Lung cancer screening will help the families of early detection

Smoke, have a family history of lung cancer were the two major high-risk groups, such as the Chang Gung Memorial Hospital research team for lung cancer families to low-dose 64-section computed tomography (64-cut CT) examination showed 15% abnormal ratio, a high degree of suspicion reached 6.5% in the proportion of lung cancer, one of lung cancer has been confirmed. 

 Lung cancer in 10, not only among the best, the death toll rose year by year, Chang Gung Memorial Hospital, Ying-Huang Tsai, vice president, said the effect of early treatment of lung cancer better, but found that difficult, Chang Gung Memorial Hospital statistics into more than five cases at the time of diagnosis is late. 

 Ying-Huang Tsai said, smoking and lung cancer has a high degree of correlation is an indisputable fact that, while family history of lung cancer is also a risk factor that can not be ignored. Internal research shows that parents or brothers and sisters have one person suffering from lung cancer, lung cancer is its 2-fold higher than the opportunity, if the pro-3, etc. have been more than two or more lung cancer, which is the so-called "multi-family", their lung cancer machine rate was even higher than 14-fold. 

 Past studies have shown the traditional X-ray is very difficult to find early lung cancer, in recent years, many to make computer tomography examination, according to foreign large-scale studies have shown that for most people to carry out a CT scan, a lung cancer screening were a total of about 0.3% to 0.5%, while for smoke screening high-risk group, while there is 2-3% of patients with lung cancer, Ying-Huang Tsai note, this shows that for high-risk groups for screening the effectiveness of good, but also more effective. 

 Since last October, Chang Gung Memorial Hospital and Medical Center 6 studies, the use of CT screening for all 64 family members of patients with lung cancer nearly 300 people and found that 15% of people have lung nodules 0.5 cm or more, one of more than 1 cm, then a high degree of suspicion 6.5% for lung cancer, smokers are twice as many lung cancer groups, but also find many hair from family 3 family members suffering from lung cancer. 

 Ying-Huang Tsai note, preliminary studies have shown that for high-risk groups for CT screening helps early detection of lung cancer, lung cancer patients in Taiwan have 8 into a female, not male smokers into 3 groups, so he suggested that smoking as well as those who can have a family history of early screening, early detection of lesions, treatment, does not encourage everyone to screening, and healthy lifestyles are still far away from cancer prevention.

Lung cancer is the number one American died from cancer

Recently, scientists in the United States for lung adenocarcinoma gene mutation study found that, in this most common form of lung cancer in 26 genes have often mutate. The study results were published in the October 23 "Nature" (Nature) magazine. 

In the United States, lung cancer is the number one fatal cancer. This discovery will facilitate the development of lung cancer diagnosis and individualized treatment of the individual implementation. 

Early detection, early diagnosis 

Each year, all over the world has around one million people will be killed by lung cancer, including 150,000 people of the United States. The most common type of lung cancer are lung adenocarcinoma. In the diagnosis of lung cancer after an average of only 15% of patients can survive more than five years, the earlier found that the earlier the diagnosis, the longest period of its existence. 

The Cancer Sequencing Project (TSP) are from the United States National Institutes of Health (NIH) The National Human Genome Research Institute (NHGRI)-funded researchers from the United States a number of research centers, including two from Germany. TSP is committed to cancer are more than DNA or genetic blueprint drawn in Group One. 

NHGRI's Acting Director of AlanEGuttmacher doctor pointed out that the study of lung cancer through genome analysis, verified by the diversity of molecular biology of lung cancer. The results of this study will help to carry out a clear direction for future research and help develop new treatment strategies to overcome this common lethal disease. Lung adenocarcinoma is a lethal type of lung cancer, previously has been found that some genes associated with lung cancer, but the TSP study found that many of the number of related genes doubled. 

The study found that in addition to gene mutation, but also found to be involved in lung adenocarcinoma happened signaling pathways of gene regulation, and different subgroups of patients with lung cancer between the genetic differences were analyzed, such as smokers and never smokers, the difference between . 

Look for differences, to find the law 

The majority of cancers, including lung adenocarcinoma happen, because people are with age, DNA mutation caused by, but how DNA mutations lead to uncontrolled cell proliferation does happen, people involved in one of also know little about the biological behavior. 

The study's lead author, Harvard Medical School MatthewMeyerson the doctor pointed out that the study found that from the genetic point of view, different individuals of lung adenocarcinoma differences are very great. Dr. Meyerson explained that through this study found that many new therapeutic targets, both cancer-causing gene (the promotion of tumor gene), and also has tumor-suppressor gene (prevention of tumor gene) of the. 

