Women – Did you know you may be at risk for lung cancer? even never smoked Or have you stopped smoking for a long time?

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Monday, May 30, 2022, 6:00 a.m.



According to the announcement of the World Health Organization (WHO) that determines May 31 of every year as the World No Tobacco Day, Roche Thailand Co., Ltd. held a press conference on the topic “Did you know, you may be at risk of lung cancer. Even if you have never smoked or stopped smoking for a long time?” to encourage the general public to be aware of the dangers and health losses caused by tobacco smoke. and to enhance knowledge on prevention, screening and early diagnosis of lung cancer with Low Dose Computerized Tomography Scan.

The event was honored by Dr. Manoon Leechawengwong, a specialist in respiratory diseases. Wichaiyut Hospital and Dr. Narintorn Surasinthon, a specialist in anti-aging and preventive medicine Bumrungrad Hospital including early-stage lung cancer patients with a long history of smoking and caregivers of lung cancer patients with no previous history of exposure to cigarettes. Let’s share experiences of early screening and treatment of lung cancer.

Statistics reveal that in the year 2020, lung cancer has the second highest incidence and mortality rate compared to other cancers in Thailand, with 23,717 new cases of lung cancer found or thought. to 65 cases per day on average In addition, more than 20,395 Thai people, or 56 deaths per day on average, die of lung cancer. The severity of the disease in Thailand is ranked 18th in the world because the stage of lung cancer being treated directly affects the patient’s chances of survival. Thailand is still low This is especially true when compared to developed countries such as the United States, United Kingdom, France, Spain, Italy, Japan, etc., which make low dose CT scans as the standard guideline for lung cancer screening. To reduce the mortality rate of lung cancer patients in Thailand is to screen those at risk for lung cancer. by increasing access to standard diagnostic tests so that patients can receive treatment from the very beginning and it is likely that the results will be satisfactory.

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Many Thai people still lack awareness of lung cancer screening. As a result, most patients are diagnosed with late-stage lung cancer, which often has a low survival rate, said Dr. Manoon Leechawengwong, head of respiratory disease. Wichaiyut Hospital provided additional information that “If lung cancer is found in stage 4 or metastatic Patients will have a 5-year survival rate of only 0-10%. Stage 3 or locally advanced stage. Patients have a 5-year survival rate of 13-36%, but if they are diagnosed with stage 1 or 2 lung cancer, which is “early stage”, the patient has a 5-year survival rate of 53-92%. However, Thailand detects only 15% of lung cancer in its early stages, so people with risk factors for lung cancer include exposure to tobacco smoke or carcinogenic chemicals. Someone in the family has lung cancer. Have a history of other cancers or lung disease Therefore, you should pay attention to health warning signs. If you notice that you or someone close to you has the following symptoms You should consult your doctor for lung cancer screening, such as hoarseness, change in voice, chronic cough, cough with bloody sputum. wheezing chest pain all the time pain when swallowing frequent lung infections, etc.

However, healthy individuals may be more likely to develop lung cancer due to a number of factors leading to the disease, including genetic factors, such as those with a history of cystic fibrosis. chronic emphysema A family history of cancer that may be inherited. In addition, an abnormal mutation in an individual’s gene can also result in lung cancer. Only about 20% of these genetic factors account for about 20% of lung cancer, but the other 80% is attributed to behavioral and environmental factors such as smoking more than 20 packs-years, exposure to occupations, and occupational exposure. with carcinogens, whether it is the mining industry plastic industry insulation manufacturing industry would have the opportunity to inhale asbestos or asbestos, nickel, chromium in large quantities including daily use that is exposed to PM2.5 dust, riding a motorcycle Light incense to pay homage to monks, etc., so if you find yourself or someone close to you facing a risk You should keep checking your health regularly. and consult a doctor for effective screening methods.

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Currently, there are 3 different methods of screening for lung cancer: 1) Chest X-ray 2) Computed tomography (CT Scan) and 3) Low radiation chest computed tomography. dose CT Scan. Dr. Narintorn Surasinthon, a specialist in anti-aging and preventive medicine Bumrungrad Hospital has compared the advantages and limitations of each method. “Chest x-rays, which are often included in the annual health check, are quick and easy. low cost But it’s still not effective enough to screen for small, early-stage lung cancer cells. Computer tomography or CT Scan is much more accurate. But it’s a way to have to wait in long queues. in some hospitals Radiologists and equipment are limited. Patients are also exposed to high doses of radiation and may experience hot flashes throughout their body from intravenous infusion of contrast medium. The low-dose CT scan is six times more accurate than chest X-ray, resulting in lung cancer being detected early. It reduces mortality from lung cancer by 20%. Therefore, low-intensity CT scans are a standard and effective screening method for lung cancer.”

National Comprehensive Cancer Network (NCCN) guidelines state that people at high risk of developing lung cancer, including those over 50 and with a history of smoking more than 20 packs-years, should undergo annual lung cancer screening. with low radiation computed tomography While those who may have risk factors or who are health conscious can consult a doctor. to request for screening in this way as well Because lung cancer is a silent health threat and can leave your loved ones, it’s always welcome to be diagnosed with lung cancer early. Because patients have a high chance that the treatment outcome will be in a way that is satisfactory. and reduce the chance of recurrence

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Dr. Manoon Leechawengwong, MD.

Dr. Manoon Leechawengwong, MD.

Dr. Narintorn Surasinthon, MD.

Dr. Narintorn Surasinthon, MD.

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