▲ The wife of the breakfast shop has long-term low back pain, and it is found that it is stage 4 lung adenocarcinoma. Cancer cells have metastasized from the lung to the bone. (Photo/Photo by reporter Zhou Chengen)
reporter Xie Chengen/Comprehensive report
58-year-old Ms. Li and her husband ran a breakfast shop together. The lower back pain lasted for up to a year. X-ray examination revealed a tumor in the right lung. The biopsy confirmed that it was stage 4 lung adenocarcinoma, and it had spread from the lungs to the bones and caused pain! Through targeted drug treatment, the tumor size has been successfully reduced from the original 6x4 cm to 4x1 cm, and the tumor index has also dropped to the normal range. The doctor reminded that lung adenocarcinoma may metastasize to the bones, brain, and liver. In particular, bone metastasis is more likely to manifest as pain symptoms, so special attention should be paid. Physician Yao Zhiwei from the Department of Thoracic Medicine of Chang'an Hospital stated that Ms. Li complained that when she had a health check up many years ago, X-rays found a small nodule on her chest. Because she was busy at the time, she did not pay special attention to follow up. Later, she went to the doctor again because of low back pain. X-ray examination revealed a tumor in the right lung, and the biopsy confirmed that it was stage IV lung adenocarcinoma with bone metastases. After discussing the treatment policy with the patient, through targeted drug treatment, the lung tumor was successfully reduced. In addition, the bone and brain metastasis were also significantly improved.
▲Through drug treatment, it was found that the cancer tumor was significantly reduced (red circle). (Photo: Provided by Chang'an Hospital)
Yao Zhiwei said that targeted therapy is effective in treating patients with advanced lung adenocarcinoma with genetic mutations. According to statistics, about 80% of patients have significantly reduced their tumors after taking the drug, and the targeted drugs are currently eligible for health insurance benefits. Regulations. Lung adenocarcinoma is more common in Taiwan, and it is not necessarily related to the history of smoking. In recent years, the proportion of non-smokers in 40-50 years old suffering from lung cancer has been increasing year by year. The medical profession inferred that it may be related to air pollution and genes. In addition, pay special attention to the fact that lung adenocarcinoma is likely to metastasize to other organs, including the brain, liver, and bones. Among them, bone metastasis is more likely to manifest as bone pain symptoms. Ms. Li is one of them.
▲ Physician reminded that patients with lung cancer are asymptomatic at the initial stage, and terminal metastasis of cancer is more likely to damage the brain, bones, and liver. (Photo/provided by Chang'an Hospital) Dr.
reminded that early lung cancer has no symptoms at all. When symptoms occur, 70% of patients are already locally advanced or have metastasized. It is recommended that high-risk groups with smoking habits and family history of lung cancer should be screened regularly; once the cough lasts longer, more than two weeks, or even more than one month, or there is significant weight loss, poor appetite, or hemoptysis It is recommended to go to the thoracic medicine clinic for detailed examination as soon as possible for symptoms such as lung cancer. If lung cancer can be detected early, it can be surgically removed. The prognosis is the best, and the survival rate is relatively improved.
