Clinical pathology and biological characteristic _ symptom of gastric carcinoma
Gastric carcinoma is one of the most common malignant tumour, morbidity and mortality occupy the first place of digestive tract tumour. Pathology dividing systems of gastric carcinoma are numerous, the dividing type of the tradition is based on histologic characteristic of shape structure and cell, the gastric carcinomas of different organization types, its structure of shape and biological behavior are different, the epidemiology and molecule mechanism are also different. With the development of technology of modern molecular biology, biology permeates each other with pathology, the connection of the two is closer and closer, take shape gradually and is based on morphological method of traditional pathology, regard molecular biology characteristic as the new pattern of studying the focus.
First, pathologic credit type of gastric carcinoma
1,Daily dividing type: Existing gastric carcinoma pathology dividing systems are numerous, a commonly used one is to organize the shape credit type at present, there are Borrmann dividing into type, WHO dividing into type and Lauren dividing type,etc..
1.1 Borrmann dividing type
A fen type method that was put forward in 1926 by the German pathologist Borrmann, the main foundation tumour shape characteristic, other natural disposition and proportion of the endogeny the mucous membrane carry on the dividing type, it is 4 type to divide gastric carcinoma: Type (tubercle type) ,Tumour grows in, take the form of polyp, the basis is relatively wide, the realm is relatively clear, ulcer is rare, but there can be rotten the small one, the this type is the most rare. 2Type (ulcer limitation type) ,Tumour has larger ulcer that takes shape, the edge rises obviously, the realm is relatively clear, turn towards and can not soak obviously around. Type (soak ulcer type) ,Tumour has obvious ulcer that takes shape, the edge part rises, is soaked and destroy partly, realm unclear, to soak relatively obvious around, cancer organization range that soak exceed the border of tumour being seen of naked eye under mucous membrane, it is a type seen more most. Type (fill the air soak type) ,Present person who fill the air infiltration grow, confirm the intersection of tumour and border while being difficult, because cancer cell fill the air, soak and fiber organize hyperplasia, cause the coat of the stomach to increase thick, stiff, call " leather bag stomach " . Borrmann dividing type is a fen type method with classical gastric carcinoma, still adopt extensively in the world at present.
1.2 Lauren dividing type
Lauren divided gastric carcinoma into intestines type and filling the air type according to institutional framework and biological behavior of gastric carcinoma in 1965. Enteric gastric carcinoma originated from the intestines to grow the mucous membrane, generally there are obvious glands that are in charge of the structure, tumour cells take the form of column or cubic shape, it is obvious that pastes up form reason, tumour cells secrete the acid mucus material, similar to the structure of intestinal cancer; Often give birth to with withering gastritis and intestines, see more old men, the course of disease is relatively long, the morbidity is relatively high, the prognosis is better. Filling the air gastric carcinoma originated from the inherent mucous membrane of stomach, the cancer cell split up worse, presented filling the air growth, lack cell, connect, form gland, in charge of seldom, a lot of low to split up the intersection of gland and cancer and India give up cell cancer belong to the this type; See more young women, apt to shift, shift with the distant place the lymph node, the prognosis is relatively bad. Henson,etc. [1 ] in U.S.A. investigation reveal enteric morbidity of gastric carcinoma in the intersection of U.S.A. and man, woman, present the downward trend in descendants and white man, and filling the air gastric carcinoma is on the rise in the equal crowd, the morbidity rises to 1.8/100,000 of the people in 2000 from 0.3/100,000 of the people in 1978, among them the increase that India of Israel gives up cell cancer is most obvious. And research show, part person who fill the air gastric carcinoma has family's assembling and heredity, department's chain of house discovers department's mutation of CDH1 genetic embryo is its pathogenic factor. Lauren dividing type not only reflects the biological behavior of tumour but also reflect its cause of disease, pathogenesis and the characteristic prevails. Another advantage of deserving the dividing type is to live and examine and organize the dividing type of gastric carcinoma under the all right gastroscope of use, guide the surgery treatment [4 ]. Lauren dividing type is concise and effective, often adopted by the western countries. But there are 10%- 20% of the characteristics with the enteric type and filling the air type of case, it is difficult to include in any kind among them, thus is called the phenotype.
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Wednesday, December 5, 2012
What _'s symptoms does the clinical manifestation of gastric carcinoma have
What _'s symptoms does the clinical manifestation of gastric carcinoma have
(1) There can not be symptom above early period gastric carcinoma 70% of symptom. Can the intersection of stomach and cancer divide into 4 respects later period according to take place mechanism.
1.Energy consumption with the intersection of supersession and obstacle that take place because cancerous swelling is proliferated, cause resistance to be low malnutritive, vitamin scarce, etc, is it is weak to be shown ased, loses the appetite, bes disgusting, becomes thin, anaemia, edema, generating heat, the constipation, skin are dried and the hair is lossed etc..
2.Gastric carcinoma festers and causes the upper abdomen to pain, the digestive tract to bleed, punch etc.. Gastric carcinoma pains often in order to grip the nibbling, with having clear relation to eat or aggravating after taking food. Some like pain of peptic ulcer, eat or resist sour pharmaceutical, can relieve, the situation can keep for longer time, it aggravates and lasts gradually to pain later. Cancerous swelling is shown as the latent blood of excrement and urine and tested masculine gender, spittings blood or melena while bleeding, 5% patient appear massive haemorrhage, have because bleed or the intersection of gastric carcinoma and the intersection of person who punch and acute abdomen and person who seek medical advice for the first time.
3.Symptom that the machinery function of gastric carcinoma causes, the glutted sense substantially as causing because the stomach is full of badly, heavy sense, and tasteless, apocleisis, pain, disgusting and vomiting etc.. Gastric carcinoma can infringe the esophagus while locating adjacent cardia, cause and hiccough, swallow the difficulty, it can cause pyloric stenosis to locate adjacent pylorus.
4.Cancerous swelling spread symptom caused to shift, such as and ascites, the intersection of liver and transformation of old, jaundice, lung and brain, heart, prostate, ovary, bone marrow,etc. cause corresponding symptom.
(2) It can have gastric carcinoma it is early in physical sign one physical sign,of belly most common in tenderness in physical sign of cancer of later period. 1/3 patient can lay one's hand on the intersection of upper abdomen and lump, quality hard abnormality, can have tenderness. Whether could find the belly piece, relate to position, size and patient's thickness of the belly wall of cancerous swelling. Stomach sinus portion cancer can lay one's hand on and belly piece person more.
Whether other physical sign are or shift and produce in later period from gastric carcinoma more, if is swelling, the quality is hard, liver with irregular surface, jaundice, ascites, at the clavicular left and left the intersection of armpit and enlargement of lymph nodes. Male patient examine, can mean by rectum on the top of prostate laying one's hand on and hard lump, women patient's vagina can be laid one's hand on and swelling ovary when being checked. Other rare physical sign still have skin, belly white line place tubercle, the inguinal enlargement of lymph nodes, can generate heat in later period, are mostly cachexias. In addition syndrome include thrombus phlebitis by the cancer of gastric carcinoma, dark sour jujube ill and leather myositis can have corresponding physical sign.
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(1) There can not be symptom above early period gastric carcinoma 70% of symptom. Can the intersection of stomach and cancer divide into 4 respects later period according to take place mechanism.
1.Energy consumption with the intersection of supersession and obstacle that take place because cancerous swelling is proliferated, cause resistance to be low malnutritive, vitamin scarce, etc, is it is weak to be shown ased, loses the appetite, bes disgusting, becomes thin, anaemia, edema, generating heat, the constipation, skin are dried and the hair is lossed etc..
2.Gastric carcinoma festers and causes the upper abdomen to pain, the digestive tract to bleed, punch etc.. Gastric carcinoma pains often in order to grip the nibbling, with having clear relation to eat or aggravating after taking food. Some like pain of peptic ulcer, eat or resist sour pharmaceutical, can relieve, the situation can keep for longer time, it aggravates and lasts gradually to pain later. Cancerous swelling is shown as the latent blood of excrement and urine and tested masculine gender, spittings blood or melena while bleeding, 5% patient appear massive haemorrhage, have because bleed or the intersection of gastric carcinoma and the intersection of person who punch and acute abdomen and person who seek medical advice for the first time.
3.Symptom that the machinery function of gastric carcinoma causes, the glutted sense substantially as causing because the stomach is full of badly, heavy sense, and tasteless, apocleisis, pain, disgusting and vomiting etc.. Gastric carcinoma can infringe the esophagus while locating adjacent cardia, cause and hiccough, swallow the difficulty, it can cause pyloric stenosis to locate adjacent pylorus.
4.Cancerous swelling spread symptom caused to shift, such as and ascites, the intersection of liver and transformation of old, jaundice, lung and brain, heart, prostate, ovary, bone marrow,etc. cause corresponding symptom.
(2) It can have gastric carcinoma it is early in physical sign one physical sign,of belly most common in tenderness in physical sign of cancer of later period. 1/3 patient can lay one's hand on the intersection of upper abdomen and lump, quality hard abnormality, can have tenderness. Whether could find the belly piece, relate to position, size and patient's thickness of the belly wall of cancerous swelling. Stomach sinus portion cancer can lay one's hand on and belly piece person more.
Whether other physical sign are or shift and produce in later period from gastric carcinoma more, if is swelling, the quality is hard, liver with irregular surface, jaundice, ascites, at the clavicular left and left the intersection of armpit and enlargement of lymph nodes. Male patient examine, can mean by rectum on the top of prostate laying one's hand on and hard lump, women patient's vagina can be laid one's hand on and swelling ovary when being checked. Other rare physical sign still have skin, belly white line place tubercle, the inguinal enlargement of lymph nodes, can generate heat in later period, are mostly cachexias. In addition syndrome include thrombus phlebitis by the cancer of gastric carcinoma, dark sour jujube ill and leather myositis can have corresponding physical sign.
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CT artificial gastroscope of gastric carcinoma diagnoses _'s general knowledge
CT artificial gastroscope of gastric carcinoma diagnoses _'s general knowledge
Large chief physician Zheng Kehl of dept. of radiology of hospital,etc. in Nanjing Southeast China University attaches to, finished " CT artificial gastroscope and three-dimension rebuild the appraisal that is diagnosed to gastric carcinoma " at home for the first time a few days ago Study. The result of study verifies, CT artificial gastrocopy has no wound simply safely, fast and accurately, to the patient, can obtain in the stomach at the same time, the coat of the stomach and close to the internal organs being invaded multiple diagnosis indexes such as the situation, can still be to swelling
Tumour carries on the dividing type, by stages. It is reported, level of this research reaches leading at home, the internationally advanced scientific research task is that the scholar of our country obtained Europe and radiated the project of learning research and education fund subsidy for the first time.
The morbidity in malignant tumour in our country of gastric carcinoma ranks the second, it is extremely important to treat to improving the survival rate of five years of a patient of gastric carcinoma in early days, X-ray barium meal and gastrocopy can only reveal the situation of inclusive of lump as the regular detection means of gastric carcinoma, but can't reveal as to the situation that it is shifted that tumour grows, infringes organ and distant place around in the coat of the stomach; It is influenced because of being checked many kinds of factors such as technology that barium meal is checked, it is extremely apt to misdiagnose, leak and examine. Meanwhile, not only there are certain wounds in gastrocopy, but also must live and examine and combine and make a definite diagnosis of disease with pathology. With the improvement of the top-grade spiral CT software function, the technical application of formation of image of CT artificial gastroscope has widened the diagnosis field of stomach disease.
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Large chief physician Zheng Kehl of dept. of radiology of hospital,etc. in Nanjing Southeast China University attaches to, finished " CT artificial gastroscope and three-dimension rebuild the appraisal that is diagnosed to gastric carcinoma " at home for the first time a few days ago Study. The result of study verifies, CT artificial gastrocopy has no wound simply safely, fast and accurately, to the patient, can obtain in the stomach at the same time, the coat of the stomach and close to the internal organs being invaded multiple diagnosis indexes such as the situation, can still be to swelling
Tumour carries on the dividing type, by stages. It is reported, level of this research reaches leading at home, the internationally advanced scientific research task is that the scholar of our country obtained Europe and radiated the project of learning research and education fund subsidy for the first time.
The morbidity in malignant tumour in our country of gastric carcinoma ranks the second, it is extremely important to treat to improving the survival rate of five years of a patient of gastric carcinoma in early days, X-ray barium meal and gastrocopy can only reveal the situation of inclusive of lump as the regular detection means of gastric carcinoma, but can't reveal as to the situation that it is shifted that tumour grows, infringes organ and distant place around in the coat of the stomach; It is influenced because of being checked many kinds of factors such as technology that barium meal is checked, it is extremely apt to misdiagnose, leak and examine. Meanwhile, not only there are certain wounds in gastrocopy, but also must live and examine and combine and make a definite diagnosis of disease with pathology. With the improvement of the top-grade spiral CT software function, the technical application of formation of image of CT artificial gastroscope has widened the diagnosis field of stomach disease.
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Collect _'s general knowledge big in cancer of stomach
Collect _'s general knowledge big in cancer of stomach
One) There can not be symptom above early period gastric carcinoma 70% of symptom. Can the intersection of stomach and cancer divide into 4 respects later period according to take place mechanism.