TSP researchers from 188 cases of patients with lung adenocarcinoma tumor tissue donation extracted DNA, and patients with non-tumor DNA were compared. Will be sequenced after DNA purification, has been suspected to be connected with 623 tumor-related genes were analyzed to detect whether there are mutations.

The results showed that patients with lung cancer in these samples, 26 have occurred in gene mutation, patients with non-tumor samples, compared with significant differences. Before that, scientists have only found less than 12 genes related to lung adenocarcinoma. The following are some of the new gene found in lung adenocarcinoma: 

1. Neurofibromatosis 1 (NF1) gene. The gene mutation can lead to a very rare occurrence of genetic diseases - type 1 neurofibromatosis (neurofibromatosis1), the performance of the nervous system for the uncontrolled growth of organizations. 

2. Ataxia telangiectasia mutation gene (Ataxia TelangiectasiaMutatedGene, ATM gene). This gene with a variety of leukemia and lymphoma related to children with rare diseases of the nervous system - Ataxia telangiectasia-related. 

3. Retinoblastoma 1 gene (RB1). This gene and retinoblastoma happen, and retinoblastoma in children are a relatively rare occurrence in the eyes of retinal cancer. 

4. Colon neoplasia (adenomatous polyposis coli, APC) gene. The gene mutations associated with colon cancer. 

5.Ephrin receptor A3 and A5 (EPHA3 and EPHA5), neurotrophin receptors (NTRK1 and NTRK3) and other tyrosine irritable? Dependent receptor (ERBB4, KDR and FGFR4). These genes can control tyrosine irritable? The cell receptor, tyrosine irritable? In cell growth, differentiation and death plays a crucial role, but also many new tumor are the main target for therapeutic drugs.

Found after these genetic variations, TSP researchers next will study the genetic variability of the biological pathway, which may be the occurrence of lung cancer is very important. These studies will help to improve the treatment of tumor. 

 Search incentives, seek treatment 

 TSP group found very scientific value, to cite an example, in the study of 188 tumor samples, has 2 / 3 more than at least one control mitogen-activated protein kinase? (MAPK) pathway gene mutation, This indicates that, MAPK happen in lung cancer may play a very important role. This finding suggests that MAPK pathway can be targeted to develop new cancer drugs. Has a class of similar drugs - MEK inhibitors, has been the treatment of colon cancer in mice has demonstrated a hope. 

 TSP team also found that more than 30% of the tumor-control target of rapamycin, mTOR (mammalian targetofrapamycin, mTOR) pathway gene mutation occurred. This means that, for the treatment of organ transplants and renal cell carcinoma rapamycin may have potential in lung cancer treatment. 

 In addition, there are very many of the study findings. For instance, the researchers found that currently used for the treatment of other tumor chemotherapy drugs may be effective for certain types of lung cancer. This is because the lung cancer and other tumor has the role of some common genes. 

 TSP team also analyzed different subsets of patients with lung adenocarcinoma of the genetic differences between groups. Have a comparative one of the smokers and the difference between never-smokers. Found. Has around 10% of the private prosecution of patients with lung cancer have never smoked. Study found that DNA samples from smokers than never smokers have more DNA samples of the mutant gene occurred. Some smokers have up to the tumor in 49 mutation, and never-smokers have no more than five mutations. This difference in treatment for lung cancer what is the significance, but also need more research to clarify. Cancer in other studies carried out indicate that mutations in more tumor will be more rapid progress and treatment will be more difficult. 

 One of the author, Washington University School of Medicine RichardK.Wilson the doctor pointed out that the findings of the study highlights the systematic, large-scale tumor the importance of genome research, and now, it is necessary to use this method in a large number of samples research, but also should be extended to more types of tumor studies go. Which only opened a tumor are the mystery of the iceberg, there are very many unknowns required to study, to be discovered.

American opera queen seats Mills died of lung cancer at the age of 78

U.S. media reports, in 1971 by Time magazine called "American opera queen," the famous coloratura Beverly Mills ‧ seat, died today of lung cancer at the age of 78 years old. 

 I Mills Ukraine and Romania are the descendants of Jewish immigrants, was born in New York, from 1,950 to 70 years, to tone with the simple appeal of the charming world. 

 Mills I often because television talk show, dark by the mainstream audience favorite, she approachable manner and dynamic television charm, so she became the chief American heroine in mind, even if it is never to go to the theater audience She likes the same. 

