肺癌

　　肺癌患者术后复发和转移率较高，还有一部分患者会再次患肺癌，这是恶性肿瘤的基本特征。因此我们要求肺癌患者术后都要进行定期检查、随访。

　　一般来讲，术后第一年，每三个月复查一次;第二年，每半年复查一次;以后每年复查一次，持续终生。术后第一年并不是每次复查都查胸部CT，主要是复查与手术相关的项目。但有一点要强调：术后每年至少要做一次胸部CT复查，有助于发现肺部微小病灶转移。一旦查到有问题，就要及时治疗。尤其是III期非小细胞肺癌术后病人，更要进行定期复查。

　　术后需要进行辅助化疗的病人，一般是21天一个疗程，需完成4-6个周期术后辅助化疗。每次化疗期间都要常规进行一些检查，如果发现了复发，就及时处理。

　　目前肺癌根治性手术后的局部复发的病人越来越少，更多的是远处转移，如骨转移、脑转移和腹腔脏器转移。如果出现了骨转移，就按照骨转移的治疗方法，防治骨相关事件的发生，如病理性骨折和骨痛的治疗，并进行全身化疗，或二线治疗。

　　定期随访检查的另一个好处是患者能及时的从医生那里得到关于肺癌治疗的最新进展，能在第一时间接受新技术、新药物的治疗。

　　定期随诊检查最少应持续5年以上。

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==== 汉译英 ====

Patients with lung cancer recurrence and metastasis rates are relatively high, there are still some patients with lung cancer again, this is the basic feature of malignant tumors. We therefore ask that postoperative lung cancer patients should be regularly inspected, follow-up.
In general, after the first year of review once every three months; the second year, a review every six months; reviewed once a year in the future, for a lifetime. After the first year of investigation are not always reviewed the chest CT, mainly review and surgical-related projects. But one thing should be stressed: after a chest CT done at least annually review, help to identify small lung metastasis lesions. Once found a problem, we should be treated. In particular, III non-small cell lung cancer patients, it should be regularly reviewed.
The need for postoperative adjuvant chemotherapy for patients, usually 21 days a course of treatment, need to complete 4-6 cycles of postoperative adjuvant chemotherapy. Every time during chemotherapy must be some routine checks, if we find a recurrence, on the timely processing.
At present lung cancer after radical surgery for patients with local recurrence less and less, more of a distant metastasis, such as bone metastases, brain metastasis, and the transfer of abdominal viscera. If there is a bone metastasis, depending on the treatment of bone metastases, prevent the occurrence of bone-related events, such as pathological fractures and bone pain treatment, and make systemic chemotherapy, or second-line treatment.
Another benefit of regular follow-up examination the patient in time from a doctor get the latest progress on the treatment of lung cancer can be the first time to accept new technologies, new drug therapy.
Regularly followed up inspections should continue for at least five years.