On the 28th, the famous magician Liu Qian personally confirmed to the media that he was indeed suffering from lung adenocarcinoma. He had undergone surgery in mid-February and was fortunately at stage 0. In addition to regular return visits, he has also given up smoking for many

Magician Liu Qian.

has attracted widespread attention, what exactly is stage 0 lung cancer? What is the relationship between stage 0 lung cancer and lung nodules ? Thoracic surgery experts said that lung cancer adenocarcinoma is generally divided into stage 0, stage 1, stage 2, stage 3 and stage 4. Stage 0 is carcinoma in situ , which can generally be cured by surgical resection. No other treatment is required after surgery, as long as regular observation is enough.

Liu Qian suffers from lung adenocarcinoma - the largest cancer type in my country!

Liu Qian personally confirmed in an interview with the media: "It is true that he suffered from lung adenocarcinoma and the operation was completed in mid-February. Fortunately, it is stage zero. In addition to regular return visits, he has also given up smoking for many years."

media reported that, Liu Qian discovered nodules in his lungs during a physical examination 3 or 4 years ago. Later, he found lung shadows before the Spring Festival Gala performance. After discussing with the doctor, he needed to be hospitalized for surgery. However, Liu Qian did not want to affect the Spring Festival Gala performance at that time, so he decided to wait until Surgery was done after the performance. From lung nodules to lung adenocarcinoma, this change is alarming, especially since he revealed that his brother-in-law passed away from lung cancer not long ago... This news attracted widespread attention.

Lung adenocarcinoma is the most common type of lung cancer. Most of it originates from the bronchial mucosal epithelium, and a small part originates from the mucus glands of the large bronchi. Smoking is one of the risk factors for lung adenocarcinoma. Data show that smokers are 15-30 times more likely to develop lung cancer than non-smokers.

Peng Xiufan, director of the Department of Thoracic Surgery at Guangdong Qifu Hospital, said that in my country, the incidence of lung cancer ranks first among all tumors. Because it grows very slowly, it has little impact on lung function in the early stages and is difficult to detect.

Magician Liu Qian.

One in every five people has pulmonary nodules. How should we deal with it?

So, how far is the lung nodule from lung adenocarcinoma?

With the popularity of chest CT, the detection rate of pulmonary nodules is getting higher and higher. Studies show that the detection rate of pulmonary nodules is about 20%, which is equivalent to 1 in every 5 people having pulmonary nodules. . Many people fall into anxiety when they see the word nodule and mistakenly think that the nodule is lung cancer. In this regard, Director Peng Xiufan said that most pulmonary nodules are benign and there is no need to worry too much. However, there are some nodules that do require close attention, namely ground-glass nodules and solid nodules larger than 1 cm, which require close follow-up and observation. If they become larger or have a solid component, surgical intervention may be required.

For some small pulmonary nodules, or those with special needs, you can also choose TCM syndrome differentiation for treatment. In March this year, Uncle Chen (pseudonym), an old smoker, found multiple irregular nodules in both lungs. He found Professor Wang Chengxi, a famous provincial Chinese medicine doctor and an expert at the Traditional Chinese Medicine Center of Guangdong Qifu Hospital. Professor Wang treated him with Xuanfei Sanjie prescription. , three months later, imaging examination showed that the pulmonary nodules had been absorbed.

Pulmonary nodules are often caused by phlegm and blood stasis. Whether treatment is needed depends on the size, location, and nature of the nodule, as well as your age, physical condition, and other comprehensive factors. Wang Chengxi suggested that different response strategies should be adopted for different nodules: patients with medium-risk and below can use traditional Chinese medicine for conditioning intervention; high-risk patients can first use traditional Chinese medicine for conditioning and then observe whether surgery is needed; those aged 65 and above are recommended Mainly based on traditional Chinese medicine intervention.

These high-risk groups should undergo CT screening every year!

It is worth reminding that adenocarcinoma usually appears as a lung nodule at first. When the nodule is small, it is difficult to tell whether it is cancer. Director Peng Xiufan recommends regular screening, especially for these high-risk groups:

"China's Guidelines for Lung Cancer Screening, Early Diagnosis and Treatment" recommends low-dose spiral CT for lung cancer screening once a year. Relevant citizens can go to the thoracic surgery department or physical examination department of the hospital for consultation and billing, and undergo examinations under the guidance of specialists. “Of course, if you have symptoms such as coughing, coughing up blood, or chest pain, please see a doctor in time."

Written by: Nandu reporter Wang Daobin, correspondent Dai Min