancer. Appropriate procedure for diagnosis is selected depending on the site, type, metastasis and size of the tumor. The fundamental basis for the management of cancer is the stage classification. Clinical stage in the patients can be determined by their laboratory results, bronchoscopy findings, imaging tests and by physical examination. Subsequently patients are staged between stage-1 to stage-4. Different types of treatment options are available for treating NSCLC which includes surgery, radiation therapy, chemotherapy, targeted therapy, immunotherapy, palliative care. The main objective of this review is to provide the updated epidemiology, risk factors, diagnostic procedures, staging and treatments for NSCLC.
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