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肺癌根治术后5年复发率Ⅰ期为20％～30％,Ⅱ期为50％,Ⅲ期为70％～80％。早期检出复发可为患者争取局部病变根治手术治疗或通过姑息治疗延长生存时间的机会。但是关于监测根治术后肺癌患者计划的指导性资料很少。Downey等介绍了美国Memorial Sloan-Kettering癌症中心胸外科的随访工作计划。随访工作在完成根治术后即开始,第1年每3个月,第2年每4个月,第3年和第4年每6个月1次,此后为每年1次。每次随访包括详细了解病史,特别注意新发生的胸痛、血痰、呼吸困难、声音嘶哑、体重减轻和(或)厌食(警惕肝转移)、新的神经系症状诸如步态不稳、语
The 5-year recurrence rate after radical resection of lung cancer is 20% to 30%, phase II is 50%, and phase III is 70% to 80%. The early detection of recurrence may give patients the opportunity to seek surgical treatment for local lesions or extend survival through palliative care. However, there are few guidelines for monitoring lung cancer patients after radical surgery. Downey et al. introduced a follow-up work plan for thoracic surgery at the Memorial Sloan-Kettering Cancer Center in the United States. The follow-up work started after the completion of radical surgery, every 3 months in the first year, every 4 months in the second year, every 6 months in the 3rd year and the 4th year, and once every year thereafter. Each visit includes a detailed history of the disease, with particular attention to newly developed chest pain, bloody sputum, dyspnea, hoarseness, weight loss, and/or anorexia (warning liver metastasis), new neurological symptoms such as gait instability,