1,Energy consumption with the intersection of supersession and obstacle that take place because cancerous swelling is proliferated, cause resistance to be low malnutritive, vitamin scarce, etc, is it is weak to be shown ased, loses the appetite, bes disgusting, becomes thin, anaemia, edema, generating heat, the constipation, skin are dried and the hair is lossed etc..
2,Gastric carcinoma festers and causes the upper abdomen to pain, the digestive tract to bleed, punch etc.. Gastric carcinoma pains often in order to grip the nibbling, with having clear relation to eat or aggravating after taking food. Some like pain of peptic ulcer, eat or resist sour pharmaceutical, can relieve, the situation can keep for longer time, it aggravates and lasts gradually to pain later. Cancerous swelling is shown as the latent blood of excrement and urine and tested masculine gender, spittings blood or melena while bleeding, 5% patient appear massive haemorrhage, have because bleed or the intersection of gastric carcinoma and the intersection of person who punch and acute abdomen and person who seek medical advice for the first time.
3,Symptom that the machinery function of gastric carcinoma causes, the glutted sense substantially as causing because the stomach is full of badly, heavy sense, and tasteless, apocleisis, pain, disgusting and vomiting etc.. Gastric carcinoma can infringe the esophagus while locating adjacent cardia, cause and hiccough, swallow the difficulty, it can cause pyloric stenosis to locate adjacent pylorus.
4,Cancerous swelling spread symptom caused to shift, such as and ascites, the intersection of liver and transformation of old, jaundice, lung and brain, heart, prostate, ovary, bone marrow,etc. cause corresponding symptom.
Two) Physical sign gastric carcinomas early can have one physical sign,of belly most common in tenderness in physical sign of cancer of later period.1/3 patient can lay one's hand on the intersection of upper abdomen and lump, quality hard abnormality, can have tenderness. Whether could find the belly piece, relate to position, size and patient's thickness of the belly wall of cancerous swelling. Stomach sinus portion cancer can lay one's hand on and belly piece person more.
Whether other physical sign are or shift and produce in later period from gastric carcinoma more, if is swelling, the quality is hard, liver with irregular surface, jaundice, ascites, at the clavicular left and left the intersection of armpit and enlargement of lymph nodes. Male patient examine, can mean by rectum on the top of prostate laying one's hand on and hard lump, women patient's vagina can be laid one's hand on and swelling ovary when being checked. Other rare physical sign still have skin, belly white line place tubercle, the inguinal enlargement of lymph nodes, can generate heat in later period, are mostly cachexias. In addition syndrome include thrombus phlebitis by the cancer of gastric carcinoma, dark sour jujube ill and leather myositis can have corresponding physical sign.
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One) There can not be symptom above early period gastric carcinoma 70% of symptom. Can the intersection of stomach and cancer divide into 4 respects later period according to take place mechanism.
1,Energy consumption with the intersection of supersession and obstacle that take place because cancerous swelling is proliferated, cause resistance to be low malnutritive, vitamin scarce, etc, is it is weak to be shown ased, loses the appetite, bes disgusting, becomes thin, anaemia, edema, generating heat, the constipation, skin are dried and the hair is lossed etc..
2,Gastric carcinoma festers and causes the upper abdomen to pain, the digestive tract to bleed, punch etc.. Gastric carcinoma pains often in order to grip the nibbling, with having clear relation to eat or aggravating after taking food. Some like pain of peptic ulcer, eat or resist sour pharmaceutical, can relieve, the situation can keep for longer time, it aggravates and lasts gradually to pain later. Cancerous swelling is shown as the latent blood of excrement and urine and tested masculine gender, spittings blood or melena while bleeding, 5% patient appear massive haemorrhage, have because bleed or the intersection of gastric carcinoma and the intersection of person who punch and acute abdomen and person who seek medical advice for the first time.
3,Symptom that the machinery function of gastric carcinoma causes, the glutted sense substantially as causing because the stomach is full of badly, heavy sense, and tasteless, apocleisis, pain, disgusting and vomiting etc.. Gastric carcinoma can infringe the esophagus while locating adjacent cardia, cause and hiccough, swallow the difficulty, it can cause pyloric stenosis to locate adjacent pylorus.
4,Cancerous swelling spread symptom caused to shift, such as and ascites, the intersection of liver and transformation of old, jaundice, lung and brain, heart, prostate, ovary, bone marrow,etc. cause corresponding symptom.
Two) Physical sign gastric carcinomas early can have one physical sign,of belly most common in tenderness in physical sign of cancer of later period.1/3 patient can lay one's hand on the intersection of upper abdomen and lump, quality hard abnormality, can have tenderness. Whether could find the belly piece, relate to position, size and patient's thickness of the belly wall of cancerous swelling. Stomach sinus portion cancer can lay one's hand on and belly piece person more.
Whether other physical sign are or shift and produce in later period from gastric carcinoma more, if is swelling, the quality is hard, liver with irregular surface, jaundice, ascites, at the clavicular left and left the intersection of armpit and enlargement of lymph nodes. Male patient examine, can mean by rectum on the top of prostate laying one's hand on and hard lump, women patient's vagina can be laid one's hand on and swelling ovary when being checked. Other rare physical sign still have skin, belly white line place tubercle, the inguinal enlargement of lymph nodes, can generate heat in later period, are mostly cachexias. In addition syndrome include thrombus phlebitis by the cancer of gastric carcinoma, dark sour jujube ill and leather myositis can have corresponding physical sign.
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Main diagnostic method _'s symptom of gastric carcinoma
Main diagnostic method _'s symptom of gastric carcinoma
The gastric carcinoma diagnostic method seen is divided for the following aspects:
The X-ray is diagnosed:
( 1) The X-ray of the early gastric carcinoma is diagnosed: Early gastric carcinoma is that tumour is limited to the mucous membrane or mucomembranous lower floor, and no matter the size of its range or having lymph nodes to shift. Stomach low tension compare to transfer line, check, combine fibrous gastrocopy to find early gastric carcinoma have very much loud value radiography with while being double.
( 2) The X-ray of gastric carcinoma is diagnosed to develop for period: Develop to transfer line display and the intersection of pathology and person who divide it has close to be on the whole issues of gastric carcinoma. Different position gastric carcinoma and special X-ray of the gastric ulcer canceration behave.
The stomach is compared doubly with the radiography:
Renduch employed the stomach to compare doubly with the radiography and transfer threads to check first of all in 1923, but because barium pharmaceutical particle was thick at that time, apply and is unsatisfied, fail to be popularized. Hampton employed rare barium in 1937 ' 40% - 80% , w/ V) ,The stomach without low one is compared doubly with the law, make image quality obviously improve. Still employing so far. The swallow of white wall further improved and popularized and compared doubly with the radiography, and the 2 c type early gastric carcinoma of detection in 1950. Laufer published the stomach to compare doubly with the radiography monograph in 1975, the system expounded the fact it was become like the principle.
CT checks:
CT check, can reveal gastric carcinoma involve coat of the stomach in until the intersection of range and Lu that grow lay close dissection relation and shift etc. some day outside the. Gastric carcinoma can clearly reveal on CT while shifting through the blood one.
The inner mirror of gastric carcinoma is diagnosed:
The fibrous gastroscope is very important for diagnosis of gastric carcinoma. Can find early gastric carcinoma, go on, distinguish to good malignant ulcer, confirm type and range that focus soaks of gastric carcinoma, the well can follow up a case by regular visits to and check precancerous lesion. Following up a case by regular visits to and checking and monitoring the fixed gastroscope to the precancerous lesion patient has certain meanings.
Inner mirror supersound:
The inner mirror supersound is a kind of newer technology, examiners can see every layer of the coat of the stomach directly, find out about the overall picture of tumour, contribute to diagnosis and TNM of gastric carcinoma by stages. Inner the intersection of mirror and the intersection of supersound and a lot of centre in U.S.A. employ relatively wide, already can examine passway, insert supersound in, pop one's head while being living through ordinary inner mirror now, used for clinical examination.
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The gastric carcinoma diagnostic method seen is divided for the following aspects:
The X-ray is diagnosed:
( 1) The X-ray of the early gastric carcinoma is diagnosed: Early gastric carcinoma is that tumour is limited to the mucous membrane or mucomembranous lower floor, and no matter the size of its range or having lymph nodes to shift. Stomach low tension compare to transfer line, check, combine fibrous gastrocopy to find early gastric carcinoma have very much loud value radiography with while being double.
( 2) The X-ray of gastric carcinoma is diagnosed to develop for period: Develop to transfer line display and the intersection of pathology and person who divide it has close to be on the whole issues of gastric carcinoma. Different position gastric carcinoma and special X-ray of the gastric ulcer canceration behave.
The stomach is compared doubly with the radiography:
Renduch employed the stomach to compare doubly with the radiography and transfer threads to check first of all in 1923, but because barium pharmaceutical particle was thick at that time, apply and is unsatisfied, fail to be popularized. Hampton employed rare barium in 1937 ' 40% - 80% , w/ V) ,The stomach without low one is compared doubly with the law, make image quality obviously improve. Still employing so far. The swallow of white wall further improved and popularized and compared doubly with the radiography, and the 2 c type early gastric carcinoma of detection in 1950. Laufer published the stomach to compare doubly with the radiography monograph in 1975, the system expounded the fact it was become like the principle.
CT checks:
CT check, can reveal gastric carcinoma involve coat of the stomach in until the intersection of range and Lu that grow lay close dissection relation and shift etc. some day outside the. Gastric carcinoma can clearly reveal on CT while shifting through the blood one.
The inner mirror of gastric carcinoma is diagnosed:
The fibrous gastroscope is very important for diagnosis of gastric carcinoma. Can find early gastric carcinoma, go on, distinguish to good malignant ulcer, confirm type and range that focus soaks of gastric carcinoma, the well can follow up a case by regular visits to and check precancerous lesion. Following up a case by regular visits to and checking and monitoring the fixed gastroscope to the precancerous lesion patient has certain meanings.
Inner mirror supersound:
The inner mirror supersound is a kind of newer technology, examiners can see every layer of the coat of the stomach directly, find out about the overall picture of tumour, contribute to diagnosis and TNM of gastric carcinoma by stages. Inner the intersection of mirror and the intersection of supersound and a lot of centre in U.S.A. employ relatively wide, already can examine passway, insert supersound in, pop one's head while being living through ordinary inner mirror now, used for clinical examination.
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Clinical symptom and _ symptom of gastric carcinoma
Clinical symptom and _ symptom of gastric carcinoma
There can not be any symptom in early gastric carcinoma, some can have slight indigestion, often ignored, because of having no symptom, it is very difficult to impute to gastric carcinoma. Early gastric carcinoma is found by the gastroscope mainly, the detection rate of gastric carcinoma is the highest in early period in Japan, it is more than 50%, there is the detection rate of the gastroscope of our country only 15- 20% , Should recommend gastroscope general survey gastric carcinoma. If has not made the general survey of gastroscope, early gastric carcinoma is further developed, become progress period, often there is a stomach that receives difference at this moment, the food is tasteless, full belly sense, anaemia, abdominal pain is uncomfortable as the main fact with the secret anguish, the weight is lightened, and whole body is unable. Can swallow the difficulty at the time of cardia cancer, stomach sinus cancer can cause pyloric stenosis and appear disgustingly and vomiting. There are ulcer type cancers while bleeding, black or spitting blood if can cause. At the time of polyp type gastric carcinoma, tumour grows in the stomach, but actually rare, at the time of ulcer type gastric carcinoma, can present singly or rise on a plurality of, edge, more common. If gastric carcinoma transfer to lung or pleura accumulate liquid, can have, cough and have difficulty in breathing. While shifting to liver and peritoneum, can produce the ascites. While suffering from abdominal pain on the violent continuation and radiating to the shoulder back, often show tumour has already penetrated the pancreas. The main physical sign of gastric carcinoma has lump of belly, the tenderness occasionally, difficult to touch to at the time of cardia cancer, at a distance when lymph node shift, can inside touch get the intersection of quality and hard tubercle, can't move at clavicular left. Some the intersection of gastric carcinoma and patient, have the intersection of companion and the intersection of cancer and syndrome often, such as breaking out thrombus nature phlebitis repeatedly, black the intersection of sour jujube and leather disease, the intersection of skin and fold have pigmentation, leather myositis,etc.. But some are there is companion's cancer syndrome before cancer first, should enhance vigilance and improve checking ability.
