当代简要回顾2023年:肺癌和干预性肺病学的进展
Tracy L Leong1,2,3, Daniel P Steinfort3,4,5
1Department of Respiratory Medicine, Austin Health, Heidelberg, Victoria, Australia.
概括
肺癌查标准现在包括家庭病史,年龄和吸烟情况. 支气管镜术的进步改善了结节采样,分子表征和肺癌治疗.
科学领域:
- 肺病学和胸部瘤学 肺病学和胸部瘤学
- 干预性肺病学 干预性肺病学
- 医学瘤学 医学瘤学
背景情况:
- 肺癌查资格需要更新的标准,考虑家庭病史,年龄和吸烟状况.
- 肺癌查产生偶然的发现,需要定义的管理途径.
- 诊断和治疗支气管镜学的进步对于肺癌管理至关重要.
研究的目的:
- 为了突出肺癌查的资格标准的不断变化.
- 讨论在肺癌查期间偶然发现的管理.
- 审查肺癌诊断和治疗的支气管镜技术的进展.
主要方法:
- 将家族病史,年龄和吸烟状况纳入查资格.
- 为偶然发现开发明确的管理途径.
- 利用过程内成像和机器人技术进行肺结节采样.
- 实施系统的胸部淋巴结采样.
- 支气管显微镜除技术用于周边肺癌的应用.
- 利用支气管镜采样进行分子表征.
- 扩大早期和可切除肺癌的免疫疗法指示.
主要成果:
- 通过先进的成像和机器人技术进行增强的肺结节采样.
- 通过系统的胸部淋巴结采样提高了治疗疗效.
- 支气管镜切除对于周边肺癌的可行性.
- 支气管样本采集的高产量用于分子分析.
- 在早期肺癌中扩大免疫治疗的使用.
结论:
- 肺癌查方案必须包含全面的资格标准.
- 对偶然发现的标准化管理至关重要.
- 支气管镜干预在肺癌诊断,分期和治疗方面取得了重大进展.
更多相关视频
相关概念视频
Cancer Therapies
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
Targeted Cancer Therapies
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
There are several types of targeted therapies against specific...
Chronic Obstructive Pulmonary Disease-V: Management
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
Radiological Investigation III: Pulmonary Angiogram and PET Scan
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
Pulmonary Embolism III: Nursing Management
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...


