肺癌的化疗夏黎明ppt课件

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1、LungCancerChemotherapyLimingxiathefirstaffiliatedhospitalofAnhuiCollegeofTraditionalChineseMedicineAlsocalled:BronchogeniccarcinomaLungcancerisoneofthemostcommoncancersintheworld.Itisaleadingcauseofcancerdeathinmenandwomenintheworld.Cigarettesmokingcausesmostlungcancers.Ris

2、kfactors:cigarettes,highlevelsofpollution,radiationandasbestosexposure,etc.Yourlungsaretwospongyorgansinyourchestthataredividedintosections(lobes).Everytimeyouinhale,airiscarriedthroughthewindpipetoyourlungsintwomajorairways(bronchi).Insideyourlungs,thebronchisubdivideintoa

3、millionsmallerairways(bronchioles),whichfinallyendinclustersoftinyairsacs(alveoli).Withintheairsacs,oxygenisabsorbedintoyourbloodstreamandcarbondioxideisreleased.TypesoflungcancerSmallcelllungcancer.Smallcelllungcancer,sometimescalledoatcellcarcinoma,occursalmostexclusively

4、inheavysmokersandislesscommonthannon-smallcelllungcancer.Non-smallcelllungcancer.Non-smallcelllungcancerisanumbrellatermforseveraltypesoflungcancersthatbehaveinasimilarway.Non-smallcelllungcancersincludesquamouscellcarcinoma,adenocarcinomaandlargecellcarcinoma.HowIsLungCanc

5、erDiagnosed?SymptomsandsyndromesPulmonarysymptomsSymptomsinotherorgansSymptomslinkedtotumormetabolismBlood(hematologic)syndromesVeinandartery(vascular)syndromesSkin(cutaneous)syndromesMusculoskeletalsyndromesNervoussystem(neurologic)syndromesHormonal(endocrine)syndromesMisc

6、ellaneoussyndromesTestsanddiagnosisScreeningDiagnosisImagingtestsSputumcytologyTissuesamples(biopsy)bronchoscopymediastinoscopyneedlebiopsy(Left)ConventionalCTscanwithoutcontrastshowingpossibletumorintheliver.(Right)ConventionalCTscanofthesamepatientusingcontrast.Imagescour

7、tesyofDr.PeterChoyke,DepartmentofRadiology,ClinicalCenter,NationalInstitutesofHealth.BronchoscopySmallCellLungCarcinoma(above)accountsforabout15percentofalllungcancercases.Normallungcells(above).StageI.Canceratthisstagehasinvadedtheunderlyinglungtissuebuthasn'tspreadtothely

8、mphnodes.StageII.Thisstagecancerhasspreadtoneighboringlymphnodesorinvadedthechestw