Irritating cough, sputum expectoration Blood-streaked phlegm especially chest symptoms such as chest pain and easily let people think of lung cancer, lung cancer but in fact a variety of clinical manifestations. Experts pointed out that many patients with lung cancer is not the first in the lung. Some seemingly with lung cancer, "8 Ganzi Dabu Zhao," the symptoms, the culprit is precisely the cancer cells produce bioactive substances.
"Apart from the irritating cough, sputum expectoration Blood-streaked phlegm and in particular the chest symptoms such as chest pain, the clinical manifestations of lung cancer and cancer of the location, size, or whether the oppression of nearby organs, nerves or blood vessels, and there is also closely related to transfer . "Jinan University First Affiliated Hospital of cardiac thoracic surgery smooth Zheng, deputy director of physicians, for example in patients with advanced lung cancer, bronchial obstruction can lead to cancer because of shortness of breath or difficulty breathing, or because of swollen lymph nodes oppression lead to esophageal dysphagia, or RLN involvement caused hoarseness, can also have systemic symptoms such as fever, weight loss and systemic failure, and so on.
Some of lung cancer can also produce some biological substances. "These bioactive substances caused the clinical symptoms apparently no relationship with lung cancer, it is not easy for most people think of lung cancer," Zheng said the smooth, medical lung cancer is usually referred to as "the performance of the lung" or "deputy cancer syndrome."
Cervical bone hyperplasia » Medium-term lung cancer!
59-year-old Chen started early this year that the right shoulder and upper limb does not apply. As he usually little sick, feel that this is a small problem, and have never for treatment. A month later, due to more severe symptoms, Chen was to urge the family to the hospital for an examination. Doctors asked him to check cervical films and chest film. "Without major problems, why should more money» "stubborn Chen only shoot a film cervical spine, the report as" cervical bone hyperplasia. " He is small clinic on their own to "cervical bone hyperplasia" treatment, symptoms really started to improve in, which strengthened Chen's "confidence."
However, a few months later, Bo right shoulder and right upper limb pain more and more serious, and even affect sleep. Chen Guaiguai according to the requirements of doctors made a chest film. Results from one, frighten everyone jump: "shadow of the right upper Feijian six centimeters in diameter, a small amount of fluid right chest, the nature of unknown origin."
The doctor told family members: "According to results of chest film, first of all to consider lung cancer, but has not early!" Incredible family immediately arrange for Chen to the chest CT examination, examination of bronchial fiber, whole body bone scan and find cancer cells taken from pleural effusion, and so on. The results showed that Chen's really suffering lung cancer and has to medium term. The only consolation is worth, but also found no cancer cells in distant metastasis. However, Chen's condition at this time, surgery can complete with lesions, doctors said frankly that "not sure."
Feijian long tumor cough, Xue Tan was not obvious
Chen's experience, but many lung cancer is the "performance of the lung," or "deputy cancer syndrome," the epitome of patients. According to Zheng smooth analysis, Chen's lung cancer occurred in Feijian location, far from the main bronchus, cough, Xue Tan, and other respiratory symptoms was not obvious, but also because of relatively hidden location, developed symptoms relatively late. Wait until the invasion of peripheral nerve and muscle to appear when the shoulder and upper limb pain as the main performance of the clinical symptoms, it is also known as "Pancoast tumors."
It is learned that this type of lung cancer patients as early as mid-term symptoms to the chest, shoulder or upper limb pain-based, easily misdiagnosed as "cervical bone hyperplasia" or "shoulder arthritis." If left untreated, the tumor will continue to invade, in addition can cause chest, shoulders and upper limbs severe pain, but also because of pressure on the vena cava tumor caused cancer of the upper limb edema, or chest ganglion led to the first "Horner levy" The emergence of performance on the same side as the eyelids droop, Eyes narrowed, and face no enophthalmos, such as Khan.
It is worth mentioning that this special position of lung cancer: cancer of the clinical thoracic known as the location of the entrance, near a number of important large blood vessels and nerves. Moreover, tumors are often difficult to find, check out one of the most advanced in the vicinity of blood vessels, nerves and chest wall already been affected, surgery is very difficult and very risky. Therefore, early detection and early treatment is the key.
Guard against lung cancer, "the lung of performance"
Lung cancer, "the performance of the lung" or "deputy cancer syndrome" performance has varied. For example, lung cancer cells to produce the ACTH (ACTH), can cause "Cushing's syndrome" (Cushing "ssyndrome). Cheng said the smooth, normal human body by the concentration of ACTH good control, the need to maintain normal body However, if lung cancer cells produce large numbers of ACTH, can produce a large number of adrenal glucocorticoid, which led to a round face, back and limbs thick thinner as the performance of the special shape, similar to the performance of too many clothes hormone, in fact, it is " Cushing's syndrome. "
Some of lung cancer, "deputy cancer syndrome" because of joint pain and treatment, or even have long-term use of anti-rheumatoid drugs, the final chest imaging examination found that lung disease. This from lung cancer caused by joint disease, known as the "lungs of the joint disease." If the tip swollen fingers or toes, fingers or toes look like Guchui, clinically known as the "pestle-like means," This joint pulmonary disease known as hypertrophic pulmonary joint disease.
There are a small number of patients with lung cancer for the performance of male breast increase, grow, "breast", or high blood calcium, peripheral nerve feel abnormal or decreased muscle strength, and so on. However, Cheng stressed that the smooth, and above all of these symptoms are not due to cancer caused by the transfer, after the tumor was corresponding with the disappearance of bioactive substances and disappeared.