肺癌晚期一般能活多久？
<div style="color: black; text-align: left; margin-bottom: 10px;"><span style="color: black;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">肺癌晚期，<span style="color: black;">亦</span>有<span style="color: black;">非常多</span><span style="color: black;"><a style="color: black;">带瘤<span style="color: black;">存活</span></a></span>的案例。<span style="color: black;">因此</span>要说能活多久，<span style="color: black;">实质</span>上<span style="color: black;"><a style="color: black;"><span style="color: black;">存活</span>期</a></span>在三个月到十年不等。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">怎样</span>得到更长的<span style="color: black;">存活</span>期，这<span style="color: black;">其中</span>取决的<span style="color: black;">原因</span>有<span style="color: black;">非常多</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">一是要看癌症的进程快慢：有些<span style="color: black;"><a style="color: black;">低分化</a></span>的癌症的<span style="color: black;">发展</span>速度过快，<span style="color: black;">药品</span>来不及<span style="color: black;">掌控</span>，这个<span style="color: black;">状况</span>下基本<span style="color: black;">存活</span>期在半年以内；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">二是有<span style="color: black;">无</span>找到<span style="color: black;">生效</span>的<span style="color: black;">药品</span>：在近几年晚期带瘤<span style="color: black;">存活</span>或是<span style="color: black;">存活</span>期较长的案例中，基本上都是有<span style="color: black;"><a style="color: black;">基因突变</a></span>的靶点，找到了合适的靶向药；或是<span style="color: black;"><a style="color: black;">免疫治疗</a></span><span style="color: black;">生效</span>，其中<span style="color: black;">包含</span>PD1等免疫<span style="color: black;">药品</span><span style="color: black;">生效</span>以及接受免疫细胞治疗。此类<span style="color: black;">病人</span>，在耐药前基本<span style="color: black;">能够</span><span style="color: black;">保准</span><span style="color: black;">存活</span>；在<span style="color: black;"><a style="color: black;">耐药</a></span>后<span style="color: black;">倘若</span>找到另一种合适的<span style="color: black;">药品</span>，则可继续<span style="color: black;">存活</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">亦</span>有<span style="color: black;">有些</span><span style="color: black;">病人</span>对化疗的副<span style="color: black;">功效</span>不<span style="color: black;">显著</span>，<span style="color: black;">经过</span>化疗<span style="color: black;">长时间</span><span style="color: black;">存活</span>，但相<span style="color: black;">针对</span>靶向<span style="color: black;">药品</span>和免疫治疗而言，并不多见。所以晚期<span style="color: black;">病人</span><span style="color: black;">可否</span>能<span style="color: black;">长时间</span><span style="color: black;">存活</span>，就应该寻找最正确诊断和<span style="color: black;">药品</span>，<span style="color: black;">亦</span><span style="color: black;">便是</span>找到<span style="color: black;">可靠</span>的<span style="color: black;">大夫</span>，<span style="color: black;">同期</span><span style="color: black;">得到</span><span style="color: black;">可靠</span>的治疗。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">找到<span style="color: black;">生效</span>的<span style="color: black;">药品</span>，就有<span style="color: black;">期盼</span>带瘤<span style="color: black;">存活</span>，<span style="color: black;">咱们</span>看到了<span style="color: black;">有些</span><span style="color: black;">连续</span><span style="color: black;">运用</span>靶向药或是<span style="color: black;"><a style="color: black;">免疫<span style="color: black;">药品</span></a></span><span style="color: black;">存活</span>数年的<span style="color: black;">病人</span>，前几天还看到了一篇关于对十几年前<span style="color: black;">运用</span><span style="color: black;">药品</span>到<span style="color: black;">此刻</span>还活着的<span style="color: black;">病人</span>的<span style="color: black;">跟踪</span>随访。<span style="color: black;">尤其</span>是近几年<span style="color: black;">针对</span>癌症的治疗<span style="color: black;">连续</span>在进步，晚期患者<span style="color: black;">倘若</span>能多<span style="color: black;">存活</span>一年，就有<span style="color: black;">期盼</span>在下一年看到新的<span style="color: black;">药品</span>或是治疗方式的<span style="color: black;">显现</span>。</p>
