[ad_1]
Reporter Jian Haozheng / Taipei Report
Taipei City Councilor Zhong Peijun announced on Facebook this morning that due to abnormal hyperplasia of her right lung, she will undergo surgery today; and he also said that his mother and aunt had also died of lung adenocarcinoma. In this regard, the doctor said that if it is an early stage and the nodule measures less than 0.5 cm, the first observation is not necessary, however, it is recommended for heavy smokers and those with a family history of lung cancer low-dose computed tomography LDCT lung cancer screening.
▲ The doctor said that heavy smokers and those with a family history of lung cancer are recommended to undergo low-dose CT LDCT lung cancer screening. The image is a schematic diagram. (Photo / Obtained from Pixabay)
Zhong Peijun, 36, candidly said that at the age of 25, lung adenocarcinoma took her mother and aunt one after another, making her decide to treat every minute of her life more carefully. Unexpectedly, this time, “impermanence” came first. The computed tomography found abnormal hyperplasia of the right lung. The doctor suggested using the knife immediately. I knew it was time to embark on another adventure. “
Chen Jinxing, an authority on lung cancer and vice president of the National Taiwan University Hospital Cancer Center Hospital, said that according to recent studies at the hospital, Asians, including Taiwanese women, have been found to suffer from cancer of the lung, unlike the Western People’s National Congress, unlike other countries where squamous cell carcinoma is the mainstay. High-risk groups are mostly heavy smokers. The lung cancer of Chinese women is mainly adenocarcinoma of the lung, and non-smokers account for the majority. Including the national health director Wang Yingwei also previously said that foreign recommendations “are not suitable for Taiwan’s situation.”
▲ When the National Health Administration announced the cancer report last week, the number of women with lung cancer surpassed colorectal cancer, which is speculated to be related to the increase in the proportion of medical examinations. (Photo by reporter Jian Haozheng)
Lin Liru, head of the National Health Administration’s cancer prevention and control team, also stated in the 2018 cancer registry report last week that the number of women with lung cancer surpassed colorectal cancer for the first time. . It is speculated that the main reason is that the proportion of medical examinations has increased and there are more low-dose CT scans. (LDCT) increased the ratio.
In view of this, the National Health Administration and the Taiwan Lung Cancer Society, the Taiwan Thoracic and Intensive Care Medicine Association, the ROC Radiology Association, and the Taiwan Thoracic Surgery Association have jointly issued a consensus statement on low-dose CT lung cancer screening in Taiwan.It is recommended that “heavy smokers ages 50-80” and “people with a family history of lung cancer” are screened for lung cancer with LDCT.The National Health Administration also agreed to consider offering free screening tests to Chinese citizens at this address.
Chen Jinxing said that the National Health Administration is considering including LDCT in the ranks for free screening tests in June this year. The two types of people above are the recommended targets; And people who currently receive LDCT lung cancer screenings on their own will cost between 4,000 and 6,000 yuan.If it can be found early through screening, the 5-year survival rate is quite high. If it is stage 1a below 3 cm and there is no lymphatic metastasis, the 5-year survival rate for the National Taiwan University Hospital is more than 90%, and the national average is also 80%; when it is more than 4 cm or stage 1b with distant metastases, the 5-year survival rate The rate is also around 70%. In the second period, the 5-year survival rate drops to about 50%, in the third period it drops to 3-40%, and the fourth period is only less than 20%.
▲ The doctor said that heavy smokers and those with a family history of lung cancer are recommended to undergo low-dose CT LDCT lung cancer screening. The image is a schematic diagram. (Photo / Obtained from Pixabay)
He said the abnormal shape of lung cancer is a key factor, including solid and non-solid nodules (ground glass lesions). Typical ground glass lesions have an increased risk of malignancy. 80% of them are carcinoma in situ or adenocarcinoma in stage I; solid nodules are more likely to be malignant. If there is a variation, an experienced practitioner is required to judge. In current clinical practice, if the nodule is less than 0.5 cm, it is recommended to observe it and visit it once every six months to a year; if the size is greater than 0.8 cm, it should be considered for treatment, but it still depends on the size, shape and solidity. Judge.
Chen Jinxing urged that if first-class relatives have lung cancer, screening should be done early, even in their 40s, or at least the same age as their relatives, so that early detection and treatment can be done. .
