The positive result - cessation of tumor growth and its regression, reduction of local and long-term relapses and an increase in survival rate - provides treatment with induction chemoradiotherapy and subsequent surgical treatment - resection of affected structures.
Types of chemotherapy in cancer Pankosta:
- before surgery - a combination of certain drugs for chemotherapy with radiation for 5-6 weeks;
- after the removal of part or all of the lung, affected adjacent tissues or upper ribs (which is carried out after the course of chemoradiotherapy) - the final postoperative chemotherapy.
Chemotherapy regimens use cystostatic Cisplatin (Platinotin) in combination with other antitumor drugs, in particular, Etoposide and Windesin (Eldisin).
For example, intravenously administered Cisplatin refers to platinum derivatives; The drug is effective, but like all anti-cancer cytotoxic agents cause many side effects and negative consequences. The most frequent consequences of chemotherapy in cancer of Pankost are described in detail in publications:
Regimes of radiation, that is, radiation therapy for Pancost's cancer, usually include fractions of 45 Gy / 27 for 5-6 weeks, after which (after 4-6 weeks) they undergo an operation.
In this contraindication to surgical treatment are metastases, lesions of supraclavicular and mediastinal lymph nodes, more than half
Bodies of vertebrae, trachea and esophagus.
Patients with an inoperable Pancoast tumor are given palliative care.