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There can not be any symptom in early gastric carcinoma, some can have slight indigestion, often ignored, because of having no symptom, it is very difficult to impute to gastric carcinoma. Early gastric carcinoma is found by the gastroscope mainly, the detection rate of gastric carcinoma is the highest in early period in Japan, it is more than 50%, there is the detection rate of the gastroscope of our country only 15- 20% , Should recommend gastroscope general survey gastric carcinoma. If has not made the general survey of gastroscope, early gastric carcinoma is further developed, become progress period, often there is a stomach that receives difference at this moment, the food is tasteless, full belly sense, anaemia, abdominal pain is uncomfortable as the main fact with the secret anguish, the weight is lightened, and whole body is unable. Can swallow the difficulty at the time of cardia cancer, stomach sinus cancer can cause pyloric stenosis and appear disgustingly and vomiting. There are ulcer type cancers while bleeding, black or spitting blood if can cause. At the time of polyp type gastric carcinoma, tumour grows in the stomach, but actually rare, at the time of ulcer type gastric carcinoma, can present singly or rise on a plurality of, edge, more common. If gastric carcinoma transfer to lung or pleura accumulate liquid, can have, cough and have difficulty in breathing. While shifting to liver and peritoneum, can produce the ascites. While suffering from abdominal pain on the violent continuation and radiating to the shoulder back, often show tumour has already penetrated the pancreas. The main physical sign of gastric carcinoma has lump of belly, the tenderness occasionally, difficult to touch to at the time of cardia cancer, at a distance when lymph node shift, can inside touch get the intersection of quality and hard tubercle, can't move at clavicular left. Some the intersection of gastric carcinoma and patient, have the intersection of companion and the intersection of cancer and syndrome often, such as breaking out thrombus nature phlebitis repeatedly, black the intersection of sour jujube and leather disease, the intersection of skin and fold have pigmentation, leather myositis,etc.. But some are there is companion's cancer syndrome before cancer first, should enhance vigilance and improve checking ability.
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CT artificial gastroscope of gastric carcinoma diagnoses _'s general knowledge
CT artificial gastroscope of gastric carcinoma diagnoses _'s general knowledge
Large chief physician Zheng Kehl of dept. of radiology of hospital,etc. in Nanjing Southeast China University attaches to, finished " CT artificial gastroscope and three-dimension rebuild the appraisal that is diagnosed to gastric carcinoma " at home for the first time a few days ago Study. The result of study verifies, CT artificial gastrocopy has no wound simply safely, fast and accurately, to the patient, can obtain in the stomach at the same time, the coat of the stomach and close to the internal organs being invaded multiple diagnosis indexes such as the situation, can still be to swelling
Tumour carries on the dividing type, by stages. It is reported the research level reach at home leading and internationally advanced scientific research task whether of our country scholar obtain Europe, radiate, learn research and the intersection of education fund and event of subsidy for the first time.
The morbidity in malignant tumour in our country of gastric carcinoma ranks the second, it is extremely important to treat to improving the survival rate of five years of a patient of gastric carcinoma in early days, X-ray barium meal and gastrocopy can only reveal the situation of inclusive of lump as the regular detection means of gastric carcinoma, but can't reveal as to the situation that it is shifted that tumour grows, infringes organ and distant place around in the coat of the stomach; It is influenced because of being checked many kinds of factors such as technology that barium meal is checked, it is extremely apt to misdiagnose, leak and examine. Meanwhile, not only there are certain wounds in gastrocopy, but also must live and examine and combine and make a definite diagnosis of disease with pathology. With the improvement of the top-grade spiral CT software function, the technical application of formation of image of CT artificial gastroscope has widened the diagnosis field of stomach disease.
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Large chief physician Zheng Kehl of dept. of radiology of hospital,etc. in Nanjing Southeast China University attaches to, finished " CT artificial gastroscope and three-dimension rebuild the appraisal that is diagnosed to gastric carcinoma " at home for the first time a few days ago Study. The result of study verifies, CT artificial gastrocopy has no wound simply safely, fast and accurately, to the patient, can obtain in the stomach at the same time, the coat of the stomach and close to the internal organs being invaded multiple diagnosis indexes such as the situation, can still be to swelling
Tumour carries on the dividing type, by stages. It is reported the research level reach at home leading and internationally advanced scientific research task whether of our country scholar obtain Europe, radiate, learn research and the intersection of education fund and event of subsidy for the first time.
The morbidity in malignant tumour in our country of gastric carcinoma ranks the second, it is extremely important to treat to improving the survival rate of five years of a patient of gastric carcinoma in early days, X-ray barium meal and gastrocopy can only reveal the situation of inclusive of lump as the regular detection means of gastric carcinoma, but can't reveal as to the situation that it is shifted that tumour grows, infringes organ and distant place around in the coat of the stomach; It is influenced because of being checked many kinds of factors such as technology that barium meal is checked, it is extremely apt to misdiagnose, leak and examine. Meanwhile, not only there are certain wounds in gastrocopy, but also must live and examine and combine and make a definite diagnosis of disease with pathology. With the improvement of the top-grade spiral CT software function, the technical application of formation of image of CT artificial gastroscope has widened the diagnosis field of stomach disease.
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Nine kinds of gastric carcinomas check _'s general knowledge of the project
Nine kinds of gastric carcinomas check _'s general knowledge of the project
Gastric carcinoma is one of the most common malignant tumour, it is different to up to its main disease, can be divided and belonged to in traditional Chinese medicine " Choke diaphragm " , " Regurgitation " , " Disease Jia " , " Gather " , " The trusted subordinate ruffian " , " Gastral cavity aches " Wait for the disease card category. Its morbidity occupies the first place in digestive tract malignant tumour, but there is obvious regional disparity, morbidity its in high person who take place and low to can differ by 7- 10 times while taking place the districts. Our country is the high taking place area of gastric carcinoma on the whole, it has obvious regional disparity too, the Northeast, Jiangsu, the intersection of Zhejiang and for the intersection of gastric carcinoma and high person who take place region following the line of the sea in the northwest of the our country, especially gastric carcinoma in the Hexi Corridor, Gansu Province, Jiaodong Peninsula, Jiangsu, Zhejiang has the highest morbidity, and middle and southern southwest, especially Guangxi, the morbidity of gastric carcinoma is low.
The diagnosis of gastric carcinoma:
(1) Symptom is shown as the upper abdomen is uncomfortable, about 80% of the patients have this behavior, about 50% of the gastric carcinoma patients have obvious appetite to fail or lose the appetite in early period. Weak when can appearing later period,waist back pain and obstruct after appear sick and vomiting, taking food difficult. Tumour surface present, spitting blood, not dark to relieve oneself at the ulcer.
(2) There is no special physical sign in early days in physical sign, can see the lump of upper abdomen in later period, the rectum means examining but and lump, enlargement of lymph nodes at the clavicular left, anaemia, become thin, ascites the intersection of evil and the intersection of liquid and quality behave at the same time.
(3) Check early suspicious gastric carcinoma in the laboratory, free gastric acid minuent or scarce, for instance, the red blood cell presses accumulating, hemoglobin, erythrocyte to drop, stool occult blood (+) . Hemoglobin is low, white in total number the ball is inverted etc.. Water electrolyte is disorderly, the acid-base balance lacks proper care etc. and tests unusually.
(4) The situation, mucomembranous shape that the X-ray can clearly illustrate the stomach outline, wriggle while displaying the double radiography of angry barium, emptying time, whether full of defect, shrine shadow,etc.. Check nearly 80% of rate of accuracy.
(5) Diagnose the most direct and most accurate and most effective diagnostic method of gastric carcinoma in fibrous endoscopy.
(6) Loss cytologic to check, maintain clinical and X-ray examination competent this is checked at the suspicious gastric carcinoma by some scholar.
(7) Can understand whether the substantive internal organs are shifted around in Ultrasonography B.
(8) CT checks to understand stomach tumour infringes the situation, and the internal organs relation around, it is possible whether to excise or not.
(9) Amynologic CEA, FSA, GCA, YM globulin,etc. are checked.
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Gastric carcinoma is one of the most common malignant tumour, it is different to up to its main disease, can be divided and belonged to in traditional Chinese medicine " Choke diaphragm " , " Regurgitation " , " Disease Jia " , " Gather " , " The trusted subordinate ruffian " , " Gastral cavity aches " Wait for the disease card category. Its morbidity occupies the first place in digestive tract malignant tumour, but there is obvious regional disparity, morbidity its in high person who take place and low to can differ by 7- 10 times while taking place the districts. Our country is the high taking place area of gastric carcinoma on the whole, it has obvious regional disparity too, the Northeast, Jiangsu, the intersection of Zhejiang and for the intersection of gastric carcinoma and high person who take place region following the line of the sea in the northwest of the our country, especially gastric carcinoma in the Hexi Corridor, Gansu Province, Jiaodong Peninsula, Jiangsu, Zhejiang has the highest morbidity, and middle and southern southwest, especially Guangxi, the morbidity of gastric carcinoma is low.
The diagnosis of gastric carcinoma:
(1) Symptom is shown as the upper abdomen is uncomfortable, about 80% of the patients have this behavior, about 50% of the gastric carcinoma patients have obvious appetite to fail or lose the appetite in early period. Weak when can appearing later period,waist back pain and obstruct after appear sick and vomiting, taking food difficult. Tumour surface present, spitting blood, not dark to relieve oneself at the ulcer.
(2) There is no special physical sign in early days in physical sign, can see the lump of upper abdomen in later period, the rectum means examining but and lump, enlargement of lymph nodes at the clavicular left, anaemia, become thin, ascites the intersection of evil and the intersection of liquid and quality behave at the same time.
(3) Check early suspicious gastric carcinoma in the laboratory, free gastric acid minuent or scarce, for instance, the red blood cell presses accumulating, hemoglobin, erythrocyte to drop, stool occult blood (+) . Hemoglobin is low, white in total number the ball is inverted etc.. Water electrolyte is disorderly, the acid-base balance lacks proper care etc. and tests unusually.
(4) The situation, mucomembranous shape that the X-ray can clearly illustrate the stomach outline, wriggle while displaying the double radiography of angry barium, emptying time, whether full of defect, shrine shadow,etc.. Check nearly 80% of rate of accuracy.
(5) Diagnose the most direct and most accurate and most effective diagnostic method of gastric carcinoma in fibrous endoscopy.
(6) Loss cytologic to check, maintain clinical and X-ray examination competent this is checked at the suspicious gastric carcinoma by some scholar.
(7) Can understand whether the substantive internal organs are shifted around in Ultrasonography B.
(8) CT checks to understand stomach tumour infringes the situation, and the internal organs relation around, it is possible whether to excise or not.
(9) Amynologic CEA, FSA, GCA, YM globulin,etc. are checked.
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's prevention and health care of first class prevention of gastric carcinoma
's prevention and health care of first class prevention of gastric carcinoma
Though gastric carcinoma cause of disease final to expound strip takes some time, may get several main precautionary measures out of already according to existing research, in order to spare no effort to lighten the danger to the mankind of gastric carcinoma.
2.1 Block internal NOC to formate
Outside the body and animal's experiment has already been found, many kinds of nutrition in meal and it is not that the nutrition can inhibit NOC from formating strongly, reduce it and cause mutation, carcinogenic function, and have clear dosage reaction relations. Such as vitamin C, Vitamin E, some microelements and many acyl compound,etc.. NOC in human body blocked and studied and opened in 1981 by Ohshima and Bartsch. While experimenters take to suck 325mgNO3 - beet beetroot juice and 250mg proline, take 1g vitamin C or 500mg Vitamin E, the intersection of NPRO and person who discharge reduce notably in the 24-hour urine, vitamin C block rate reach 80%, Vitamin E 50%. A lot of scholars thereafter have proved the above-mentioned result. Leaf,et al. quantitative research shows, under controlling the meal strictly, after taking in 445mgNO3 - and 500mg proline every day, take 8.8mg vitamin C at the same time and inhibit NPRO from formating the result promptly. The discharging to number value and NPRO of vitamin C and NO3 - fine long hair More's ratio Quantity is presented and shouldered notably relevantly (r2 =0.96),The return equation is: NPRO (mmol day) =23.9-5.96log[VC(mmol) /NO3-(mmol) ]. But up to 1000mg vitamin C can't make, take in above-mentioned forebody discharge amount of NPRO reduce to the intersection of ins and outs and competence this behind the thing, this may relate to the fact that NOC of many routes formate the body. Vitamin C is blocked in the water looks effectually, the Vitamin E is opposite, it is relatively strong to inhibit the result in the lipoprotein looks, so both sharing will make better inhibition result. The field study of high-risk group of gastric carcinoma indicates, vitamin C of 100mg * 3 can be totally blocked in the body enhanced and inferiorly and nitrified function. Prove vitamin C, Vitamin E, zinc and selenium to the intersection of cancer of the esophagus and high person who take place a too high one inferior to nitrify function, have prominent blocking the result in the the intersection of people and colony already also.
2.2 reduces NO2 - content while drinking the water
NO2 - quantity that the mankind is taken in by the other environment directly is very small. The human body one NO2- main source to be reducing internal NO3 at meal,it is can reach 5% not to estimate. In NO3- crowd taller in intaking amount, this has already offered enough NO2- for formating NOC in the body. NO3 - content in gastric carcinoma, high crowd of taking place area of the cancer of the esophagus drink the water is obviously higher than the low taking place area, therefore NO3 - quantity drunk the water and taken in is quite high. It is inferior while nitrifying the course in the human body, it may be very different to come from NO3 - and NO3 - this meaning from fresh vegetables while drinking the water. Stomach inferior to nitrify competence depend on inferior to nitrify pharmaceutical (NA, a broad one include NO2 -, NO3 - the intersection of content and NO2-, NO,etc.) Nitrify inhibitor (NIA) with Asia Mole ratio. In not drinking the water except NA such as NO3 NO2-,last NIAs such as vitamin C, Vitamin E,etc. hardly, so getting more favorable extremely to it is inferior that if you can't nitrify, react. And the fresh vegetables have obvious inhibition NOC synthesis. It in addition reduce it drink the water it take in on NO3- method getting easier relatively,so not should consider first-selected precautionary measures. NO3 under drinking water that WHO recommend - a large amount of 50mg/L the most, this consider NO3 - function until human tumour have illness coming on yet. NO3 - maximum recommending amount will be dropped from 50mg/L to 25mg/L in Britain would drink the water in 1985.
