Compression (emphasis) Oesophagus

Complaints due to the emphasis on the esophagus can be reduced by giving the radiation. Radiation intraesofagus ranging from proximal to distal limit of 5 cm from the narrowing of the esophagus. Dose: 5-8 Gy 1 cm from the axis of the radiation source. External radiation, given at a dose of 3-4 Gy. 

Compression bone marrow

Complaints due to compression of the bone marrow is usually a side effect of drugs or radiation. Leukopenia (Neutropeni) and thrombocytopenia are frequent complaints that arise. In mild impairment, improvements can occur without treatment as a process improvement (recovery) stem cell that occurs after about 21 days. Despite the gravity of such rare Neutropeni fever can often be cause of death. Giving G-CSF in conjunction with chemotherapy may accelerate the repair (recovery), which means can shorten the hospital but can not be prevent disruption in the stem cell is. Another alternative to deal with complaints due to suppression Stem cell function is the provision of transfusion, such as platelet transfusions to overcome thrombocytopenia.

Metastasis

Metastatic lung cancer can occur in the lung (intrapulmoner) and / or extrapulmonary (Extrapulmonary). Metastasis intrapulmoner requires no special action, whereas metastases extrapulmonary sometimes recover it. Complaints of pain or shortness of breath due to direct invasion tumor to the chest wall or ipsilateral mediastinal metastases are not considered, although sometimes it takes special measures to address the complaint. Metastases have been overcome if cause complaints but sometimes need immediate action is taken as a preventive effort, for example there has been metastasis to the spine. The principle of treatment for metastasis is more strived to improve the quality of life for sufferers.

Metastasis to Bone. 

Complaints that often occurs is pain and fractures. Pain due to metastatic to the bone can be overcome by administering radiation. If it is not possible then overcome with pain in administration of pain medication (cancer pain). Fractures (broken) bone metastases often occur due to long bones, the implementation of fractures due to metastasis is the same as in the case of fractures other.

Metastasis to the brain. 

KPKBS type adenocarcinomas frequently metastasize to the brain. Where possible then surgical intervention can be done to nodulsoliter in the brain. If there multipeinodul in the brain or Surgery is not done then the radiation may be an option. If it is not possible to surgery and radiation the complaint due to the emphasis in the head cavity can be reduced by steroit class of drug administration.

Metastasis to other organs. 

Management carried out in accordance with the complaints that arise.