Diagnosis and treatment of gastric cancer

Gastric cancer clinical symptoms:

Of unknown causes on the abdominal discomfort, abdominal distension and pain, Baozhang flu, anorexia, nausea, vomiting, Nacha, physically sleepy, easy fatigue, weight loss and sexual anemia. When the tumors and vascular Pokui transgression may have hematemesis, occult blood in the stool sample is positive or asphalt.

[Method] of gastric cancer

1, fiber endoscopy; 2, X-barium examination; 3, B super-examination, 4, immunology check: CEA or GCA; 5, CT examination.

[Treatment]

1, surgical treatment is surgical excision is still the first choice of early gastric cancer radical programme, in the early stomach, sinus cancer Shi Shuo  buffeting of the total removal of the stomach, the stomach cancer is the bottom line of the total proximal gastric Or total gastrectomy.

(1) Ⅰ, Ⅱ gastric cancer should be radical surgery, after Ⅱ gastric cancer should make the necessary anti-cancer chemotherapy and traditional Chinese medicine treatment.

(2) Ⅲ gastric cancer, gastric cancer, as far as possible to take radical surgery, can not cure available in palliative resection; should先做preoperative treatment - anti-cancer traditional Chinese medicine (such as Berson cancer Nanjing) + chemotherapy, to destroy cancer And narrow the tumor, cancer week to fibrosis, cancer week to eliminate the cancer and inflammatory adhesion to improve surgical resection rate, after growing for traditional Chinese medicine for cancer treatment (such as Berson cancer Nanjing), supported by chemotherapy and immunotherapy , To reduce the recurrence and metastasis.

(3) IV gastric cancer, if patients generally Fortunately, no extensive transfer, as far as possible, using palliative surgical resection or short-circuit, with the former to the Berson cancer-cancer treatment, after chemotherapy combined with anti-cancer traditional Chinese medicine treatment Fuzheng If patients generally poor, can alone Berson anti-cancer treatment or cancer-plus immunotherapy.

(4) advanced gastric cancer patients to do the surgery, the tumor had been removed, but the tumor remains. If the blood vessels in cancer cells or wavering a recurrence after surgery, Chinese medicine can be anti-cancer treatment (such as Berson-cancer) and support therapy, and combined with radiotherapy, chemotherapy and other treatment.

(5) gastrointestinal dysfunction, severe vomiting, unable to eat into drug and old age, physical weakness can not be tolerated radiotherapy and chemotherapy or surgery to lose the use of gastric cancer patients can control Berson-cancer tumor development, anti-recurrence of transfer, enhance the body Anti-tumor immunity.

2, chemical treatment: adenocarcinoma of the gastric cancer more often and more choice of 5 - fluorouracil, mitomycin, doxorubicin, a round-NOx urea drugs.

(1) FAM programme: ① 5 - Fu No. 500 mg intravenous one day, a week after 1 or 5 - Fu daily 500 mg,连用five days, three weeks after repeated injections every five days. ② ADM the first day of intravenous 30 ~ 50 mg, every three weeks to repeat once. ③ MMC first day of intravenous 4 ~ 10 mg, every three weeks to repeat once.

(2) EAP programme: ① ADM 20mg/m2, iv, d1-7; ② DDP 40mg/m2, iv, d2-8; ③ VP-16 100mg/m2, iv, d4, 5,6; 3 ~ 4 weeks for a course .

(3) MFV programme: ① MMC 6mg/m2, iv, 1/3W; ② 5 - FU 400mg/mg2, iv, 1 / Japan × 4/3W; ③ VCR 1.4mg/m2, iv, 1 / W × 2; 3周Is a cycle, a course of treatment for three cycles.

(4) furan fluorouracil per 200 mg, 1 3 to 4 times oral. Applicable to the general who稍差. FT-207 for 5 - Fu derivatives, alternative fluorouracil.

3, Chinese medicine treatment: Chinese medicine treatment of gastric cancer to improve symptoms, enhance immune function, for patients with stable balance in the environment, the protection of the normal organ functions, extended survival period, for rehabilitation are good, is by any Western medicine Difficult to replace.

(1) transdermal anti-tumor therapy: gastric cancer patients have lower digestive function, treatment should be free to stimulate the gastrointestinal tract, spleen and stomach protection features targeting anti-tumor cell carcinoma of the Berson-based transdermal treatment. Berson cancer-cancer lesions Local Application Method, thoracoabdominal and transfer of parts of its anti-tumor effective components in the high-activity drug could kill the cancerous cells, effectively controlling tumor growth, proliferation, transfer, to achieve effective treatment purposes , In advanced gastric cancer is particularly appropriate.

(2) Chinese medicine Fuzhengquxie therapy: the principles of Chinese medicine treatment of gastric cancer is Fuzhengquxie, "centralizer" that regulate body functions of balance and stability, strengthen its anti-cancer ability to eliminate tumors Quxie that is, to kill cancer cells and control their Proliferation, in clinical application, and must be Fuzheng Quxie combine to make up for attack and carrot, depending on the situation properly selected patients body.

