fa درمان‌های غیر جراحی در سرطان ریه رادیولوژی رادیولوژی مروری Review <p>  سرطان ریه یکی از قابل پیشگیری­ترین سرطان­ها است و مهمترین عامل ایجاد کننده آن سیگار است. سرطان ریه به دو شکل سرطان سلول کوچک ( Small Cell Lung Cancer ) و سرطان غیرسلول کوچک ( Non Small Cell Lung Cancer ) شناخته می_­شود. سرطان_­های غیرسلول کوچک شامل پاتولوژی_­های گوناگونی است ولی علی_­رغم این گوناگونی، درمان مشابهی دارند. مرحله_­بندی( Staging ) دقیق سرطان ریه در ابتدای تشخیص بیماری اهمیت بسزایی دارد زیرا که انتخاب درمان و نیز تعیین پیش_­آگهی بیماری کاملا براساس آن مشخص می_­شود. درمان_­های غیرجراحی بکار گرفته شده در بیماران مبتلا به سرطان ریه غیرسلول کوچک شامل شیمی_­درمانی ادجوانت ( Adjuvant ) ، شیمی_­درمانی نئوادجوانت ( Neoadjuvant ) ، کمورادیاسیون ادجوانت و کمورادیاسیون نئوادجوانت می_­باشد. درمان_­های غیرجراحی سرطان ریه سلول کوچک نیز غالبا کمورادیاسیون است.</p> <p><span 11pt="" ar-sa="" b="" en-us="" font-size:="" mso-ansi-language:="" mso-bidi-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" new="" times="">Lung cancer is one of the most preventable</span><span 11pt="" ar-sa="" b="" dir="rtl" en-us="" font-size:="" mso-ansi-language:="" mso-ascii-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" mso-hansi-font-family:="" new="" times=""> </span><span 11pt="" ar-sa="" b="" en-us="" font-size:="" mso-ansi-language:="" mso-bidi-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" new="" times="">cancers</span><span 11pt="" ar-sa="" b="" dir="rtl" en-us="" font-size:="" mso-ansi-language:="" mso-ascii-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" mso-hansi-font-family:="" new="" times=""> </span><span 11pt="" ar-sa="" b="" en-us="" font-size:="" mso-ansi-language:="" mso-bidi-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" new="" times="">and</span><span 11pt="" ar-sa="" b="" dir="rtl" en-us="" font-size:="" mso-ansi-language:="" mso-ascii-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" mso-hansi-font-family:="" new="" times=""> </span><span 11pt="" ar-sa="" b="" en-us="" font-size:="" mso-ansi-language:="" mso-bidi-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" new="" times="">smoking</span><span 11pt="" ar-sa="" b="" dir="rtl" en-us="" font-size:="" mso-ansi-language:="" mso-ascii-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" mso-hansi-font-family:="" new="" times=""> </span><span 11pt="" ar-sa="" b="" en-us="" font-size:="" mso-ansi-language:="" mso-bidi-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" new="" times="">is</span><span 11pt="" ar-sa="" b="" dir="rtl" en-us="" font-size:="" mso-ansi-language:="" mso-ascii-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" mso-hansi-font-family:="" new="" times=""> </span><span 11pt="" ar-sa="" b="" en-us="" font-size:="" mso-ansi-language:="" mso-bidi-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" new="" times="">the</span><span 11pt="" ar-sa="" b="" dir="rtl" en-us="" font-size:="" mso-ansi-language:="" mso-ascii-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" mso-hansi-font-family:="" new="" times=""> </span><span 11pt="" ar-sa="" b="" en-us="" font-size:="" mso-ansi-language:="" mso-bidi-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" new="" times="">major</span><span 11pt="" ar-sa="" b="" dir="rtl" en-us="" font-size:="" mso-ansi-language:="" mso-ascii-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" mso-hansi-font-family:="" new="" times=""> </span><span 11pt="" ar-sa="" b="" en-us="" font-size:="" mso-ansi-language:="" mso-bidi-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" new="" times="">cause. Lung cancer presented in two forms small cell lung cancer and non small cell lung cancer. Non small cell lung cancers are include a variety of pathologies, but despite of</span><span 11pt="" ar-sa="" b="" dir="rtl" en-us="" font-size:="" mso-ansi-language:="" mso-ascii-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" mso-hansi-font-family:="" new="" times=""> </span><span 