 Her story on behalf of poor origin, after years of struggle, family tragedy, artistic achievements of the typical American success story, American opera singer in that generally go abroad for training and to seek job opportunities in years, I Mills are a product of the United States, and even In the 36-year-old, she had never performed in Europe. 

 Opera singer who at the time fixed in the "Johnny Carson Tonight Show" program, and I was the only Mills was invited to host on behalf of classes of the opera star, also with, Danny Kaye, such as harmonic Star cooperation. 

 Years of excellence in concert career, I have charge of the Metropolitan Opera Mills, New York City Opera and Lincoln Center, wearing management talent prior to retirement in 1980, a total of eighteen sets of the whole recording of this opera. 

 I Mills family announced her lung cancer last month in bed seriously ill. 

 The New York Times today quoted seats Vincent Mills brokers reported that Mills seats are unable to cut the death of lung cancer. 

 Mills I press her husband's death in September 2006 was.

The latest study found that American scientists: a mechanism for smoking-induced lung cancer

Lung cancer is the world's most common form of cancer, patients diagnosed each year up to 1,300,000. A lot of studies have shown that between smoking and lung cancer are closely linked, but the specific mechanism has not been clarified. American scientists recently discovered that a particular protein content would lead to the reduction of DNA damage, thereby triggering lung cancer. The discovery may help scientists in the future to improve the treatment of lung cancer. Related papers online May 13 published in the "British Journal of Cancer" (British Journal of Cancer) on. 

    

     Leaders of the study are the United States, Oregon Health & Science University (Oregon Health & Science University) Cancer Institute Laura Hays. This particular protein, called FANCD2, it is in the protein family with hereditary Fanconi anemia (Fanconi anemia), and with this person anemia low protein content of the family, more time in the young of cancer. 

    

     Researchers in the lab has created an artificial trachea to the lungs of smokers simulated environment, as studied in tobacco cells the effects of different proteins. The results showed that, when the lung cells when exposed to cigarettes, FANCD2 manufacturing speed will be slowing down, leading to lower its content. And the role of FANCD2 is through DNA damage or promote repair defective cells to commit suicide to prevent cancer, so the low levels of FANCD2 lead to DNA damage, thereby triggering cancer. 

     Hays said, "This discovery shows that FANCD2 in protecting lung cells against cigarette invasion play an important role, but also may explain why cigarettes so harmful to lung cells." 

     Thesis advanced authors, the United States Portland Veterans Affairs Medical Center in Grover Bagby said: "This study shows that FANCD2 is an important cancer resistance protein, which would undermine its cigarette manufacturing process. Although there may also contain other proteins , but we know that FANCD2 is a critical one, because a very high standard FANCD2 contains cells able to resist the poisoning effect of cigarettes. " 

     Institute of Cancer Research UK's Lesley Walker said: "This research increases our understanding of the reasons for smoking lethal understanding. Smoking causes cancer is currently the single biggest preventable causes of 10 cases of lung cancer in 9 cases have been pumping caused by tobacco. But the good news is that the effect of smoking cessation - quit smoking 5 years later, the risk of heart attack will be reduced to half of smokers, 10 years later, the same risk of lung cancer would be halved. "

Well-known American country music singer Merle Haggard accepted • lung cancer surgery

Xinhua Beijing November 10 well-known American electric country music singer-composer Gede said a spokesman for 9 day, 71-year-old Haggard had been diagnosed with lung cancer, and on the 3rd of this month in Bakersfield, California Rumsfeld at a hospital surgery is currently recuperating at home. 

     Reuters quoted a statement Haggard said: "I feel good ... ... to improve. If it is not my wife (Teresa) of love and wisdom, I may not be up to today." 

     The statement said that the biopsy results showed that Haggard with non-small cell lung cancer, doctors removed the right lung upper lobe Haggard. Examinations showed that all illness has been removed. 

     According to American Lung Association said that the lung cancer the most common type of non-small cell lung cancer, with relatively less common compared to small cell lung cancer, non-small cell lung cancer spread to different parts of the body more slowly, and easier surgical resection and chemical therapy. 

     The association said that the lung cancer patients are men and women of the United States number one killer. Patients with lung cancer 5-year survival rate of 16%. 

     Haggard 60s are the 20th century the most important people of country music, country music are the United States and the representative of an evergreen tree, obtained by the size of country music awards numerous, with dozens of the first singles champion. His creative blend of folk songs, jazz, pop and blues music and many other characteristics.

From the look of cancer diagnosis and treatment of lung cancer

Lung cancer is difficult to rule, in my clinical experience, experience lung cancer, little can be dragged off, although some people can live, but really not much. 