<h2 style="color: black; text-align: left; margin-bottom: 10px;"><span style="color: black;">1、</span><span style="color: black;">必须</span><span style="color: black;">认识</span>的四种医院</h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1、去当地最好的肿瘤医院诊断</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">权威医院和普通医院，在诊断和经验上都有差别。诊断不要以为都是检测和仪器的结果，<span style="color: black;">大夫</span>的经验和能力<span style="color: black;">一样</span>很<span style="color: black;">要紧</span>。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://picx.zhimg.com/80/v2-56590cc83b68176bdc1d9637ee8efe9d_720w.webp?source=2c26e567" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">有肿瘤医院排行前100的榜单，<span style="color: black;">每一个</span>省都有排行榜上前100的医院，可<span style="color: black;">自动</span>搜索。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2、质子重离子医院</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">日前</span>在放疗方面有许多不同的技术，如<span style="color: black;"><a style="color: black;">伽马刀</a></span>、tomo、射波刀、速锋刀，质子刀等。除了<span style="color: black;"><a style="color: black;">质子刀</a></span>外，其它技术在<span style="color: black;">以上</span>医院里有<span style="color: black;">关联</span>的设备和科室。而质子重离子刀是<span style="color: black;">日前</span>放疗方面最新的技术，全国<span style="color: black;">此刻</span>正常运营的<span style="color: black;">仅有</span>上海和山东两家质子医院。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">因此</span>在医院方面还应<span style="color: black;">认识</span>一下质子重离子医院，<span style="color: black;">不外</span>质子重离子医院只接收<span style="color: black;">初期</span><span style="color: black;">病人</span>，收治<span style="color: black;">前提</span>苛刻，<span style="color: black;">同期</span>价格昂贵，治疗<span style="color: black;">花费</span>在30W<span style="color: black;">上下</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><a style="color: black;">上海市质子重离子医院</a></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3、<a style="color: black;">海南乐城医疗先行区</a></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">海南乐城先行区，这是一个国家设立的医疗先行区，<span style="color: black;">亦</span>是<span style="color: black;">独一</span><span style="color: black;">能够</span>对还未引入国内的国际<span style="color: black;">药品</span>和治疗<span style="color: black;">办法</span><span style="color: black;"><a style="color: black;">先行先试</a></span>的区域。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">针对</span>癌症而言，乐城先行区最大的<span style="color: black;">道理</span>在于国际最新抗癌<span style="color: black;">药品</span>的<span style="color: black;">运用</span>以及<a style="color: black;">免疫细胞</a>治疗的转化应用。乐城医疗先行区是一个国家划定的区域，已有十家<span style="color: black;">上下</span>的医院营业，引入院士以及国际顶尖医疗<span style="color: black;">公司</span>进行合作，<span style="color: black;">同期</span>还有<span style="color: black;">非常多</span>家医院在建设<span style="color: black;">其中</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">同步于国际的先进<span style="color: black;">药品</span>和治疗<span style="color: black;">方法</span><span style="color: black;">针对</span><span style="color: black;">病人</span><span style="color: black;">来讲</span>是新的<span style="color: black;">期盼</span>，但由是前沿医疗，基本上<span style="color: black;">医疗保险</span>和<span style="color: black;">商场</span>险都不<span style="color: black;">包括</span>在内，治疗价格不菲。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">4、<span style="color: black;">认识</span>国际顶尖癌症医院</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">国际顶尖医院动辄数百上千万的<span style="color: black;"><a style="color: black;">治疗</a><span style="color: black;">花费</span></span>基本上只能是富人的<span style="color: black;">选取</span>，<span style="color: black;">不外</span>普通家庭经常<span style="color: black;">瞧瞧</span>这些医疗<span style="color: black;">公司</span>的<span style="color: black;">报告</span>，<span style="color: black;">亦</span>能从中<span style="color: black;">得到</span><span style="color: black;">有些</span>新的<span style="color: black;">期盼</span>和力量。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-7a7f3904cd62ea0005445fff3c35c36e_720w.webp?source=2c26e567" style="width: 50%; margin-bottom: 20px;"></div>