11pt="" ar-sa="" b="" en-us="" font-size:="" mso-ansi-language:="" mso-bidi-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" new="" times="">diversity,</span><span 11pt="" ar-sa="" b="" dir="rtl" en-us="" font-size:="" mso-ansi-language:="" mso-ascii-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" mso-hansi-font-family:="" new="" times=""> </span><span 11pt="" ar-sa="" b="" en-us="" font-size:="" mso-ansi-language:="" mso-bidi-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" new="" times="">they</span><span 11pt="" ar-sa="" b="" dir="rtl" en-us="" font-size:="" mso-ansi-language:="" mso-ascii-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" mso-hansi-font-family:="" new="" times=""> </span><span 11pt="" ar-sa="" b="" en-us="" font-size:="" mso-ansi-language:="" mso-bidi-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" new="" times="">are similar treatments. Accura testaging of lung can thereafter diagnosis is very important</span><span 11pt="" ar-sa="" b="" dir="rtl" en-us="" font-size:="" mso-ansi-language:="" mso-ascii-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" mso-hansi-font-family:="" new="" times=""> </span><span 11pt="" ar-sa="" b="" en-us="" font-size:="" mso-ansi-language:="" mso-bidi-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" new="" times="">Because</span><span 11pt="" ar-sa="" b="" dir="rtl" en-us="" font-size:="" mso-ansi-language:="" mso-ascii-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" mso-hansi-font-family:="" new="" times=""> </span><span 11pt="" ar-sa="" b="" en-us="" font-size:="" mso-ansi-language:="" mso-bidi-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" new="" times="">treatment</span><span 11pt="" ar-sa="" b="" dir="rtl" en-us="" font-size:="" mso-ansi-language:="" mso-ascii-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" mso-hansi-font-family:="" new="" times=""> </span><span 11pt="" ar-sa="" b="" en-us="" font-size:="" mso-ansi-language:="" mso-bidi-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" new="" times="">and</span><span 11pt="" ar-sa="" b="" dir="rtl" en-us="" font-size:="" mso-ansi-language:="" mso-ascii-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" mso-hansi-font-family:="" new="" times=""> </span><span 11pt="" ar-sa="" b="" en-us="" font-size:="" mso-ansi-language:="" mso-bidi-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" new="" times="">prognosis</span><span 11pt="" ar-sa="" b="" dir="rtl" en-us="" font-size:="" mso-ansi-language:="" mso-ascii-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" mso-hansi-font-family:="" new="" times=""> </span><span 11pt="" ar-sa="" b="" en-us="" font-size:="" mso-ansi-language:="" mso-bidi-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" new="" times="">of the disease will be determined</span><span 11pt="" ar-sa="" b="" dir="rtl" en-us="" font-size:="" mso-ansi-language:="" mso-ascii-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" mso-hansi-font-family:="" new="" times=""> </span><span 11pt="" ar-sa="" b="" en-us="" font-size:="" mso-ansi-language:="" mso-bidi-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-fareast-language:="" new="" times="">entirely on the basis of staging. Non surgical treatments of non small cell lung cancers include: adjuvant chemoradiation/chemotherapy and neoadjuvant chemo radiation/chemotherapy. Non surgical treatments of small cell lung cancers are chemo, radiation and chemotherapy.</span></p> سرطان ریه, نئوادجوانت, ادجوانت, کمورادیاسیون, شیمی‌درمانی. lungcancer, neoadjuvant, adjuvant, chemoradiation, chemotherapy. 1 13 http://ce.mazums.ac.ir/browse.php?a_code=A-10-26-34&slc_lang=fa&sid=1 Arash Ghasemi آرش قاسمی dr_arash_ghasemi@yahoo.com 10031947532846001811 10031947532846001811 Yes Masoud Aliyali مسعود علیالی 10031947532846001812 10031947532846001812 No Mahkameh Zare مهکامه زارع 10031947532846001813 10031947532846001813 No