Lung Cancer What is this? 
Lung cancer, it does what is disease? It is not alveolar carcinoma; it is the trachea and bronchial cancer. Basically, the treatment of cough and governance, similar treatment from the lungs, but the trachea and bronchial administration. 
Lung cancer refers to the primary bronchial cancer, not long blades in the lung; if long in the lung, then was even worse, even breathing could not maintain. SARS reason is because the immune response of alveolar over variable hypertrophy, and so can not in the alveolar air and blood to do the emissions of gas exchange, which is very similar between the two. 

Poor lungs, in the fingers can be seen 
Look at the fingers, finger tip part of the general people are positive or slightly pointed, straight-shaped and can be the end of those fingers look a bit like a spoon, and also known as clubbed fingers. Was the kind of finger-like people in general are not very good lung. 


and persistent cough should pay attention to 
Clubbed fingers apart from outside, persistent cough, cough have been, they have to pay attention, is likely related with lung cancer. 

Anorexia, hemoptysis, chest pain also need to pay attention to 
I have been sick governance were given to me by message, lung cancer may not show a lot of the early symptoms, only long-term cough, cough and sometimes occasionally some blood. In addition to persistent cough, the patients will probably not want to eat, anorexia, in addition to chest pain. 

Found that these symptoms from the above, the majority of people to the hospital is the first X-ray, ultrasound and so on and then through several inspection methods may be able to detect lung cancer, but perhaps not check. Most people feel that they are checked out from the lung cancer death, the Central time is very short, is because it is not easy to find that such discovery was too late. 

Western medicine may rely on inspection of these symptoms, Chinese medicine practitioners using pulse method, can get out of it? 
Pulse is also not so easy to feel the pulse of Chinese medicine is that when the situation has very special feelings before they can come out; in particular, not every Chinese medicine practitioners are trained in the training so well, even by good training, if there was no attention to the words It is also difficult, so diagnosis should not rely solely on the way, Inspection and Wen-up consultation, diagnosis should not also missing. 

Lung cancer, unfortunately, how the event had to do? 
Unfortunately the event had lung cancer, then, from the Chinese medicine point of view, is to use the so-called "syndrome differentiation" method. 

Treatment is to use look-up consultation, Wen-up consultation, diagnosis, cut the attending four clinics Participation Act together, watch patients belong to the card-shaped organs, twelve of which by the organs, meridians, the disease belong to the wind, fire, wet, dry, What kind of cold.

Watch TCM lung disease, not necessarily only from the lung to the discretion of the treatment, and sometimes from the liver, heart, spleen, lung, kidney and other organs of allelopathy look at this condition. Such as lung, spleen and kidney with every relationship, because the spleen Dependent Territories, which are considered to be the mother of Kim's lung, pulmonary Yousheng role, when the comparison condition is true, that is, the long-term chronic condition, then from the spleen is likely to rule , referred to as the "virtual meeting while his mother." If the conditions are empirical, it is sturdy phenomenon is likely to be subordinate to water the kidneys, lungs are a subset of gold to governance, referred to as "actually spilled his son." If the lung evil Too heavy, and very likely will have to heart to governance, can be used to exercise restraint because Firelight Gold lung. 

Use different methods to treat different-shaped card. Speed should not rule and can only slowly governance, for instance, only the symptoms of cough, cough can be the kind of syndrome differentiation methods and prescription selection, if the lungs have relatively dry situation, with a Run-side treatment; and lung compared wetting on the use of the dry treatment. 

Nothing has lung cancer prevention methods? 
How to prevent? Know why the Health and Human lung disease causes, it is easy to prevent. Clinical experience and found that: suffering from lung cancer, smoking ethnic group than non-smokers to about ten times and so forth; you say whether or not the relationship with smoking? In addition, miners, metal industry workers, chemical workers and cooks and so on, their chances of lung cancer a little more than others, which have nothing to do with air pollution? Is as far as possible away from the kind of pollution-free environment, if we must enter the pollution of the environment, then, cooks, miners, metal industry, chemical industry workers, are suffering from lung cancer in high-risk groups, have to note that compared well to wear masks to filter out very fine particles as a mask. 

The initial stage, the Chinese medicine treatment of these patients is the use of Treatment Act, the performance conditions are dry, wet, or any other condition; lungs are "dirty Concubine", was too dry, too wet is it taboo. Too dry, it will hurt to the lungs, too wet, it will hurt it. Precisely for this reason, Chinese medicine, said the lung as a "dirty Concubine", also known as "dirty Dunem", as long as too much of it can not adapt. So the lung can only be a regular in a non-dry, do not wet environment. 

