Lymph node metastasis in patients with squamous lung cancer may be in stage IIB, III or IV of squamous lung cancer. For stage IIB patients, they can be treated with surgery, or radiotherapy or chemotherapy. For stage IIB patients, surgery, radiotherapy and chemotherapy can be adopted. For stage III patients, chemotherapy and surgery, or radiotherapy and chemotherapy can be adopted. In case of stage IV patients, they need to take drug treatment.
If lymph node metastasis occurs in patients with stage IIB squamous lung cancer, for patients suitable for surgery, they can be treated with anatomical lobectomy and hilar mediastinal lymph node dissection. For patients with contraindications to surgery, three-dimensional conformal radiation therapy and chemotherapeutic drugs such as paclitaxel and cisplatin can be adopted as prescribed by doctors.
For patients with stage III squamous lung cancer without contraindications to surgery, they can be treated with chemotherapeutic drugs such as vincristine and cisplatin under doctor’s instruction, and then lobectomy and systematic lymph node dissection can be adopted. Some patients can also take radiation irradiation treatment. In addition, for patients who cannot undergo surgical resection, radiation irradiation treatment and chemotherapy treatment are needed.
For patients with stage IV squamous lung cancer with lymph node metastasis, they need to be treated with chemotherapeutic drugs such as gemcitabine and cisplatin as prescribed by doctors, or with immunotherapy drugs such as pembrolizumab and tirilizumab under the guidance of doctors.
Patients with squamous lung cancer who have lymph node metastasis need to consult doctors in time, who will choose appropriate treatment measures according to the patient’s condition.