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Though gastric carcinoma cause of disease final to expound strip takes some time, may get several main precautionary measures out of already according to existing research, in order to spare no effort to lighten the danger to the mankind of gastric carcinoma.
2.1 Block internal NOC to formate
Outside the body and animal's experiment has already been found, many kinds of nutrition in meal and it is not that the nutrition can inhibit NOC from formating strongly, reduce it and cause mutation, carcinogenic function, and have clear dosage reaction relations. Such as vitamin C, Vitamin E, some microelements and many acyl compound,etc.. NOC in human body blocked and studied and opened in 1981 by Ohshima and Bartsch. While experimenters take to suck 325mgNO3 - beet beetroot juice and 250mg proline, take 1g vitamin C or 500mg Vitamin E, the intersection of NPRO and person who discharge reduce notably in the 24-hour urine, vitamin C block rate reach 80%, Vitamin E 50%. A lot of scholars thereafter have proved the above-mentioned result. Leaf,et al. quantitative research shows, under controlling the meal strictly, after taking in 445mgNO3 - and 500mg proline every day, take 8.8mg vitamin C at the same time and inhibit NPRO from formating the result promptly. The discharging to number value and NPRO of vitamin C and NO3 - fine long hair More's ratio Quantity is presented and shouldered notably relevantly (r2 =0.96),The return equation is: NPRO (mmol day) =23.9-5.96log[VC(mmol) /NO3-(mmol) ]. But up to 1000mg vitamin C can't make, take in above-mentioned forebody discharge amount of NPRO reduce to the intersection of ins and outs and competence this behind the thing, this may relate to the fact that NOC of many routes formate the body. Vitamin C is blocked in the water looks effectually, the Vitamin E is opposite, it is relatively strong to inhibit the result in the lipoprotein looks, so both sharing will make better inhibition result. The field study of high-risk group of gastric carcinoma indicates, vitamin C of 100mg * 3 can be totally blocked in the body enhanced and inferiorly and nitrified function. Prove vitamin C, Vitamin E, zinc and selenium to the intersection of cancer of the esophagus and high person who take place a too high one inferior to nitrify function, have prominent blocking the result in the the intersection of people and colony already also.
2.2 reduces NO2 - content while drinking the water
NO2 - quantity that the mankind is taken in by the other environment directly is very small. The human body one NO2- main source to be reducing internal NO3 at meal,it is can reach 5% not to estimate. In NO3- crowd taller in intaking amount, this has already offered enough NO2- for formating NOC in the body. NO3 - content in gastric carcinoma, high crowd of taking place area of the cancer of the esophagus drink the water is obviously higher than the low taking place area, therefore NO3 - quantity drunk the water and taken in is quite high. It is inferior while nitrifying the course in the human body, it may be very different to come from NO3 - and NO3 - this meaning from fresh vegetables while drinking the water. Stomach inferior to nitrify competence depend on inferior to nitrify pharmaceutical (NA, a broad one include NO2 -, NO3 - the intersection of content and NO2-, NO,etc.) Nitrify inhibitor (NIA) with Asia Mole ratio. In not drinking the water except NA such as NO3 NO2-,last NIAs such as vitamin C, Vitamin E,etc. hardly, so getting more favorable extremely to it is inferior that if you can't nitrify, react. And the fresh vegetables have obvious inhibition NOC synthesis. It in addition reduce it drink the water it take in on NO3- method getting easier relatively,so not should consider first-selected precautionary measures. NO3 under drinking water that WHO recommend - a large amount of 50mg/L the most, this consider NO3 - function until human tumour have illness coming on yet. NO3 - maximum recommending amount will be dropped from 50mg/L to 25mg/L in Britain would drink the water in 1985.
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Clinical manifestation _ general knowledge of gastric carcinoma
Clinical manifestation _ general knowledge of gastric carcinoma
[Clinical manifestation ]
(1) Symptom There can not be symptom above 70% of early gastric carcinoma. Can the intersection of stomach and cancer divide into 4 respects later period according to take place mechanism.
1.Energy consumption with the intersection of supersession and obstacle that take place because cancerous swelling is proliferated, cause resistance to be low malnutritive, vitamin scarce, etc, is it is weak to be shown ased, loses the appetite, bes disgusting, becomes thin, anaemia, edema, generating heat, the constipation, skin are dried and the hair is lossed etc..
2.Gastric carcinoma festers and causes the upper abdomen to pain, the digestive tract to bleed, punch etc.. Gastric carcinoma pains often in order to grip the nibbling, with having clear relation to eat or aggravating after taking food. Some like pain of peptic ulcer, eat or resist sour pharmaceutical, can relieve, the situation can keep for longer time, it aggravates and lasts gradually to pain later. Cancerous swelling is shown as the latent blood of excrement and urine and tested masculine gender, spittings blood or melena while bleeding, 5% patient appear massive haemorrhage, have because bleed or the intersection of gastric carcinoma and the intersection of person who punch and acute abdomen and person who seek medical advice for the first time.
3.Symptom that the machinery function of gastric carcinoma causes, the glutted sense substantially as causing because the stomach is full of badly, heavy sense, and tasteless, apocleisis, pain, disgusting and vomiting etc.. Gastric carcinoma can infringe the esophagus while locating adjacent cardia, cause and hiccough, swallow the difficulty, it can cause pyloric stenosis to locate adjacent pylorus.
4.Cancerous swelling spread symptom caused to shift, such as and ascites, the intersection of liver and transformation of old, jaundice, lung and brain, heart, prostate, ovary, bone marrow,etc. cause corresponding symptom.
(2) Physical sign It is early for gastric carcinoma can have on one physical sign,of later period belly most common in tenderness in physical sign of cancer. 1/3 patient can lay one's hand on the intersection of upper abdomen and lump, quality hard abnormality, can have tenderness. Whether could find the belly piece, relate to position, size and patient's thickness of the belly wall of cancerous swelling. Stomach sinus portion cancer can lay one's hand on and belly piece person more.
Whether other physical sign are or shift and produce in later period from gastric carcinoma more, if is swelling, the quality is hard, liver with irregular surface, jaundice, ascites, at the clavicular left and left the intersection of armpit and enlargement of lymph nodes. Male patient examine, can mean by rectum on the top of prostate laying one's hand on and hard lump, women patient's vagina can be laid one's hand on and swelling ovary when being checked. Other rare physical sign still have skin, belly white line place tubercle, the inguinal enlargement of lymph nodes, can generate heat in later period, are mostly cachexias. In addition syndrome include thrombus phlebitis by the cancer of gastric carcinoma, dark sour jujube ill and leather myositis can have corresponding physical sign.
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[Clinical manifestation ]
(1) Symptom There can not be symptom above 70% of early gastric carcinoma. Can the intersection of stomach and cancer divide into 4 respects later period according to take place mechanism.
1.Energy consumption with the intersection of supersession and obstacle that take place because cancerous swelling is proliferated, cause resistance to be low malnutritive, vitamin scarce, etc, is it is weak to be shown ased, loses the appetite, bes disgusting, becomes thin, anaemia, edema, generating heat, the constipation, skin are dried and the hair is lossed etc..
2.Gastric carcinoma festers and causes the upper abdomen to pain, the digestive tract to bleed, punch etc.. Gastric carcinoma pains often in order to grip the nibbling, with having clear relation to eat or aggravating after taking food. Some like pain of peptic ulcer, eat or resist sour pharmaceutical, can relieve, the situation can keep for longer time, it aggravates and lasts gradually to pain later. Cancerous swelling is shown as the latent blood of excrement and urine and tested masculine gender, spittings blood or melena while bleeding, 5% patient appear massive haemorrhage, have because bleed or the intersection of gastric carcinoma and the intersection of person who punch and acute abdomen and person who seek medical advice for the first time.
3.Symptom that the machinery function of gastric carcinoma causes, the glutted sense substantially as causing because the stomach is full of badly, heavy sense, and tasteless, apocleisis, pain, disgusting and vomiting etc.. Gastric carcinoma can infringe the esophagus while locating adjacent cardia, cause and hiccough, swallow the difficulty, it can cause pyloric stenosis to locate adjacent pylorus.
4.Cancerous swelling spread symptom caused to shift, such as and ascites, the intersection of liver and transformation of old, jaundice, lung and brain, heart, prostate, ovary, bone marrow,etc. cause corresponding symptom.
(2) Physical sign It is early for gastric carcinoma can have on one physical sign,of later period belly most common in tenderness in physical sign of cancer. 1/3 patient can lay one's hand on the intersection of upper abdomen and lump, quality hard abnormality, can have tenderness. Whether could find the belly piece, relate to position, size and patient's thickness of the belly wall of cancerous swelling. Stomach sinus portion cancer can lay one's hand on and belly piece person more.
Whether other physical sign are or shift and produce in later period from gastric carcinoma more, if is swelling, the quality is hard, liver with irregular surface, jaundice, ascites, at the clavicular left and left the intersection of armpit and enlargement of lymph nodes. Male patient examine, can mean by rectum on the top of prostate laying one's hand on and hard lump, women patient's vagina can be laid one's hand on and swelling ovary when being checked. Other rare physical sign still have skin, belly white line place tubercle, the inguinal enlargement of lymph nodes, can generate heat in later period, are mostly cachexias. In addition syndrome include thrombus phlebitis by the cancer of gastric carcinoma, dark sour jujube ill and leather myositis can have corresponding physical sign.
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Tuesday, December 4, 2012
The gastric carcinoma patient's spirit recuperates _'s prevention and health care
The gastric carcinoma patient's spirit recuperates _'s prevention and health care
The emergence of gastric carcinoma often and the spiritual mood factor is related, it is apt to suffer from gastric carcinoma that relevant experts summarize the person who has the following situation
( 1) Excessive grief, nervous, worried after losing relatives.
( 2) The anger to others is unable to give vent to
( 3) Extremely strong inferiority complex, make a humble estimate of one's abilities, take the bitter with the sweet
( 4) Nervous with one party of parents or relations of both sides. So suffering from the gastric carcinoma patient must keep the good psychological condition, does not care about the minor matter, has not wanted while being unselfish, the mood which keep paired optimistic, establish and overcome disease
Confidence,last treatment, it is recover to try to cure as soon as possible.
Have suffered from cancer once made a definite diagnosis of, the patient will often produce " suffer from hopeless case " , " incurable " , " everything is nonsensical " Idea. Often depressed, emerge and frightened, this is totally a human nature, medical worker and friends and family should help patients to get rid of " hopeless case " as soon as possible This shade, encourage the patient to adopt a correct attitude towards cancer, make the patient establish " I also live on " Faith. The development of science and technology offers so many means for treating and dispels and controls gastric carcinoma, and there are examples treated of a lot of gastric carcinoma patients and recover and work again in time at one's side. Make the patient brace up, dispel the frightened psychology gradually, it is all very beneficial that this pair receives treatment and recovers.
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The emergence of gastric carcinoma often and the spiritual mood factor is related, it is apt to suffer from gastric carcinoma that relevant experts summarize the person who has the following situation
( 1) Excessive grief, nervous, worried after losing relatives.
( 2) The anger to others is unable to give vent to
( 3) Extremely strong inferiority complex, make a humble estimate of one's abilities, take the bitter with the sweet
( 4) Nervous with one party of parents or relations of both sides. So suffering from the gastric carcinoma patient must keep the good psychological condition, does not care about the minor matter, has not wanted while being unselfish, the mood which keep paired optimistic, establish and overcome disease
Confidence,last treatment, it is recover to try to cure as soon as possible.
Have suffered from cancer once made a definite diagnosis of, the patient will often produce " suffer from hopeless case " , " incurable " , " everything is nonsensical " Idea. Often depressed, emerge and frightened, this is totally a human nature, medical worker and friends and family should help patients to get rid of " hopeless case " as soon as possible This shade, encourage the patient to adopt a correct attitude towards cancer, make the patient establish " I also live on " Faith. The development of science and technology offers so many means for treating and dispels and controls gastric carcinoma, and there are examples treated of a lot of gastric carcinoma patients and recover and work again in time at one's side. Make the patient brace up, dispel the frightened psychology gradually, it is all very beneficial that this pair receives treatment and recovers.
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Diagnose _'s symptom of the measure in nursing of stomach carcinomatosis
Diagnose _'s symptom of the measure in nursing of stomach carcinomatosis
Gastric carcinoma is the most common digestive tract malignant tumour, age of onset, with 40- 60 year in order to see more, the proportions of men and women are about 3: 1.
