03/03/2024
According to American Cancer Society estimates, lung cancer remained the deadliest malignancy in the United States in 2018. It is the second most prevalent cancer in men and women and the commonest cause of a malignant pleural effusion (MPE), accounting for approximately 30% of such effusions. The course of about 15% of patients with non-small cell lung cancer (NSCLC) is complicated by a documented MPE. The presence of an MPE in the setting of lung cancer indicates stage IV disease and is an independent determinant of shorter survival. Despite overall progress in the survival of stage IV lung cancer patients in recent times, the occurrence of an MPE as a complication of lung cancer still portends a very poor prognosis in most cases. the median survival of lung cancer patients with pleural and/or pericardial effusion is approximately, 11 months. Individual center experience suggests that specific institutions are observing far worse survival closer to 5 months. Apparently, we need to find new approaches for this critical condition.
Fortunately, clinical studies of acupuncture have provided very encouraging data. In that study, eighteen MPE patients confirmed by histopathological and/or cytological examinations were treated by acupuncture by selecting Yunmen (LU 2), Qimen (LR 14), Zhangmen (LR 13), Jingmen (GB 25), Guanyuan (CV 4), Zhongji (CV 3), Shuidao (ST 28), and Guilai (ST 29) as the major points. The treatment was given once every other day, 3 times a week, 4 weeks as a treatment course, and the therapeutic efficacy was evaluated 1 course later. Result Of the 18 patients, 6 got complete remission, 9 got partial remission, 2 achieved stable condition, while 1 didn’t respond to the treatment, and the total effective rate was 83.3%. Of the 5 cases with encapsulated pleural effusion, 2 got complete remission and 3 got partial remission, and the total effective rate was 100.0%. The amount of pleural effusion (anteroposterior diameter of the fluid), comprehensive score of symptoms, item scores of the symptoms, and Karnofsky Performance Status (KPS) score were changed significantly after treatment (P