4, immune therapy of gastric cancer patients with immune therapy alone is inappropriate, immune therapy and chemotherapy supplemented by Chinese anti-cancer treatment, cancer patients can improve capacity, reduce the metastasis and recurrence and improve survival, prolong life. The most commonly used to BCG, is generally used in the wrist 5 mgBCG coating on the skin, and then to remand for needle marks. BCG can enhance non-specific immune response, OK-32 has the same effect.

5, during radiotherapy for pathologically confirmed II, III gastric cancer and heart and lung function in patients with normal operation can be supplemented with radiation therapy, one-time exposure 20 ~ 30 Gy. Despite the increase in the use of gastric cancer radiation therapy can increase the survival rate of patients, but the general trend difficult to promote.

6, gastric cancer monoclonal antibodies and gastric cancer cells with only, and not with the normal tissue from tumor cells or other reaction. Such as anti-cancer drugs and some combination of toxins, monoclonal antibodies can play a "biological missile" the effectiveness of its partial destruction of cancer cells could enhance the role several times to several hundred times, especially after the spread of cancer cells opponent Anti-greater role, it can reduce the amount of anti-cancer drugs and reduce drug side effects, thereby enhancing treatment.

'Individualized treatment of gastric cancer 11.9'

This side of the ankle sheath liver  Feng treatment programme can not be blindly applied, under the guidance of doctors in accordance with individual pathological condition Shenxuan:

1, transdermal anti-tumor therapy: Berson cancer-human biological clock is in line with the laws of transdermal drug affixed to rely on the drug in a specific activator and promote the role of infiltration, through the skin and capillary channels such as Meridian Shuxue To promote the effective anti-cancer elements to infiltrate into lesions and tumors of blood and lymph, by inhibiting tumor angiogenesis network, blocking tumor blood supply to tumors due to the lack of Yang Jian withered death, to achieve tumor cell killing, softening tumor , The purpose of reducing cancer. In particular, can not be advanced in surgery, radiotherapy and chemotherapy and systemic transfer or with severe pain and hydrothorax and ascites in patients with severe cancer, which can effectively reduce pain and eliminate stagnant water, cancer control the momentum of large-scale development, alleviate nausea Vomiting, fatigue, symptoms such as interleukin decline, the biggest improvement of quality of life and prolong life.

2, step-up of gastric cancer chemotherapy superficial lymph node metastasis or merger of the chest, ascites more obvious results. First of all patients, the average measured blood pressure, began infusion of angiotensin II, the blood pressure to average levels of blood pressure, to the anti-cancer drugs, blood pressure will maintain an average blood pressure for 10 minutes, thereby promoting tumor血流量增加so that the concentration of drug , The extension of time to achieve the objective of the largest kill cancer cells.

3, endoscopic treatment for an operation can not be the case, in order to ease the narrow, bleeding and other symptoms can be carried out endoscopic palliative care, such as gasification using liquid nitrogen at low temperatures so that tissue necrosis, Nd-YAG laser uplift, and other diseases.

4, adjuvant therapy: Some vein SMI (each 60 ml of glucose by adding a day) to enhance immunity.

5, four Consumers oral pills, each 5-15 mg, three times a day, and maintain smooth stool.

6, Chinese medicine can effectively improve the patient's clinical symptoms

Anti-tumor decoction:

Bupleurum 20 g, Red 20 g, white dishes Qu 20 g, Banxia 20 g, Zhishi 15 g, Scutellaria barbata 30 g, rattan pear root 20 g, Polygonum cuspidatum 20 g, TPG 15 g, Dendrobium 15 g, the whole insect 10 g, fleas off 20 g, bergamot 30 g , Costunolide 20 g, white call 15 g, Tri-15 g, Ezhu 15 g, such as abdominal pain, and Piper for 15 g; bleeding plus 30 g Agrimony 2000 ml water Jianzhi 200 ml morning and evening clothes.

Anti-tumor capsule side:

Gecko 30, 30 stem toad skin, cellular 150 g, Armadillidium 150 g, centipede 30

For a total of more than liver chu  Bahuang methods retting consumption away  cough crutches  danger  see steady 

7, Yiji diet: eat more fresh vegetables and fruit, eat with vitamin A, B, E food, appropriate strengthening of protein, dairy, milk intake, and so on, so as to help protect the gastric mucosa. Eat or do not eat pickles. Jishi smoked and fried foods. Fasting mouldy food. Alcoholic drinks and tobacco bogey.

[-] Chinese medicine decoction of gastric cancer

Prescription components: CALCINED corrugated 30 g white dishes Qu 30 g Huanglian 10 g tiger battle 30 g Weilingxian 20 g bergamot 15 g costunolide 15 g fleas off 30 g Banxia 15 g Grub 10 g vine root pear 30 g Amomum villosum 10 g Scutellaria barbata 10 g Daizhe Dan Piper for 20 g 15g yuan-15 g

Function: Jiangni and stomach, cancer analgesic.

Indications: gastric cancer obvious pain, nausea Ou Tuzhe.