The cause of disease of gastric carcinoma related to food Central Asia nitre amine, possible that pathological change such as stomach polyp, withering gastritis, gastric ulcer,etc. cancerated before some cancers, find the spirillum of pylorus of stomach is one of the important factors that gastric carcinoma takes place in recent years.
[Attend to diagnosing ]
1,Anxious, frightened or desperate to lack of understanding, not confident in therapeutic effect of disease to have something to do with with development and prognosis of disease. Basis: Depressed, depressed, sentimental and losing and helping.
2,Malnutrition relates to following factors: Stomach function reduce and nutrition take in enough; Tumour grows and consumes a large amount of energy; Fasting; Response to chemotherapy of digestive tract. Basis: Become thin, anaemia, low albumen blood disease.
3,Knowledge lacks the doctors and nurses knowledge about gastric carcinoma.
[Attend to the measure ]
1,The psychology attends to a gastric carcinoma patient correctly, should notice in the nursery work that finds the patient's mood is changed, the nurse should notice the intensity and ability to accept are offered information according to the needs of patient; Adopt the non- technical language to enable patient to understand, help to analyze advantage and progress being treated, make patients see the hope as much as possible, psychological to dispel the patient's worry and passivism, strengthen confidence in treatment, can cooperate and treat and attend to actively.
2,Nutrition should strengthen nutrition to attend to while attending to the gastric carcinoma patient, it is balanced to correct and shoulder nitrogen, improve operation tolerance and postoperative result resumed. The persons who can eat offer high heat, high protein, high vitamin diet, the food should be fresh and apt to digest. As to the unable to eat or prohibit to eat patient, comply with enough energy of the intravenous supply, amino acids, electrolyte and vitamin, can implement the nutrition (TPN) outside the whole intestines and stomach if necessary . Food which reduce the fat, albumen with high content to that the patient of chemotherapy should be appropriate, eat more green vegetables and fruits, is beneficial to digesting and absorbing.
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Gastric carcinoma is the most common digestive tract malignant tumour, age of onset, with 40- 60 year in order to see more, the proportions of men and women are about 3: 1.
The cause of disease of gastric carcinoma related to food Central Asia nitre amine, possible that pathological change such as stomach polyp, withering gastritis, gastric ulcer,etc. cancerated before some cancers, find the spirillum of pylorus of stomach is one of the important factors that gastric carcinoma takes place in recent years.
[Attend to diagnosing ]
1,Anxious, frightened or desperate to lack of understanding, not confident in therapeutic effect of disease to have something to do with with development and prognosis of disease. Basis: Depressed, depressed, sentimental and losing and helping.
2,Malnutrition relates to following factors: Stomach function reduce and nutrition take in enough; Tumour grows and consumes a large amount of energy; Fasting; Response to chemotherapy of digestive tract. Basis: Become thin, anaemia, low albumen blood disease.
3,Knowledge lacks the doctors and nurses knowledge about gastric carcinoma.
[Attend to the measure ]
1,The psychology attends to a gastric carcinoma patient correctly, should notice in the nursery work that finds the patient's mood is changed, the nurse should notice the intensity and ability to accept are offered information according to the needs of patient; Adopt the non- technical language to enable patient to understand, help to analyze advantage and progress being treated, make patients see the hope as much as possible, psychological to dispel the patient's worry and passivism, strengthen confidence in treatment, can cooperate and treat and attend to actively.
2,Nutrition should strengthen nutrition to attend to while attending to the gastric carcinoma patient, it is balanced to correct and shoulder nitrogen, improve operation tolerance and postoperative result resumed. The persons who can eat offer high heat, high protein, high vitamin diet, the food should be fresh and apt to digest. As to the unable to eat or prohibit to eat patient, comply with enough energy of the intravenous supply, amino acids, electrolyte and vitamin, can implement the nutrition (TPN) outside the whole intestines and stomach if necessary . Food which reduce the fat, albumen with high content to that the patient of chemotherapy should be appropriate, eat more green vegetables and fruits, is beneficial to digesting and absorbing.
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The case expert of gastric carcinoma analyzes _'s treatment
The case expert of gastric carcinoma analyzes _'s treatment
Patient: Silk gauze * * ,Male, 41 years old, the native in Shantou of Guangdong.
Basic medical history: Because " the repeated upper abdomen has been uncomfortable for one year, relieve oneself in January black " Admitted to hospital.
Go to a doctor in the hospital: Zhongshan University attaches to the pancreas specialized department of first hospital intestines and stomach
The patient began to have no obvious inducement to present the uncomfortable sense of upper abdomen 1 year ago, took glutted after the meal, secret anguish as the core, leave degree to be light to pay special attention to for the first time, the intersection of clothes and " the the intersection of stomach and medicine " since break out, And then took a favorable turn, began glutted sense and secret anguish of upper abdomen to aggravate half a year ago, influenced work and sleep, obvious after the meal, influence the appetite, the weight slightly drops, draft " chronic gastritis, gastric ulcer " in the other institute Inhibit the gastric acid, protect the mucous membrane of stomach and stop the pain etc. to treat, symptom is relieved to some extent, but the weight dropped gradually, began to arrange black stool one month ago, began not to pay attention to, rare when and then develop in order to arrange the pitch kinding, family find at the same time their complexions are relatively greenish yellow, patient feels tired, weak, absent minded too, with turning black at the moment sometimes, go to the large local hospital to check the gastroscope to diagnose as tentatively " Stomach sinus cancer " ,In order to further diagnose clearly that comes to Zhongshan University to attach to the pancreas specialized department of first hospital intestines and stomach to go to a doctor.
The patient is in obviously becoming thin state while coming to Zhongshan University to attach to the pancreas specialized department of first hospital intestines and stomach, the weight in half a year of private prosecution has dropped by 10 kilograms. Mucous membrane pale, intermediate anaemia of the skin behaves. It is swelling that the simple table lymph node is not reached. The belly is soft, without tenderness, have not touched the piece of the bag. The rectum is checked and has not found that obviously unusual. Zhongshan University attaches to the pancreas specialized department gastrocopy of first hospital intestines and stomach to brief on " The stomach sinus one is low to differentiate gland cancer " ,Walk and draw blood and test briefing on after being admitted to hospital " The hemochrome 92 g/L " ,Tumour mark thing normal, chest slice check, find lung shift, the intersection of belly and CT check, find " the intersection of stomach and the intersection of sinus and the intersection of and coat of the stomach increase thick, have not seen the obvious histoorgan around infringe and behave, have not found the liver is shifted " ,Think the patient has operation indication after the complete case is discussed. Patient gastric carcinoma effect a radical cure skill, excise 3/5 of the stomaches and clean the lymphoid tissue around on walk will it be August 23 2006, operation smooth, rectum pull out, offer stomach tube arrange angry, postoperative the third day, from the intersection of liquid and diet Carry out the transition to half sulphur diet (porridge, powder, surface,etc.) gradually ,Until postoperative 6 day recover, leave hospital, return to institute and remove the suture of wound 2 days later. Patient pathology check, find " stomach low to split up gland cancer, cancerous swelling lies in the stomach sinus portion behind the operation, infringe under the serous coat, have 7 lymph nodes and have metastasis of cancer to dissect 32 lymph nodes, pathology is T3N1M0 by stages, and IIIA stage " ,Postoperative third circle patient begins to accept chemotherapy, once, carry on chemotherapy 8 times together every three weeks, except vomits during chemotherapy and brothers' skin turns black without having obvious side reaction. Operation future trouble person law reexamine gastroscope, the intersection of chest and slice, CT, draw blood,etc., already half 2 years after the operation now, the life work is totally normal, have not found tumour recurs.
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Patient: Silk gauze * * ,Male, 41 years old, the native in Shantou of Guangdong.
Basic medical history: Because " the repeated upper abdomen has been uncomfortable for one year, relieve oneself in January black " Admitted to hospital.
Go to a doctor in the hospital: Zhongshan University attaches to the pancreas specialized department of first hospital intestines and stomach
The patient began to have no obvious inducement to present the uncomfortable sense of upper abdomen 1 year ago, took glutted after the meal, secret anguish as the core, leave degree to be light to pay special attention to for the first time, the intersection of clothes and " the the intersection of stomach and medicine " since break out, And then took a favorable turn, began glutted sense and secret anguish of upper abdomen to aggravate half a year ago, influenced work and sleep, obvious after the meal, influence the appetite, the weight slightly drops, draft " chronic gastritis, gastric ulcer " in the other institute Inhibit the gastric acid, protect the mucous membrane of stomach and stop the pain etc. to treat, symptom is relieved to some extent, but the weight dropped gradually, began to arrange black stool one month ago, began not to pay attention to, rare when and then develop in order to arrange the pitch kinding, family find at the same time their complexions are relatively greenish yellow, patient feels tired, weak, absent minded too, with turning black at the moment sometimes, go to the large local hospital to check the gastroscope to diagnose as tentatively " Stomach sinus cancer " ,In order to further diagnose clearly that comes to Zhongshan University to attach to the pancreas specialized department of first hospital intestines and stomach to go to a doctor.
The patient is in obviously becoming thin state while coming to Zhongshan University to attach to the pancreas specialized department of first hospital intestines and stomach, the weight in half a year of private prosecution has dropped by 10 kilograms. Mucous membrane pale, intermediate anaemia of the skin behaves. It is swelling that the simple table lymph node is not reached. The belly is soft, without tenderness, have not touched the piece of the bag. The rectum is checked and has not found that obviously unusual. Zhongshan University attaches to the pancreas specialized department gastrocopy of first hospital intestines and stomach to brief on " The stomach sinus one is low to differentiate gland cancer " ,Walk and draw blood and test briefing on after being admitted to hospital " The hemochrome 92 g/L " ,Tumour mark thing normal, chest slice check, find lung shift, the intersection of belly and CT check, find " the intersection of stomach and the intersection of sinus and the intersection of and coat of the stomach increase thick, have not seen the obvious histoorgan around infringe and behave, have not found the liver is shifted " ,Think the patient has operation indication after the complete case is discussed. Patient gastric carcinoma effect a radical cure skill, excise 3/5 of the stomaches and clean the lymphoid tissue around on walk will it be August 23 2006, operation smooth, rectum pull out, offer stomach tube arrange angry, postoperative the third day, from the intersection of liquid and diet Carry out the transition to half sulphur diet (porridge, powder, surface,etc.) gradually ,Until postoperative 6 day recover, leave hospital, return to institute and remove the suture of wound 2 days later. Patient pathology check, find " stomach low to split up gland cancer, cancerous swelling lies in the stomach sinus portion behind the operation, infringe under the serous coat, have 7 lymph nodes and have metastasis of cancer to dissect 32 lymph nodes, pathology is T3N1M0 by stages, and IIIA stage " ,Postoperative third circle patient begins to accept chemotherapy, once, carry on chemotherapy 8 times together every three weeks, except vomits during chemotherapy and brothers' skin turns black without having obvious side reaction. Operation future trouble person law reexamine gastroscope, the intersection of chest and slice, CT, draw blood,etc., already half 2 years after the operation now, the life work is totally normal, have not found tumour recurs.
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Pathology histologic shape and categorised _'s general knowledge of gastric carcinoma
Pathology histologic shape and categorised _'s general knowledge of gastric carcinoma
Histologic type of pathology
The histologic type of pathology and carrying on a gastric carcinoma of the early gastric carcinoma is roughly similar. Can be seen high splitting up gland cancer, low splitting up gland cancer and not splitting up cancer. Papilla gland cancer, tubular gland cancer, India give up cell cancer and mucus gland cancer from shape. But in the course of growing and developing, the shape changes, make it have some the difference with carrying on a gastric carcinoma on the histologic finding of pathology, the difference see the intersection of division and intensity that organize on cancer, than go on issues of histologic type of gastric carcinoma tend to split up higher early gastric carcinoma mainly.
National gastric carcinoma cooperates in the group and consults World Health Organization (WHO) Combine situation of our country with categorised method of research association, gastric carcinoma of Japan, it stipulates to be early histologic type of gastric carcinoma: Papilla gland portion, tubular gland cancer ( It is high to differentiate and medium-sized splitting up) , the intersection of gland and cancer, India give up cell cancer, mucomembranous the intersection of gland and cancer, hard cancer, divide into cancer and hybrid cancer.
According to this regulation, national gastric carcinoma cooperates the early gastric carcinoma of 1389 single shots of pathologic group of the group is counted, the histologic type is mostly tubular gland cancer (49. 9%) ,Secondly it is a low splitting up gland cancer (21. 2%) ,Not splitting up gland cancer has been minimum (2. 7%) . The ones that are worth putting forward are, assist wild ( 1974) Counting 400 early gastric carcinomas has no gland cancer of a case of mucus, but there are 62 examples in this group of materials, accounts for 4. 5%, with mucus gland cancer (4 that goes on in a gastric carcinoma. 5%~8. 8%) Approximate. It enclose Yanan medical college count gastric carcinoma institute 43 early period,is it high to split up with in the cancers is for 62 splitting up tubular gland. 8%, cancer 16. 3%, mucus gland cancer is 9. 3%, not splitting up, cancer has been 9 too. 3%, is slightly higher than the literature report.