<h2 style="color: black; text-align: left; margin-bottom: 10px;"><span style="color: black;">2、</span><span style="color: black;">认识</span>治疗<span style="color: black;">方法</span></h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">得到正确的诊断之后，<span style="color: black;">那样</span><span style="color: black;">便是</span>寻找适合的治疗<span style="color: black;">方法</span>。在治疗<span style="color: black;">方法</span>上，<span style="color: black;">每一个</span><span style="color: black;">病人</span>的<span style="color: black;">状况</span>不一，<span style="color: black;">因此</span><span style="color: black;">无</span>最佳<span style="color: black;">方法</span>，<span style="color: black;">仅有</span>适合的<span style="color: black;">方法</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">癌症的<span style="color: black;">重点</span>治疗方式从过去的三种<span style="color: black;">方法</span><span style="color: black;">已然</span>变为四种<span style="color: black;">方法</span>：手术、放疗、化疗（<span style="color: black;">包括</span>传统化疗以及靶向药）、免疫治疗（PD1<span style="color: black;"><a style="color: black;">单抗</a></span>和免疫细胞治疗）。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">而到了晚期，决定<span style="color: black;">存活</span>的除了在<span style="color: black;">大夫</span><span style="color: black;">指点</span>下进行化疗和放疗之外，<span style="color: black;">病人</span>和家属<span style="color: black;">必须</span>多做功课的是靶向药、PD1以及免疫细胞治疗这三个方面。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">这三种治疗<span style="color: black;">方法</span><span style="color: black;">可否</span>能<span style="color: black;">生效</span>几乎决定了<span style="color: black;">可否</span>能<span style="color: black;">存活</span>，一款对<span style="color: black;">病人</span>有效的靶向<span style="color: black;">药品</span><span style="color: black;">或</span><span style="color: black;"><a style="color: black;">PD1<span style="color: black;">药品</span></a></span>在耐药前，几乎可<span style="color: black;">连续</span><span style="color: black;">保证</span><span style="color: black;">病人</span>的<span style="color: black;">存活</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">NCCN指南中依旧<span style="color: black;">意见</span>基因检测的传统靶点：EGFR、ALK、ROS1、BRAF、KRAS、NTRK、PD-L1；<span style="color: black;">意见</span>基因检测的新兴靶点：MET（克唑替尼）、RET重排（<span style="color: black;"><a style="color: black;">卡博替尼</a></span>、凡德他尼）、HER2突变（T-DM1）、TMB（<span style="color: black;"><a style="color: black;">伊匹单抗</a></span>+纳武单抗、纳武单抗）。而相应的<span style="color: black;">选取</span>在NCCN肺癌指南中<span style="color: black;">亦</span>有明较<span style="color: black;">知道</span>的<span style="color: black;">运用</span><span style="color: black;">意见</span>。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://picx.zhimg.com/80/v2-e91e0fca196e4316b319347bf86de0ed_720w.webp?source=2c26e567" style="width: 50%; margin-bottom: 20px;"></div>基因检测靶点和相应治疗<span style="color: black;">方法</span>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://picx.zhimg.com/80/v2-10583bc6b91d49dc252f4f47b17778f1_720w.webp?source=2c26e567" style="width: 50%; margin-bottom: 20px;"></div>PD1表达率和相应治疗<span style="color: black;">方法</span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在免疫<span style="color: black;">药品</span>中，国内已上市的都是针对PD1和PDL1的单抗，而其它类<span style="color: black;">例如</span>CTLA4伊匹单抗尚未引入。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">另一</span>虽然NCCN中<span style="color: black;">无</span><span style="color: black;">说到</span><span style="color: black;"><a style="color: black;">免疫细胞治疗</a></span>（<span style="color: black;">日前</span>美国FDA仅<span style="color: black;">准许</span>了免疫细胞极<span style="color: black;">少许</span>的应用<span style="color: black;">行业</span>），但免疫细胞治疗<span style="color: black;">亦</span>是被证明对肺癌是长期有效的治疗方式，<span style="color: black;">已然</span>在美国、日本等多个国家有临床应用。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">免疫细胞的技术在国际上分为<span style="color: black;">非常多</span>种，<span style="color: black;">亦</span>有上千项<span style="color: black;">科研</span>在进行。<span style="color: black;">包含</span>DC细胞、T细胞、NK细胞，以及CAR-T,<span style="color: black;"><a style="color: black;">CAT-NK</a></span>,TCR-T等等不同的技术（其中CAR-T在美国FDA有<span style="color: black;">准许</span>用于<span style="color: black;"><a style="color: black;">白血病</a></span>治疗）。