胸外科病例讨论英文版.ppt

EGFR gene mutation detection Contrast Contrast Contrast The treatment principles 2. Surgical operation The surgical indications were performed Left pneumonectomy surgery(2013.08.06) Removal part of esophageal muscularis and part of the pericardium 3. Local chemotherapy Refused 4.Continue Icotinib treatment Follow-up Continuous administration Icotinib and reviewing monthly Without local recurrence and metastasis Conclusion The advanced administration of targeted medicine can reduce the risk and difficulty of surgery Discussion 1.Targeted medicine mainly be used for patients with locally advanced lung cancer who has been received prior chemotherapy or metastatic non-small cell lung cancer patients Targeted medicine can be another option of neoadjuvant? 2.Male patients with a history of smoking also benefit from targeted medicine Case report 2014.3.15 孙嘉阳 Chief Complaint: Intermittent cough for 1 year，with bloody sputum 20 days History of present illness: Patient has been cough sputum for about 1 year with no obvious Incentives.His sputum was White foamy sputum and when patient walking fast ,cough was obviously increased whileas a little rest can be bebefit for cough cutting .These symptoms appear intermittently with no formal diagnosis.Patient coughed bloody sputum 20days ago and a chest CT at local hoapital reported :Left lower lobe mass, consider lung cancer. Past medical history: previously healthy, no history of tuberculosis and no history of chronic bronchitis, no food, drug allergies, no history of trauma, surgery Personal history: smoking 20cigarettes per day with 40years history, drinking Irregular. Obstetrical history: married, sterile a son. ? Family history: family health, no hepatitis, tuberculosis patients without hypertension, diabetes, non-hereditary disease. CT examination CT examination CT examination CT examination CT exa