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Histologic type of pathology
The histologic type of pathology and carrying on a gastric carcinoma of the early gastric carcinoma is roughly similar. Can be seen high splitting up gland cancer, low splitting up gland cancer and not splitting up cancer. Papilla gland cancer, tubular gland cancer, India give up cell cancer and mucus gland cancer from shape. But in the course of growing and developing, the shape changes, make it have some the difference with carrying on a gastric carcinoma on the histologic finding of pathology, the difference see the intersection of division and intensity that organize on cancer, than go on issues of histologic type of gastric carcinoma tend to split up higher early gastric carcinoma mainly.
National gastric carcinoma cooperates in the group and consults World Health Organization (WHO) Combine situation of our country with categorised method of research association, gastric carcinoma of Japan, it stipulates to be early histologic type of gastric carcinoma: Papilla gland portion, tubular gland cancer ( It is high to differentiate and medium-sized splitting up) , the intersection of gland and cancer, India give up cell cancer, mucomembranous the intersection of gland and cancer, hard cancer, divide into cancer and hybrid cancer.
According to this regulation, national gastric carcinoma cooperates the early gastric carcinoma of 1389 single shots of pathologic group of the group is counted, the histologic type is mostly tubular gland cancer (49. 9%) ,Secondly it is a low splitting up gland cancer (21. 2%) ,Not splitting up gland cancer has been minimum (2. 7%) . The ones that are worth putting forward are, assist wild ( 1974) Counting 400 early gastric carcinomas has no gland cancer of a case of mucus, but there are 62 examples in this group of materials, accounts for 4. 5%, with mucus gland cancer (4 that goes on in a gastric carcinoma. 5%~8. 8%) Approximate. It enclose Yanan medical college count gastric carcinoma institute 43 early period,is it high to split up with in the cancers is for 62 splitting up tubular gland. 8%, cancer 16. 3%, mucus gland cancer is 9. 3%, not splitting up, cancer has been 9 too. 3%, is slightly higher than the literature report.
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The pathology of gastric carcinoma changes _'s general knowledge
The pathology of gastric carcinoma changes _'s general knowledge
(1) Emergence position gastric carcinoma of gastric carcinoma can happen to any position of the stomach, more than half happens to stomach sinus portion, lesser curvature and front and back wall, secondly in the cardia department, there are relatively less body of stomach districts.
(2) Huge bodily form attitude dividing type
1.No matter range size of early gastric carcinoma, early pathological change is only limited to the mucous membrane and mucomembranous lower floor. Can divide dislocated upwarping type into ' Polyp type) , shallow the phenotype ' Gastritis type) With the caving in type ' Ulcer type) Three type. 2Type in and divide into 2 a ( The table of rising is simple type) ,2B (smooth table is simple type) And 2 c ( The sunken table is simple type) Three are inferior type. Various the above can have different associations. For instance 2 c +2 a, 2 c +,etc. (Fig. 1) . Diameter call little gastric carcinoma, the diameter Wall have one swollen thing stress the intersection of stomach and behind the sinus little and curved stomach, take the form of, divide foliate slightly, surface not smooth to take the form of particle, it is rotten and see to have. The swollen thing base is slightly narrow and small, the inferior base of a fruit presenting type, the mucous membrane around has not been seen and obviously soaked
( 2) Ulcer type: Account for 1/4 of gastric carcinoma in later period. Is divided into a limitation ulcer type and soaks the ulcer type again, the former's characteristic is the cancerous swelling limitation, take the form of plate, central necrosis. Often have bigger and deeper ulcer; The bottom of ulcer is generally not smooth, the edge rises and takes the form of the dyke or crater, cancerous swelling is soaked to the deep layer, often accompany and bleed, punch. Characteristic to soak ulcer type whether cancerous swelling present growth of soaking etc., form obvious often to around and dark department soak lump, form necrosises central by ulcer,it invade often early and serous coat or take place lymph node shift.
( 3) Soaking type: This type is divided into two kinds too, one, for soaking type of the limitation, the cancer tissue soaks every layer of coat of the stomach, limited to more the intersection of stomach and sinus portion, coat of the stomach that soak increase thick to become hard, wrinkle wall, disappear, have more obvious ulcer and tubercle. The person who soaks a part limited to the stomach, call " soaking type of the limitation " . Another kind fills the soaking type, also called the leather stomach, the cancer tissue is expanded under the mucous membrane, invade and every layer, in extensive range, make the stomach diminish, the coat of the stomach is thick and stiff, the mucous membrane can still exist, there can be congestion edema and have no ulcer.
( 4) Phenotype: Two or more pathological changes person of the compatible above-mentioned type at the same time.
( 5) Pilosity cancer: The cancer organization presents the multi-oven, does not link up each other. Gastric carcinoma substantially as taking place on the basis of shrinking gastritis may belong to the this type, and on the top of body of stomach more.
(3) Organization person who divide can divide into 4 type according to institutional framework. Gland cancer: Including papilla gland cancer, tubular gland cancer and mucus gland cancer,intensity divide into high to split up after splitting up it, in split up with low to split up by 3 kinds; Have not differentiated cancer; Mucus cancer ( Namely print cell cancer of the exhortation) ; Special type cancer: Including gland scale's cancer, scale and cell cancer, one kind of cancers,etc..
Take place according to organization respect can divide into two type. The intestines type: Cancer originated from the enteric gland raw upper skin, the cancer tissue split up better, huge bodily form attitudes were mostly umbrellas type of the gill fungus; Stomach type: Cancer originated from the inherent mucous membrane of stomach, including differentiating cancer and mucus cancer, the cancer tissue split up worse, huge bodily form attitudes are mostly ulcer type and fill the infiltration type.
(4) Shift the route
1.Sow scattered person who soak directly gastric carcinoma can develop by esophagus or duodenum, along mucous membrane or serous coat directly in coat of the stomach. The intersection of cancerous swelling and invade and serous coat, namely easy until neighbouring organ or organization such as liver, pancreas, spleen, transverse colon, jejunum, the intersection of diaphragm and skin, large omentum and the intersection of belly and wall,etc. soak around The cancer cell can also be planted and fallen into places such as the nest,etc. in abdominal cavity, pelvis, ovary and rectum bladder when being lossed.
2.It accounts for 70% of the metastasis of cancer of stomach for the lymph node to shift, cancerous swelling in the stomach underpart often shifts and the lymph node by the arteria coeliaca,etc. under the pylorus, under the stomach, and upper cancerous swelling is often shifted by the pancreas, by the cardia, first-class lymph node of stomach. Cancer may shift the lymph node around the aorta and on the diaphragm in later period. Coeliac lymph node with the intersection of chest and the intersection of conduit and direct traffic, transferable lymph node at clavicular Left deviation.
3.Blood competent to shift, can find cancer cell in the peripheral blood by some patient, can pass portal vein from transformation to liver, and can reach places such as the lung, bone, kidney, brain, meninx, spleen, skin,etc..
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(1) Emergence position gastric carcinoma of gastric carcinoma can happen to any position of the stomach, more than half happens to stomach sinus portion, lesser curvature and front and back wall, secondly in the cardia department, there are relatively less body of stomach districts.
(2) Huge bodily form attitude dividing type
1.No matter range size of early gastric carcinoma, early pathological change is only limited to the mucous membrane and mucomembranous lower floor. Can divide dislocated upwarping type into ' Polyp type) , shallow the phenotype ' Gastritis type) With the caving in type ' Ulcer type) Three type. 2Type in and divide into 2 a ( The table of rising is simple type) ,2B (smooth table is simple type) And 2 c ( The sunken table is simple type) Three are inferior type. Various the above can have different associations. For instance 2 c +2 a, 2 c +,etc. (Fig. 1) . Diameter call little gastric carcinoma, the diameter Wall have one swollen thing stress the intersection of stomach and behind the sinus little and curved stomach, take the form of, divide foliate slightly, surface not smooth to take the form of particle, it is rotten and see to have. The swollen thing base is slightly narrow and small, the inferior base of a fruit presenting type, the mucous membrane around has not been seen and obviously soaked
( 2) Ulcer type: Account for 1/4 of gastric carcinoma in later period. Is divided into a limitation ulcer type and soaks the ulcer type again, the former's characteristic is the cancerous swelling limitation, take the form of plate, central necrosis. Often have bigger and deeper ulcer; The bottom of ulcer is generally not smooth, the edge rises and takes the form of the dyke or crater, cancerous swelling is soaked to the deep layer, often accompany and bleed, punch. Characteristic to soak ulcer type whether cancerous swelling present growth of soaking etc., form obvious often to around and dark department soak lump, form necrosises central by ulcer,it invade often early and serous coat or take place lymph node shift.
( 3) Soaking type: This type is divided into two kinds too, one, for soaking type of the limitation, the cancer tissue soaks every layer of coat of the stomach, limited to more the intersection of stomach and sinus portion, coat of the stomach that soak increase thick to become hard, wrinkle wall, disappear, have more obvious ulcer and tubercle. The person who soaks a part limited to the stomach, call " soaking type of the limitation " . Another kind fills the soaking type, also called the leather stomach, the cancer tissue is expanded under the mucous membrane, invade and every layer, in extensive range, make the stomach diminish, the coat of the stomach is thick and stiff, the mucous membrane can still exist, there can be congestion edema and have no ulcer.
( 4) Phenotype: Two or more pathological changes person of the compatible above-mentioned type at the same time.
( 5) Pilosity cancer: The cancer organization presents the multi-oven, does not link up each other. Gastric carcinoma substantially as taking place on the basis of shrinking gastritis may belong to the this type, and on the top of body of stomach more.
(3) Organization person who divide can divide into 4 type according to institutional framework. Gland cancer: Including papilla gland cancer, tubular gland cancer and mucus gland cancer,intensity divide into high to split up after splitting up it, in split up with low to split up by 3 kinds; Have not differentiated cancer; Mucus cancer ( Namely print cell cancer of the exhortation) ; Special type cancer: Including gland scale's cancer, scale and cell cancer, one kind of cancers,etc..
Take place according to organization respect can divide into two type. The intestines type: Cancer originated from the enteric gland raw upper skin, the cancer tissue split up better, huge bodily form attitudes were mostly umbrellas type of the gill fungus; Stomach type: Cancer originated from the inherent mucous membrane of stomach, including differentiating cancer and mucus cancer, the cancer tissue split up worse, huge bodily form attitudes are mostly ulcer type and fill the infiltration type.
(4) Shift the route
1.Sow scattered person who soak directly gastric carcinoma can develop by esophagus or duodenum, along mucous membrane or serous coat directly in coat of the stomach. The intersection of cancerous swelling and invade and serous coat, namely easy until neighbouring organ or organization such as liver, pancreas, spleen, transverse colon, jejunum, the intersection of diaphragm and skin, large omentum and the intersection of belly and wall,etc. soak around The cancer cell can also be planted and fallen into places such as the nest,etc. in abdominal cavity, pelvis, ovary and rectum bladder when being lossed.
2.It accounts for 70% of the metastasis of cancer of stomach for the lymph node to shift, cancerous swelling in the stomach underpart often shifts and the lymph node by the arteria coeliaca,etc. under the pylorus, under the stomach, and upper cancerous swelling is often shifted by the pancreas, by the cardia, first-class lymph node of stomach. Cancer may shift the lymph node around the aorta and on the diaphragm in later period. Coeliac lymph node with the intersection of chest and the intersection of conduit and direct traffic, transferable lymph node at clavicular Left deviation.
3.Blood competent to shift, can find cancer cell in the peripheral blood by some patient, can pass portal vein from transformation to liver, and can reach places such as the lung, bone, kidney, brain, meninx, spleen, skin,etc..
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's symptom of cause of disease of gastric carcinoma
's symptom of cause of disease of gastric carcinoma
The cause of disease of cancer has not been totally expounded yet so far. Through studying to geographical distribution and relation with immigrant that gastric carcinoma has illness coming on, it is generally acknowledged the external environment is in most close relation with diet factor and emergence of gastric carcinoma, the human body has some conditions of facilitating gastric carcinoma taking place, can not ignore either.
(1) Inherent cause Clinical workers have all met two or more in a family
Member with gastric carcinoma for situation,such and good inclination of sending gastric carcinoma is though getting more rare very, but briefed on the possibility with the inherent cause at least. Have of relative that materials report the gastric carcinoma patient the morbidity of gastric carcinoma is 4 times higher than that of the control group.
In the inherent cause, many authors notice the relation of blood group. Someone counts, the A type person's morbidity of gastric carcinoma is higher by 20% than the person of other blood group. But the gastric carcinoma incidence of the person who thinks different blood group of some reports has no difference. Someone studies the relation of morbidity and H L A of gastric carcinoma, wait to further conclude in recent years.
(2) The survey of epidemiology respect of gastric carcinoma of countries all over the world of the geographical environmental factor shows, the obvious difference exists in different areas and ethnic morbidity of gastric carcinoma. These differences may relate to heredity and environmental factor.
