Patient: Hello Dr. Yan, my brother 41 years old, coughing and breath-holding for more than two months, in the city’s first hospital CT chest enhancement scan results are as follows: imaging seen: routine preparation, the right elbow intravenous hypertensive push Ounapac 100ml, rate 3ml / s, enhancement scan shows: both sides of the chest symmetry, trachea and bronchial openings, the right upper lung can be seen a soft tissue mass shadow, irregular shape, size about 5.2cmX3.7cm, with lobulation, moderate enhancement in three phases, CT values of 36, 52, 47 HU, multiple nodular shadows of variable size with clear borders were seen in both lungs; multiple enlarged lymph node shadows were seen in the neck and mediastinum, with circumferential thickening of the pericardium. Impression: right upper lobe lung occupancy with moderate enhancement, consider peripheral lung cancer. Multiple metastases in both lungs, enlarged lymph nodes in the neck and mediastinum, and pericardial effusion. Had CT and bronchoscopy in the county hospital to rule out lung cancer, after taking anti-inflammatory drugs cough medicine has been holding breath and coughing badly. Please give a reference opinion to Dr. Yan about the possibility of lung cancer? How to treat? Thank you. The main treatment is chemotherapy after the diagnosis of lung cancer and the type of lung cancer is confirmed. If the lymph nodes in the neck cannot be biopsied, only sputum examination, bronchoscopy, and CT puncture biopsy can be performed. From the description, it looks like lung cancer and adenocarcinoma is more likely, so it is better to make a clear diagnosis as soon as possible. If the pericardial effusion is more, chest tightness and shortness of breath is obvious, you can first do pericardial puncture to extract fluid to reduce the pressure. The most important thing is that you can get a good idea of what is going on and how to treat it. It should be said that the diagnosis is clear, the next step is chemotherapy or targeted therapy. Patient: Hello Dr. Yan, my brother was diagnosed with adenocarcinoma of the right lung and has been treated with chemotherapy in phase 3. Since chemotherapy is very harmful to the liver function, I am not going to give him chemotherapy. Is there any good herbal treatment to control the metastasis in the head and other parts of the body and the lung? Thank you. Yan Dongjie, Department of Thoracic Surgery, Beijing Chest Cancer and Tuberculosis Hospital: Radiotherapy is better for head metastasis, but it is not effective for all patients. You can also try targeted drug therapy. There is no Chinese medicine that has a curative effect on tumors, but can only play a regulatory and auxiliary role.