Have some food prescriptions, said they could repair the lung, can be found on the Internet on the road, such as the pig, it's a lot of the body can bad things to exclude. Also, the pear is also very good, whether cooked, steamed or raw pear pear, because it can emit smoke or eat smoked after the Prince of human waste and chemicals discharged from the urine, so eat pears to clean. Give it a try whether it is useful and effective the best, if not efficiency, but also will not deteriorate. 

For cancer cells, Chinese medicine is how the look? 
Western medical treatment, are thought to eliminate cancer cells is like, but hard to achieve. Chinese medicine is not the case, Chinese medicine treatment, pay attention to "Treatment", has chills and fever disease actual situation, with a cold temperature treatment, can also be used medicine Oral temperature treatment; fever heat treatment used, of course, is that cool or cold medication for oral administration of drugs. If the patient has used false, then fill method, with a tonic prescriptions; disease if it is spilled on the method used, drug use laxatives.

Chinese medicine practitioners have never had cancer to the term that should not use Western theory to ask how Chinese medicine to kill cancer cells, and the inherent system of Chinese medicine, is the use of "yin and yang, form, years, cold, heat, true, false "dialectic law of diagnosis and treatment, and the meridians and organs of the dialectical concept of diagnosis and treatment of the law, it often has a significant treatment effect.

Lung cancer vegan

General for patients with lung cancer vegetarian recommendations 

 1. Nutrison cancer patients should not be. 

 2. In order to choose vegetarianism for health reasons in the past few years become the practice, but be able to balance a variety of food intake is the best way. 

  Choice of vegetarian should not be completely excluded from meat, eggs, milk. 

  Meat is not due to religious factors, then eggs, milk is a good substitute. 

 3. If we insist on Nutrison, it is recommended: 

  No refined foods, eating many changes, and a wide range of various types of food intake. 

  The market has choose meters or grains. 

  Attention to calcium, iron, zinc supplement such as soy products, dark green vegetables and sesame.

Food and appetite

Diet for cancer patients, should be good quality and quantity requirements. Qualitative is not partial eclipse, whether meat, vegetables, fruit intake should not be biased one. The volume aspect is at least able to cope with the daily consumption of energy. 

 1. How to choose a proper diet? 

  Please have licensed dietitian to discuss your problem. 

 2. A day to eat a few fruits and vegetables? 

  If you eat balanced meals, plus nutritious snacks and fruit juice, may be eating every day ten equal portions of fruit and vegetables of nutrients, which are beneficial to the body. 

 3. The possibility of frozen and canned fruits and vegetables in the nutritional intake of the same? 

  Is possible. In fact frozen food may be good nutrition than fresh because they are ripe when the harvest in the then frozen. Canned food may lower certain nutrients, but its nutritional value is generally considered the same and fresh. 

 4. It will be pressed into a fruit and vegetable juice it? 

  Juice is not necessary 

  Eat drink can increase the types of fruits and vegetables, in particular, contribute to chew and swallow the patients have questions 

 can increase the absorption rate of some nutrients. 

  Do not buy unpasteurized market. 

 5. How to Prevent a result of eating perishable food sick? 

  Thorough cleansing of food, not to let the meat and dairy products at room temperature and perishable 

  Must be cooked thoroughly all the meat, poultry, and seafood 

  Do not drink milk or have no commercial beverages. 

 6. Can drink alcohol? 

  One drink a day, two glasses of wine beneficial for some heart disease, but cancer seems to be useless. 

 7. High-fiber foods beneficial to you? 

  Yes. Whole grains and high fiber cereal in the cellulose, has laxative and reduce the benefits of a heart attack, but cellulose has not yet proven to reduce cancer incidence. Other high-fiber foods such as beans are good meat substitutes. 

  Fruits and vegetables containing high fiber and other nutrients, is a very good high-fiber foods. 

  High-fiber fruits and vegetables pills no good, because it does not contain vitamins and other nutrients.

Cancer Nutrition Q & A

1. Can solve the dry mouth and difficulty swallowing? 

  Do not have sugar and citrus or lemon-flavored chewing gum, can promote the secretion of saliva, can help dry mouth 

  Regular drinking water or water spray to the mouth, the consumption of many food moisture, high-calorie milkshake and fruit juice drinks machine processed, canned nutrition drinks and similar substitutes or additions to the broth, add sauce, come on in the food also help solve the dry mouth problem. 