Some materials prove gastric carcinoma occur frequently in Yu GaoWei one degree of areas, the country the farther from the equator, the higher the morbidity of gastric carcinoma is. Also there are materials that think it has illness coming on and relates to coastal factor. Here's the factors of different eating habits, should consider too that the possibility of the carcinogen exists in geochemistry factor and environment.
The national gastric carcinoma integrated survey epidemiology group has investigated the domestic gastric carcinoma hotspot, for instance ground such as the Hexi Corridor, upper reaches of the Yellow River, the Changjiang River low reaches, Fujian Jiangkou, wooden Lanxi low reaches and Taihang Mountain south segment of the river system of Qi LianShan's indraft, find except that the south segment of Taihang Mountain is the metamorphic rock, the others are the volcanic rock, high peat, or one side its have big fault dark, C a/S O 4 little ratio under water, nickel, selenium and get into content to be high. Study group investigate gastric carcinoma to be low to send area, the intersection of the Changjiang River and upstream and the intersection of Pearl River and river system and other places still, find this district is the limestone area, without big deep fault, C a/S O 4 ratio is big in water, nickel, selenium and cobalt content are low. Containing 3 in the known volcanic rock, 4 benzene combines Zhyuan, some were up to 5 unexpectedly. 4- 6. 1 g/k g, forebody's content of inferior nitre amine such as organic nitrogen are relatively high in the peat, makes the mucous membrane of stomach incident and damages. In addition, selenium and cobalt can cause the stomach to damage, nickel can promote 3, the carcinogenic function of 4 benzene and Zhyuan. The above geographical environmental factor, in order to form the reason of these domestic gastric carcinoma hotspots, worth further exploring.
(3) The diet factor diet factor has already been paid attention to by tumour research workers of various countries to the influence that gastric carcinoma has illness coming on. Possible the intersection of diet and carcinogenic factor for eat smoke, roast the intersection of roast meat and food often ' Includes benzene and combine Zhyuan) Or pickle food, pickled vegetable ' Includes N - inferior nitre base compound) . The research in recent years has proposed to protect the factor, such as milk, animal's albumen, fresh vegetables and some fruits,etc.. The decline of Japan and American gastric carcinoma morbidity has been belonged to the improvement of the diet situation recently. But the relation of diet and tumour and research of carcinogenic mechanism are extremely complicated. There may already be carcinogen playing a direct role in the food, no matter exist naturally or produce while the food is cooked, processed, preserved; May form carcinogen in the body under some factor function too behind the human body of food intake. In the carcinogenic course, some materials play a role in starting carcinogen, some play a role in urging cancer or restraining cancer, and interweave with the complicated supersession, bio-transformation course in the human body together, so it is very difficult to find the definite connection from these complicated factors. The experiment materials can be used for appraising the diet and function in human gastric carcinoma take place of supersession factor, when its result conforms with epidemiology evidence, its result is convincing.
The integrated survey epidemiology group of gastric carcinoma of our country shows gastric carcinoma in close relation with diet to the high, investigation result of the low having illness coming on area of domestic gastric carcinoma. In variegated aspergillus toxin brings out the experiment of mouse's hepatocarcinoma of coming out, have seen the emergence of gastric gland cancer. Can detect variegated aspergillus and construct fungi such as aspergillus of the nest,etc. from main non-staple food and the patient's gastric juice of the survey district, the detection rate of the gastric carcinoma hotspot is obviously higher than taking place to the area low, it is a dangerous factor related to gastric carcinoma to brief on the mould grain.
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The cause of disease of cancer has not been totally expounded yet so far. Through studying to geographical distribution and relation with immigrant that gastric carcinoma has illness coming on, it is generally acknowledged the external environment is in most close relation with diet factor and emergence of gastric carcinoma, the human body has some conditions of facilitating gastric carcinoma taking place, can not ignore either.
(1) Inherent cause Clinical workers have all met two or more in a family
Member with gastric carcinoma for situation,such and good inclination of sending gastric carcinoma is though getting more rare very, but briefed on the possibility with the inherent cause at least. Have of relative that materials report the gastric carcinoma patient the morbidity of gastric carcinoma is 4 times higher than that of the control group.
In the inherent cause, many authors notice the relation of blood group. Someone counts, the A type person's morbidity of gastric carcinoma is higher by 20% than the person of other blood group. But the gastric carcinoma incidence of the person who thinks different blood group of some reports has no difference. Someone studies the relation of morbidity and H L A of gastric carcinoma, wait to further conclude in recent years.
(2) The survey of epidemiology respect of gastric carcinoma of countries all over the world of the geographical environmental factor shows, the obvious difference exists in different areas and ethnic morbidity of gastric carcinoma. These differences may relate to heredity and environmental factor.
Some materials prove gastric carcinoma occur frequently in Yu GaoWei one degree of areas, the country the farther from the equator, the higher the morbidity of gastric carcinoma is. Also there are materials that think it has illness coming on and relates to coastal factor. Here's the factors of different eating habits, should consider too that the possibility of the carcinogen exists in geochemistry factor and environment.
The national gastric carcinoma integrated survey epidemiology group has investigated the domestic gastric carcinoma hotspot, for instance ground such as the Hexi Corridor, upper reaches of the Yellow River, the Changjiang River low reaches, Fujian Jiangkou, wooden Lanxi low reaches and Taihang Mountain south segment of the river system of Qi LianShan's indraft, find except that the south segment of Taihang Mountain is the metamorphic rock, the others are the volcanic rock, high peat, or one side its have big fault dark, C a/S O 4 little ratio under water, nickel, selenium and get into content to be high. Study group investigate gastric carcinoma to be low to send area, the intersection of the Changjiang River and upstream and the intersection of Pearl River and river system and other places still, find this district is the limestone area, without big deep fault, C a/S O 4 ratio is big in water, nickel, selenium and cobalt content are low. Containing 3 in the known volcanic rock, 4 benzene combines Zhyuan, some were up to 5 unexpectedly. 4- 6. 1 g/k g, forebody's content of inferior nitre amine such as organic nitrogen are relatively high in the peat, makes the mucous membrane of stomach incident and damages. In addition, selenium and cobalt can cause the stomach to damage, nickel can promote 3, the carcinogenic function of 4 benzene and Zhyuan. The above geographical environmental factor, in order to form the reason of these domestic gastric carcinoma hotspots, worth further exploring.
(3) The diet factor diet factor has already been paid attention to by tumour research workers of various countries to the influence that gastric carcinoma has illness coming on. Possible the intersection of diet and carcinogenic factor for eat smoke, roast the intersection of roast meat and food often ' Includes benzene and combine Zhyuan) Or pickle food, pickled vegetable ' Includes N - inferior nitre base compound) . The research in recent years has proposed to protect the factor, such as milk, animal's albumen, fresh vegetables and some fruits,etc.. The decline of Japan and American gastric carcinoma morbidity has been belonged to the improvement of the diet situation recently. But the relation of diet and tumour and research of carcinogenic mechanism are extremely complicated. There may already be carcinogen playing a direct role in the food, no matter exist naturally or produce while the food is cooked, processed, preserved; May form carcinogen in the body under some factor function too behind the human body of food intake. In the carcinogenic course, some materials play a role in starting carcinogen, some play a role in urging cancer or restraining cancer, and interweave with the complicated supersession, bio-transformation course in the human body together, so it is very difficult to find the definite connection from these complicated factors. The experiment materials can be used for appraising the diet and function in human gastric carcinoma take place of supersession factor, when its result conforms with epidemiology evidence, its result is convincing.
The integrated survey epidemiology group of gastric carcinoma of our country shows gastric carcinoma in close relation with diet to the high, investigation result of the low having illness coming on area of domestic gastric carcinoma. In variegated aspergillus toxin brings out the experiment of mouse's hepatocarcinoma of coming out, have seen the emergence of gastric gland cancer. Can detect variegated aspergillus and construct fungi such as aspergillus of the nest,etc. from main non-staple food and the patient's gastric juice of the survey district, the detection rate of the gastric carcinoma hotspot is obviously higher than taking place to the area low, it is a dangerous factor related to gastric carcinoma to brief on the mould grain.
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Diagnostic method _'s symptom of the stomach with common carcinomatosis
Diagnostic method _'s symptom of the stomach with common carcinomatosis
The common gastric carcinoma diagnostic method is divided for the following aspects:
The X-ray is diagnosed:
( 1) The X-ray of the early gastric carcinoma is diagnosed: Early gastric carcinoma is that tumour is limited to the mucous membrane or mucomembranous lower floor, and no matter the size of its range or having lymph nodes to shift. Stomach low tension compare to transfer line, check, combine fibrous gastrocopy to find early gastric carcinoma have very much loud value radiography with while being double.
( 2) The X-ray of gastric carcinoma is diagnosed to develop for period: Develop to transfer line, behave and is closely linked to dividing type of pathology on the whole issues of gastric carcinoma. Different position gastric carcinoma and special X-ray of the gastric ulcer canceration behave.
The stomach is compared doubly with the radiography:
Renduch employ stomach compare radiography with, transfer line, check while being double at first 1923, but because barium pharmaceutical particle thick at that time, apply and is unsatisfied, fail to be popularized. Hampton employed rare barium in 1937 ' 40% - 80% , w/ V) ,The stomach without low one is compared doubly with the law, make image quality obviously improve. Still employing so far. The swallow of white wall further improved and popularized and compared doubly with the radiography, and the 2 c type early gastric carcinoma of detection in 1950. Laufer published the stomach to compare doubly with the radiography monograph in 1975, the system expounded the fact it was become like the principle.
CT checks:
CT check, can reveal gastric carcinoma involve coat of the stomach in until the intersection of range and Lu that grow lay close dissection relation and shift etc. some day outside the. Gastric carcinoma can clearly reveal on CT while shifting through the blood one.
The inner mirror of gastric carcinoma is diagnosed:
The fibrous gastroscope is very important for diagnosis of gastric carcinoma. Can find early gastric carcinoma, go on, distinguish to good malignant ulcer, confirm type and range that focus soaks of gastric carcinoma, the well can follow up a case by regular visits to and check precancerous lesion. Following up a case by regular visits to and checking and monitoring the fixed gastroscope to the precancerous lesion patient has certain meanings.
Inner mirror supersound:
The inner mirror supersound is a kind of newer technology, examiners can see every layer of the coat of the stomach directly, find out about the overall picture of tumour, contribute to diagnosis and TNM of gastric carcinoma by stages. Inner the intersection of mirror and the intersection of supersound and a lot of centre in U.S.A. employ relatively wide, already can examine passway, insert supersound in, pop one's head while being living through ordinary inner mirror now, used for clinical examination.
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The common gastric carcinoma diagnostic method is divided for the following aspects:
The X-ray is diagnosed:
( 1) The X-ray of the early gastric carcinoma is diagnosed: Early gastric carcinoma is that tumour is limited to the mucous membrane or mucomembranous lower floor, and no matter the size of its range or having lymph nodes to shift. Stomach low tension compare to transfer line, check, combine fibrous gastrocopy to find early gastric carcinoma have very much loud value radiography with while being double.
( 2) The X-ray of gastric carcinoma is diagnosed to develop for period: Develop to transfer line, behave and is closely linked to dividing type of pathology on the whole issues of gastric carcinoma. Different position gastric carcinoma and special X-ray of the gastric ulcer canceration behave.
The stomach is compared doubly with the radiography:
Renduch employ stomach compare radiography with, transfer line, check while being double at first 1923, but because barium pharmaceutical particle thick at that time, apply and is unsatisfied, fail to be popularized. Hampton employed rare barium in 1937 ' 40% - 80% , w/ V) ,The stomach without low one is compared doubly with the law, make image quality obviously improve. Still employing so far. The swallow of white wall further improved and popularized and compared doubly with the radiography, and the 2 c type early gastric carcinoma of detection in 1950. Laufer published the stomach to compare doubly with the radiography monograph in 1975, the system expounded the fact it was become like the principle.
CT checks:
CT check, can reveal gastric carcinoma involve coat of the stomach in until the intersection of range and Lu that grow lay close dissection relation and shift etc. some day outside the. Gastric carcinoma can clearly reveal on CT while shifting through the blood one.
The inner mirror of gastric carcinoma is diagnosed:
The fibrous gastroscope is very important for diagnosis of gastric carcinoma. Can find early gastric carcinoma, go on, distinguish to good malignant ulcer, confirm type and range that focus soaks of gastric carcinoma, the well can follow up a case by regular visits to and check precancerous lesion. Following up a case by regular visits to and checking and monitoring the fixed gastroscope to the precancerous lesion patient has certain meanings.
Inner mirror supersound:
The inner mirror supersound is a kind of newer technology, examiners can see every layer of the coat of the stomach directly, find out about the overall picture of tumour, contribute to diagnosis and TNM of gastric carcinoma by stages. Inner the intersection of mirror and the intersection of supersound and a lot of centre in U.S.A. employ relatively wide, already can examine passway, insert supersound in, pop one's head while being living through ordinary inner mirror now, used for clinical examination.
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Pathological change of gastric carcinoma causes corresponding clinical manifestation _ general knowledge
Pathological change of gastric carcinoma causes corresponding clinical manifestation _ general knowledge
(1) Symptom There can not be symptom above 70% of early gastric carcinoma. Can the intersection of stomach and cancer divide into 4 respects later period according to take place mechanism.
