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[求助]大家帮帮我,看看我爸的病情肺腺癌单发脑转移

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发表于 2008-5-14 16:17:05 | 显示全部楼层 |阅读模式 来自: 中国山东泰安

我爸因流虚汗去检查,左肺炎症,右肺下叶有一个肿块,当时怀疑是结核球,后来打了十几天针好了,炎症消了,但肿块没消,去济南省立医院做全身体检,他三个月来不时出现视力模糊,一年多睡觉时有幻觉,脑枕叶有一个转移灶,脑部在枕叶,1.1×1.3,周围水肿不重,肺部才2.0 乘2.6大,建议先做脑部手术,然后是肺手术,后化疗,现在做完了脑手术,他骨无转移,淋巴结也不肿大,转移也太快了,他才53岁呀,才手术十五天就再做肺是不是太快了?他其他都很正常,没做pet,医生说国际惯例是如果脑和肺都是单发,就可做手术,我查得资料也是这么说的。还有肺部也不是肺叶全切,我认为这是一个最大的错误,那该怎么补救呀,还有病理已经出来了,是高-中分化腺癌,预后怎么样呀,这些庸医太可恶了,不全切肺叶,唉,亏我还是个医学生,当时光在医院忙了,没来得及在学校查专业资料

高中分化是不是比较罕见呀,看论坛里朋友们的亲属都是低中分化,听说分化越高化疗越不敏感,虽然分化高,但病灶这么小就转移恶性程度还是很高的

下一步是全脑放疗还是先化疗,我考虑他的分化比较好,应该可以认为就一个转移,可以先全身化疗(能通过血脑屏障的),然后再脑放疗 如果化疗用什么药呀?

大家帮我分析一下,好吗?到底是全脑还是立体三维好,先化疗还是放疗好难抉择呀

有爱,就有奇迹!
发表于 2008-5-14 16:38:37 | 显示全部楼层 来自: 中国北京

自己本身就是医学院的学生的话,也可以去咨询一下老师什么的啊,比我们的途径要多呢.

有爱,就有奇迹!
 楼主| 发表于 2008-5-14 17:23:08 | 显示全部楼层 来自: 中国山东泰安

那也要看什么样的老师了,我问老师都不让做手术呢,说人财两空 晕

有爱,就有奇迹!
 楼主| 发表于 2008-5-14 17:42:50 | 显示全部楼层 来自: 中国山东泰安

[讨论]看看这个吧,不会是韩国人又造假吧?单法脑转移五年有55。6%

Pulmonary resection in patients with nonsmall-cell lung cancer treated with gamma-knife radiosurgery for synchronous brain metastases.

Department of Neurosurgery, DongGuk University International Hospital, Gyeonggi-do, Korea.

BACKGROUND: The aim of the current study was to determine whether a pulmonary resection and gamma-knife radiosurgery (GKRS) protocol is superior to GKRS alone in selected patients with stage IV nonsmall-cell lung cancer (NSCLC). METHODS: The authors performed a retrospective case-control study of 232 consecutive patients with newly diagnosed NSCLC from January 1998 to December 2005 and screened them to identify a study cohort in which all patients had thoracic stage I or II, Karnofsky performance status >or= 70, no extracranial metastases, and 1-3 synchronous brain metastases of less than 3 cm, and were treated with GKRS (n=31). The study cohort was divided into 2 groups, those with and without concomitant pulmonary resection. RESULTS: Sixteen patients with pulmonary resection were assigned to the treatment group and 15 without pulmonary resection were assigned to the control group. Median follow-up was 27.3 months (range, 4.4 months to 90.9 months). Mean survivals for the treatment group and the control group were 64.9 and 18.1 months, respectively (P< .001). There was a statistically significant association between pulmonary resection and better survival (OR=78.408). One-year and 5-year local brain tumor control rates were 97.1% and 93.5%, respectively. CONCLUSIONS: The pulmonary resection and GKRS protocol could prolong survival in patients with thoracic stage I or II NSCLC, no extracranial metastases, and a limited number of small synchronous brain metastases.

全文我在学校的cancer上看过了,如果肺部一期76个月,二期56月,太让我激动了,我真怕造假呀,以前查的资料都只有20-30%,国内更低

有爱,就有奇迹!
发表于 2008-5-14 18:20:40 | 显示全部楼层 来自: 中国江苏南京
脑部病灶不大,别手术了,赶紧放化疗
有爱,就有奇迹!
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