  Swallowing problems: pressure can be broken up into mashed food, boiled soft, with fruit juice machine processing, or liquid in the food to make it easier to swallow. 

 eat eggs, pudding, dairy products, cheese, fruits, soft cooked vegetables and tender meat etc effective. 

 2. Can help to enhance the appetite and to reduce this disgusting? 

  Cancer treatment, the taste will change often, the temporary increase in some spices and seasonings in the food may be able to enhance the appetite. 

  Often try a different type or quantity of spices and seasonings. 

 or may try to eat more snacks 

 3. How to reduce fatigue? 

  A result of eating food and drinking enough fluids, or exercise too little, so that cancer survivors often feel tired. 

  Increase nutrition and physical activity can reduce fatigue. One day a few minutes to do the restoration of physical exercise can also first do a simple exercise such as walking, then gradually increase the time and frequency of exercise. 

 4. How to mitigate undue weight to do? 

  At an early stage of cancer treatment and recovery period will reduce the weight often, but need to avoid sustained weight reduction. Since food intake enough to reduce this problem, so having to eat more meals and snacks should contain high-calorie, fat, and protein food. 

 5. What kind of food can improve the anemia? 

  In the treatment period or after treatment often anemia, are a result of chemotherapy, radiotherapy, cancer itself, or resulting from loss of blood. 

  A balanced diet can help the body manufacture blood cells and complement 

  Eating extra iron should consult medical personnel, additional iron can improve iron deficiency, but by other causes of anemia would be invalid. And have adverse effects on the digestive system. 

 6. The use of vitamin and mineral supplements, such as you? 

  Food is the best vitamin and mineral sources, but in the disease and rehabilitation period, and perhaps not enough to eat, so necessary to add some vitamins and minerals. 

  The best selection of vitamins and minerals containing no more than 100 percent, "the daily requirements (Daily Value)" vitamins and minerals. There are some people that eat the more the better, there is no scientific basis, in fact too high doses might be harmful to eat, be sure in the selection of vitamins and minerals before, ask your health care professionals. 

 7. Pill can replace fruits and vegetables? 

 Fruits and vegetables contain hundreds of nutrients, known as general pill can replace fruits and vegetables of nutrients, in fact, it is a whole food and nutrition only a small part of it is complete should not replace fruits and vegetables. 

 8. Antioxidants should eat it? 

  Fruits and vegetables are the best natural source of antioxidants. 

  Please do not under any circumstances eat the massive amount of vitamins and minerals, including antioxidants, including. Since massive anti-oxidants can interfere with chemotherapy and radiation therapy functions, be sure to consult you before taking the medical staff. 

 9. Alternative therapies and complementary therapies safe? 

  To study the sources of information from the sales of those examples and his friends to be especially careful. 

  Please tell your health care workers, you need therapy, they can tell you that this therapy will be and traditional therapy have conflict. 

  Health foods should not be of proven efficacy, but whether useful or useless, should take the food ingredients and physicians to discuss before deciding whether or not to eat.

Lung cancer patients with early nutritional support

Lung cancer in China for the top ten causes of death of the first, 2, and has increased year by year trend. Ages in terms of many over the age of 50. When determining the time of diagnosis, many have taken place for some time, and may even be transferred to other parts of the body and difficult to cure. 

 In the consultation exercise, a lot of patients are often worried about the families of patients with good nutrition will promote the growth of lung cancer. So, dare to patients with adequate nutrition, while at the same time and some folk say that a lot of food will "hair (Taiwanese)", therefore, such as chickens, ducks, fish do not eat such food. It was also so sick and even hunger, want to lung cancer cells "starve to death." Patients and their families have to live in fear, and fear of "eating mistake" led to accelerate the growth of lung cancer, treatment failure. In fact, the above statement is unfounded. 

 We have to understand early lung changes in the nutritional status of the human body, and early nutritional support on human cellular immune function and humoral immune function. The study pointed out that the existence of early stage lung cancer patients nutrition and immune dysfunction, especially the cellular immune dysfunction. Ordinary diet can not be effective in improving the nutritional status of patients, early nutritional support to correct the malnutrition at the same time, marked improvement in immune function, especially cellular immunity, cellular immunity may be shortened recovery time. 

 Malnutrition on the patient's treatment and rehabilitation of extremely unfavorable, such as restoration of slow post-operative patients, radiotherapy and chemotherapy for poor tolerance and lead to immunocompromised, causing infections or even failure deterioration. So lung cancer patients must pay attention to food and nutrition. Food and cancer patients are the material basis, importance of diet in cancer patients, provide reasonably sufficient nutrition, can enhance the body resistance, improve patient tolerance to treatment, and ensure the smooth completion of the treatment plan, and promote rehabilitation. 