但这几种技术<span style="color: black;">到底</span>哪种更具<span style="color: black;">优良</span>并<span style="color: black;">无</span><span style="color: black;">结论</span>，<span style="color: black;">运用</span>较多的是T细胞和NK细胞，<span style="color: black;">通常</span>认为CAR-T杀伤力更强，但副<span style="color: black;">功效</span><span style="color: black;">很强</span>，而CAR-NK相对更安全。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">尤其</span>是<span style="color: black;">针对</span><span style="color: black;">无</span>基因突变的<span style="color: black;">病人</span>，免疫治疗<span style="color: black;">日前</span>几乎是最后的<span style="color: black;">期盼</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">免疫细胞在国内暂时都还<span style="color: black;">无</span><span style="color: black;">准许</span><span style="color: black;">运用</span>。<span style="color: black;">因此</span><span style="color: black;">运用</span>免疫细胞治疗<span style="color: black;">仅有</span>两种途径，一是出国治疗，二是上文<span style="color: black;">说到</span>过的海南乐城医疗先行区。<span style="color: black;">然则</span><span style="color: black;">针对</span>免疫细胞的应用，<span style="color: black;">广泛</span>共识是应该尽早就联合<span style="color: black;">运用</span>。</p>
<h2 style="color: black; text-align: left; margin-bottom: 10px;"><span style="color: black;">3、</span>晚期<span style="color: black;">病人</span>的其它<span style="color: black;">意见</span></h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">以下是几点<span style="color: black;">意见</span>：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1、</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">除了寄<span style="color: black;">期盼</span>与<span style="color: black;">大夫</span>，找到合适的<span style="color: black;">方法</span>之外，<span style="color: black;">病人</span>和家属<span style="color: black;">亦</span><span style="color: black;">必须</span>尽可能的<span style="color: black;">把握</span>癌症<span style="color: black;">基本</span>知识，<span style="color: black;">同期</span>关注国际上最先进行<span style="color: black;">科研</span>成果和<span style="color: black;">药品</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在<span style="color: black;">基本</span>知识和治疗<span style="color: black;">方法</span>上，<span style="color: black;">举荐</span>去下载NCCN每年针对肺癌<span style="color: black;">颁布</span>的指南，网络上<span style="color: black;">亦</span>能找到<span style="color: black;">关联</span>的中文版或部分的翻译。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://picx.zhimg.com/80/v2-19a8d1f2f8a301268b5419cf7cf4afe4_720w.webp?source=2c26e567" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2、</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在经济能力不足的时候，<span style="color: black;">尤其</span>是面对昂贵的靶向药和免疫<span style="color: black;">药品</span>，尤其是未进<span style="color: black;">医疗保险</span>的<span style="color: black;">药品</span>和免疫细胞治疗<span style="color: black;">更加是</span>天价。此时，应着力去寻找进入<span style="color: black;"><a style="color: black;"><span style="color: black;">药品</span>临床<span style="color: black;">实验</span></a></span>以及申请慈善赠药的机会。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">关于<span style="color: black;">怎样</span>进入靶向药、免疫<span style="color: black;">药品</span>、免疫细胞治疗的<span style="color: black;">药品</span>临床<span style="color: black;">实验</span>，以及<span style="color: black;">怎样</span>申请慈善赠药，在这篇<span style="color: black;">文案</span>的尾部有链接和介绍，<span style="color: black;">能够</span>看一看。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><a style="color: black;"><span style="color: black;"><span style="color: black;">乐城彭先生：想要战胜肺癌，</span></span></a><span style="color: black;">病人</span>和家属<span style="color: black;">必须</span>做些什么？<span style="color: black;">460 赞同 · 184 评论<span style="color: black;"><span style="color: black;">文案</span></span></span><span style="color: black;"><img src="https://pic4.zhimg.com/v2-56e766b2a8abd74124b1f61d6ceb3acf_180x120.jpg" style="width: 50%; margin-bottom: 20px;"></span></div>
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