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1 化疗的适应症与禁忌症 1.1 适应症 (1)病变范围不宜以局部手段(手术或放疗)治疗者,如已有远处转移的Ⅳ期患者行姑息性治疗; (2)具有手术或放疗指征,但因某些禁忌症不能实施手术或放疗者,如肺癌患者心、肺功能严重受损; (3)全身性肿瘤,如造血系统恶性肿瘤(白血病、多发性骨髓瘤、恶性淋巴瘤及恶性组织细胞增生症等),或有广泛亚临床微小转移灶的实体瘤如小细胞肺癌等应以化疗为首选治疗,或某些化疗效果较好的实体瘤进行根治性治疗;
1 Indications and contraindications for chemotherapy 1.1 Indications (1) The range of lesions should not be treated by local means (surgery or radiotherapy), such as palliative treatment in patients with distant metastasis of stage IV; (2) with surgery or radiotherapy Indications, but because of certain contraindications can not be surgery or radiotherapy, such as lung cancer patients with severe damage to heart and lung function; (3) systemic tumors, such as hematopoietic malignancies (leukemia, multiple myeloma, malignant lymphoma And malignant histiocytosis, etc.), or solid tumors with extensive subclinical micrometastases, such as small cell lung cancer, should be treated with chemotherapy as the first choice, or some solid tumors with good curative effect should undergo radical treatment.