 Lung cancer patients with swallowing difficulties, they should be free to choose food, without affecting the treatment of the case, it is necessary to eat some protein, carbohydrate-rich foods, such as lean meat, fish, soy products and a variety of cereals, there is generally no restrictions on appetite . Food should be light, soft, easy to digest absorbed mainly in the food choice and therefore tonic, do not be so anxious. Any time, we should eat more fresh vegetables and fruit. Do not eat or eat less irritating food, including fried foods. May regularly eat garlic, garlic contains anti-cancer substances; non-smokers and non-drinkers. 

 Lung cancer patients in addition to three meals a day, but also aids   specially formulated diet. Since lung cancer patients with large consumption and therefore demand more than the normal increase of 20% of protein and calories. This special formula contains a variety of essential nutrients, because nutrients in order to meet the complete needs of cancer patients. Currently in the Taiwan market has a lot of types, methods can be oral or tube feeding. Oral administration should pay attention to slow drink, drinking too fast, due to higher infiltration liquid, easy to produce diarrhea and vomiting. Attention should be paid to the appropriate temperature, to prevent diarrhea caused by too cold. In addition, attention to the selection of low-fat, low salt and rich in vitamins, minerals, food products, but also have sufficient heat supply, in order to promote the recycling of human tissues, which is lung cancer patient's treatment and rehabilitation benefit. 

 Because of the treatment of lung cancer patients receiving different diets on the basis of specific treatment methods but also with proper diet. Often after a chemotherapy cycle 1 ~ 2 weeks of rest, its purpose is to restore or rebuild the immune function of patients when bone marrow function returned to normal levels, but some chemotherapeutic drugs inhibit bone marrow time later, the resumption of a slower, doctors also will be proposed during this period of time some patients can improve immune function of drugs or nutritional medicine. Condition in accordance with the needs of the sick have enough "capital = manual" to enter the next cycle / course of chemotherapy / radiotherapy. To accept such as radiotherapy and chemotherapy patients often give rise to abnormal taste, anorexia, patients often become bitter to eat anything or "flavor is not correct (Taiwanese)." Treatment approach are: eat high-protein, high-nutrition food and fresh fruits, vegetables, etc.; the increase in food seasoning; many do "color, flavor and taste, shape," are good food to cause loss of appetite; fasting drink a small cup of acidic beverages (such as: Plum) can play the role of an appetizer, to add an appropriate amount of sick zinc and vitamin BC group, as well as improving the taste, increased appetite. Patient radiation therapy to reduce saliva, dry throat pain, difficulty swallowing, eating should bring water, and the main cooler. The so-called anti-cancer food, in general the role of its anti-cancer is extremely small, does not need to deliberately go to eat. 

 Previously, we (Changhua Christian Hospital) will be in lung cancer patients, the attention of this diet: eat before you take a break in order to reduce fatigue; first clean the mouth; likes to eat their own food, and attention to seasoning can increase gastric secretion can promote appetite, improve absorption of food utilization; way of eating mining in order to promote digestion; choice of high-nutrition food, food to avoid gas production (such as: sweet potatoes); place as far as possible away from the kitchen to avoid cooking arising smells trigger nausea and vomiting. Lung cancer patient's diet should not only focus on its content, the merits of eating environment can also affect the patient's appetite, the patient should be given to create a pleasant dining environment. If you can not eat and, if necessary, can be inserted to assist nasogastric tube feeding to supplement nutrition, to improve the nutritional status. 

 Lung cancer and its treatment may lead to malnutrition and should therefore be given adequate nutrition as soon as possible to arrange for lung cancer patients a good diet, should first evaluate their nutritional status, followed by patients should be targeted at which stage the disease and treatment measures in different to determine the quality and quantity of nutrients, diet form and supply channels.

Food and nutritional supplements in patients with lung cancer

Since 1982, cancer is the people's first top ten causes of death over the past few years European and American countries have a significant increase in lung cancer Friend trend, according to Department of Health statistics show that is also true in Taiwan, accounting respectively for male cancer disease and the second female cancer first. Friend in the lung cancer often appears poor appetite, weight loss, weakness, easy fatigue symptoms, and sometimes also have a high calcium, low sodium, low blood magnesium case, therefore, how to make adjustments in the diet to help them eat aspects of quality, but also to improve the biochemical data and clinical adverse symptoms, it is important that one of the topics. 

 Loss of appetite or breathing, often caused by insufficient intake of Friend of lung cancer leads to malnutrition, which affects the immune system weakened and so, therefore, has this situation arisen going to help them? 

 1. A good time to choose the time to eat: 

 Daily best things to eat and feeling hungry time; or physical feeling of discomfort when; Furthermore antiemetic or taking painkillers at all times; and even dinner and snacks set period of time, time to eat. In addition to eating good time to choose the timing, but also should pay attention to the fine eating quality. 

 2. To take the fine quality of food: 

 What is the dark-red-induced eating quality, namely the use of high-nutrient concentrations of food or in the absence of disease need to diet therapy, the intake of their favorite food. High nutrient concentrations of food, the soup can be any way to increase the use of starch calories, but also add milk and protein solution in addition to adding flavor, but also rich in protein volume, one of milk such as the use of high concentrations of nutrients (such as per to provide 1.5 ml of 2 cards or calories), can achieve higher heat and sources of protein. Some foods ingredients, such as ginkgo, lilies, Chinese yam, lotus root, edible fungus, such as sexual Adlay ping, the argument has Moistening Lung Buqi, the practical application of more sophisticated food can be achieved, such as Chinese yam, lotus root, edible fungus, Coix Hui, philoxeroides etc with rice are the staple food categories (grains, tubers, and roots), often eat rice with a friend, to be used in Chinese yam (Lotus) spareribs soup may also make use of Adlay, lotus seeds, red dates make sweet soup, an increase staple food source. With the opportunity to eat good time to eat the exquisite quality of the target. Another is eating recipe kit. 

 3. The use of food kit recipe: 

 The use of some small skills, will enable better appetite or food intake more, such as , fasting or eating less drinking moderate exercise (walking) will enable more food intake; and eat less greasy objects, many of something new fruits and vegetables can help appetite, accompanied by family members has also prepared a meal or a pleasant dining environment coupled with the point of music, the inevitable loss of some trust. 

 Friends in the loss of appetite can make use of the time good time to eat, fine quality and recipe tips to achieve the purpose of increasing heat, thus able to maintain weight and improve symptoms such as fatigue. If hypercalcemia is required to avoid a number of high calcium foods such as milk, do small fish, oyster, sesame, Nostoc, etc.; If you can not eat are used for nasogastric tube feeding would have with the physician or Dietitians contact, select a lower calcium tube feeding formula. Friend of lung cancer are some of the above-mentioned problem of treatment, but the most basic diet is a balanced diet, do not forget the staple food category, meat, fish eggs, beans, vegetables, fruits, fats and dairy categories, six categories of food balance go, and remain optimistic about the psychological, but also do not forget there are a group of friends on your side, I believe every day is filled with peace and joy. 

         For each, a friend of mine, "the maintenance, cultivation, nutrition," We can not have one on nutrition is concerned, the first most important elements of a balanced diet, such as loss of appetite, eat rice, rice can be used with the same type of food substitution, such as yam, Adlay, lotus root, lotus seeds, etc., to create dishes such as Chinese wolfberry yam ribs, can provide a source of rice and meat (protein), or jujube soup as a snack philoxeroides tremella; otherwise tastes change, the use of some special Flavor Materials, such as Chinese wolfberry, mushrooms, tomato, pineapple, etc. to taste, such as pineapple shrimp, grilled mushrooms, such as dual Moreover really not enough when intake is required to add nutritional supplements a timely manner in order to have proper nutritional needs. There are a small skill, at the most be able to eat when ready "quality" the best or the most wanted food, so that patients have their satisfaction. Of course, said to be easy, but the actual implementation of go, there are still difficulties, but as long as the heart, I believe that everything can be solved.

Lung cancer prognosis

1. Small-cell lung cancer (SCLC) of prognostic factors 

  Physical condition (PS) 

  The scope of disease (staging) 

  Serum lactate dehydrogenase (LDH) 

 2. Non-small cell lung cancer (NSCLC) of prognostic factors 

  According to TNM system to determine the clinical and pathological staging, is still non-small cell lung cancer the most powerful prognostic factor. 

  Gender differences in lung cancer: female lung cancer patients than men have a better survival rate 

  Lung adenocarcinoma patients than other types of lung cancer patients have better prognosis 

 3. At this stage of development 

  Currently known prognostic factors of lung cancer in the study are acceptable for surgical resection of tumor patients. 

  For more than 80% are unable to surgery of non-small cell lung cancer patients, and 100% received chemotherapy or combined radiation therapy of small cell lung cancer patients, the existing prognostic factors, there is still a considerable space. 

 4. Five-year survival rate of lung cancer