1.Energy consumption with the intersection of supersession and obstacle that take place because cancerous swelling is proliferated, cause resistance to be low malnutritive, vitamin scarce, etc, is it is weak to be shown ased, loses the appetite, bes disgusting, becomes thin, anaemia, edema, generating heat, the constipation, skin are dried and the hair is lossed etc..
2.Gastric carcinoma festers and causes the upper abdomen to pain, the digestive tract to bleed, punch etc.. Gastric carcinoma pains often in order to grip the nibbling, with having clear relation to eat or aggravating after taking food. Some like pain of peptic ulcer, eat or resist sour pharmaceutical, can relieve, the situation can keep for longer time, it aggravates and lasts gradually to pain later. Cancerous swelling is shown as the latent blood of excrement and urine and tested masculine gender, spittings blood or melena while bleeding, 5% patient appear massive haemorrhage, have because bleed or the intersection of gastric carcinoma and the intersection of person who punch and acute abdomen and person who seek medical advice for the first time.
3.Symptom that the machinery function of gastric carcinoma causes, the glutted sense substantially as causing because the stomach is full of badly, heavy sense, and tasteless, apocleisis, pain, disgusting and vomiting etc.. Gastric carcinoma can infringe the esophagus while locating adjacent cardia, cause and hiccough, swallow the difficulty, it can cause pyloric stenosis to locate adjacent pylorus.
4.Cancerous swelling spread symptom caused to shift, such as and ascites, the intersection of liver and transformation of old, jaundice, lung and brain, heart, prostate, ovary, bone marrow,etc. cause corresponding symptom.
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(1) Symptom There can not be symptom above 70% of early gastric carcinoma. Can the intersection of stomach and cancer divide into 4 respects later period according to take place mechanism.
1.Energy consumption with the intersection of supersession and obstacle that take place because cancerous swelling is proliferated, cause resistance to be low malnutritive, vitamin scarce, etc, is it is weak to be shown ased, loses the appetite, bes disgusting, becomes thin, anaemia, edema, generating heat, the constipation, skin are dried and the hair is lossed etc..
2.Gastric carcinoma festers and causes the upper abdomen to pain, the digestive tract to bleed, punch etc.. Gastric carcinoma pains often in order to grip the nibbling, with having clear relation to eat or aggravating after taking food. Some like pain of peptic ulcer, eat or resist sour pharmaceutical, can relieve, the situation can keep for longer time, it aggravates and lasts gradually to pain later. Cancerous swelling is shown as the latent blood of excrement and urine and tested masculine gender, spittings blood or melena while bleeding, 5% patient appear massive haemorrhage, have because bleed or the intersection of gastric carcinoma and the intersection of person who punch and acute abdomen and person who seek medical advice for the first time.
3.Symptom that the machinery function of gastric carcinoma causes, the glutted sense substantially as causing because the stomach is full of badly, heavy sense, and tasteless, apocleisis, pain, disgusting and vomiting etc.. Gastric carcinoma can infringe the esophagus while locating adjacent cardia, cause and hiccough, swallow the difficulty, it can cause pyloric stenosis to locate adjacent pylorus.
4.Cancerous swelling spread symptom caused to shift, such as and ascites, the intersection of liver and transformation of old, jaundice, lung and brain, heart, prostate, ovary, bone marrow,etc. cause corresponding symptom.
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Cause of disease of gastric carcinoma and preventing _'s prevention and health care
Cause of disease of gastric carcinoma and preventing _'s prevention and health care
What is the possible factor that gastric carcinoma takes place?
About the question of cause of disease of gastric carcinoma, though a lot of medical experts have done a large amount of work, but is not clear, can only do the following introduction of the morbidity factor related to the fact that gastric carcinoma has happened now yet at present:
( 1 ) Inferior nitre amine and gastric carcinoma: The carcinogenic question of inferior nitre amine compound, has already been generally paid attention to. Have already proved the tight nitre amine compound can be caused gastric carcinoma take place in animals through animal's experiment at present. In the nature Central Asia nitre amine compound predecessor material - -Second amine and inferior nitrate is distributed very widely, these materials enter the stomach with the food, high sour environmental ( P H 1 3 ) in the stomach With (or) Under the function of the bacterium, can change into the inferior nitre amine material, thus bring out the canceration takes place in the stomach.
( 2 ) The relation of stomach disease and gastric carcinoma: Chronic gastritis and intestines are grown: Chronic gastritis especially chronic shrinking gastritis can develop into gastric carcinoma. The morbidity of gastric carcinoma of stomach sinus department and gastritis gastritis of the intersection of stomach and body department is high, count the report, probably have gastric carcinoma may take place in 10's stomach sinus department gastritis. Chronic person who wither gastritis it takes place gastric carcinomas to be because often until skin take grow at the intestines pathological change this, this kind of pathological change can not continue not developing into typically hyperplasia, the latter is considered to be the previous pathological change of gastric carcinoma. Stomach polyp: The stomach polyp is a kind of adenoma, it is benign tumour. When the diameter of the polyp exceeds 2 centimetres, demonstrate the malignant possibility that changes. Someone has checked the tumour polyp of 183 cases of gastric gland, 35 (18) among them It is malignant. Peptic ulcer: About the problem of the canceration could take place in gastric ulcer, had very great dispute all the time. Clinical and pathologic worker think the majority; Some stomach can be cancerated by gastric ulcer, the main basis one in this respect is prolonged its morbidity of the gastric carcinoma of gastric ulcer patient not healed should be a bit higher; Patient who in addition has gastric ulcer, when there are obvious clinical symptoms to change, it is often the sign cancerating. According to pathological angle, according to the report of dept.s of pathology of some hospitals of Shanghai, Beijing, gastric carcinoma cancerated by gastric ulcer is 5-0. But less than 1 of the gastric carcinoma that someone thinks gastric ulcer cancerates. Inherent cause: A disease morbidity of gastric carcinoma patient's relative is higher than normal people's quadruple. It is that the morbidity of gastric carcinoma of the blood person of Model A is higher than normal people too in the plain people of high home. These phenomena and epidemiology ethnic morbidity differences of the red cloud explain heredity. A race relates with the morbidity of gastric carcinoma.
How to prevent gastric carcinoma
Do not eat or eat little food such as salted fish, sausage and pickled vegetable with inferior nitre amine material,etc..
I eat fresh vegetables, avoid eating more excessively stimulating diet. Control the tobacco and wine, regular diet. The diet is appropriate, prevent eating and drinking immoderately, in order to reduce the emergence of gastritis and gastric ulcer.
Treat shrinking gastritis positively and strongly, diseases such as gastric ulcer,etc., should also reexamine regularly.
Make a definite diagnosis of and is greater than the single shot polyp of 2 centimetres for the occuring frequently polyp or diameter, should adopt the surgery treatment in time. To having pitch kind person, no matter there is stomach symptom, should reach the hospital act as, check further.
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What is the possible factor that gastric carcinoma takes place?
About the question of cause of disease of gastric carcinoma, though a lot of medical experts have done a large amount of work, but is not clear, can only do the following introduction of the morbidity factor related to the fact that gastric carcinoma has happened now yet at present:
( 1 ) Inferior nitre amine and gastric carcinoma: The carcinogenic question of inferior nitre amine compound, has already been generally paid attention to. Have already proved the tight nitre amine compound can be caused gastric carcinoma take place in animals through animal's experiment at present. In the nature Central Asia nitre amine compound predecessor material - -Second amine and inferior nitrate is distributed very widely, these materials enter the stomach with the food, high sour environmental ( P H 1 3 ) in the stomach With (or) Under the function of the bacterium, can change into the inferior nitre amine material, thus bring out the canceration takes place in the stomach.
( 2 ) The relation of stomach disease and gastric carcinoma: Chronic gastritis and intestines are grown: Chronic gastritis especially chronic shrinking gastritis can develop into gastric carcinoma. The morbidity of gastric carcinoma of stomach sinus department and gastritis gastritis of the intersection of stomach and body department is high, count the report, probably have gastric carcinoma may take place in 10's stomach sinus department gastritis. Chronic person who wither gastritis it takes place gastric carcinomas to be because often until skin take grow at the intestines pathological change this, this kind of pathological change can not continue not developing into typically hyperplasia, the latter is considered to be the previous pathological change of gastric carcinoma. Stomach polyp: The stomach polyp is a kind of adenoma, it is benign tumour. When the diameter of the polyp exceeds 2 centimetres, demonstrate the malignant possibility that changes. Someone has checked the tumour polyp of 183 cases of gastric gland, 35 (18) among them It is malignant. Peptic ulcer: About the problem of the canceration could take place in gastric ulcer, had very great dispute all the time. Clinical and pathologic worker think the majority; Some stomach can be cancerated by gastric ulcer, the main basis one in this respect is prolonged its morbidity of the gastric carcinoma of gastric ulcer patient not healed should be a bit higher; Patient who in addition has gastric ulcer, when there are obvious clinical symptoms to change, it is often the sign cancerating. According to pathological angle, according to the report of dept.s of pathology of some hospitals of Shanghai, Beijing, gastric carcinoma cancerated by gastric ulcer is 5-0. But less than 1 of the gastric carcinoma that someone thinks gastric ulcer cancerates. Inherent cause: A disease morbidity of gastric carcinoma patient's relative is higher than normal people's quadruple. It is that the morbidity of gastric carcinoma of the blood person of Model A is higher than normal people too in the plain people of high home. These phenomena and epidemiology ethnic morbidity differences of the red cloud explain heredity. A race relates with the morbidity of gastric carcinoma.
How to prevent gastric carcinoma
Do not eat or eat little food such as salted fish, sausage and pickled vegetable with inferior nitre amine material,etc..
I eat fresh vegetables, avoid eating more excessively stimulating diet. Control the tobacco and wine, regular diet. The diet is appropriate, prevent eating and drinking immoderately, in order to reduce the emergence of gastritis and gastric ulcer.
Treat shrinking gastritis positively and strongly, diseases such as gastric ulcer,etc., should also reexamine regularly.
Make a definite diagnosis of and is greater than the single shot polyp of 2 centimetres for the occuring frequently polyp or diameter, should adopt the surgery treatment in time. To having pitch kind person, no matter there is stomach symptom, should reach the hospital act as, check further.
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Monday, December 3, 2012
How should the gastric carcinoma patient eat? 's prevention and health care
How should the gastric carcinoma patient eat? 's prevention and health care
Gastric carcinoma is a kind of common tumour, occupy the first place in our country's malignant tumour mortality. It is the indigestive behavior, the transient slight swelling of upper abdomen after eating that most gastric carcinoma patients are early, the appetite is reduced, appetite failing or uncomfortable sense of upper abdomen,etc.. Once making a definite diagnosis of should treat as soon as possible.
Should offer apt food that digest as to early the intersection of gastric carcinoma and patient, includes protein, the intersection of fat and abundant the intersection of cooking and relatively bad food, try hard to reduce the content of coarse fibre in the food. Must notice: The coarse food difficult to digest can aggravate the patient's condition.
As to the intersection of stomach and the intersection of sinus and cancer, especially ulcer type must offer soft food or half liquid food, the difficult subcooling of food is overheated, it is apt to cause the vascular change of mucous membrane of stomach and cause and bleed that the temperature is changed. Must avoid cigarette spilling and spicy stimulating food, these may stimulate stomach wriggling and convulsion, increase the patient's pain and discomfort sense,etc.. Once making a definite diagnosis of should manage and smell as soon as possible.
1, garlic contain garlics plainly, can block the formation of carcinogen inferior nitre amine from a plurality of respects. Have certain function in preventing cancer of the esophagus, gastric carcinoma and many kinds of cancer and tumour, in order to eat the result raw better. It should not be eaten more that the deficiency of Yin fire is prosperous.
2, onion contain some cancer-resisting substances in garlics, also contain valley Guang glucoside peptide at the same time, the latter can combine with the carcinogen, have detoxication. Also should be wonderful in order to eat raw.
3, important source of the tomato vitamin C, in the storage and course cooked, vitamin C that it includes is difficult to be destroyed, also contain carrotene, lycopene, thiamine clan in the tomato, it is the strongest and carotenoid that lycopene resists the oxidizability. Don't eat tomatoes in the empty stomach, can't eat the tomato not ripe, don't eat with cucumber.
4 . , cucumber Includes protein, fat, carbohydrate compound, mineral, vitamin (A , B1, B2, C, E) , compositions such as propanol two acid,etc.. No matter cancer generates heat or inflammation patient generating heat, eating cucumbers can clear away heat. Water or whole body hydropic patient wipe out cucumber to be helpful with ascites, chest.
[1] [2]Make page one
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Gastric carcinoma is a kind of common tumour, occupy the first place in our country's malignant tumour mortality. It is the indigestive behavior, the transient slight swelling of upper abdomen after eating that most gastric carcinoma patients are early, the appetite is reduced, appetite failing or uncomfortable sense of upper abdomen,etc.. Once making a definite diagnosis of should treat as soon as possible.
Should offer apt food that digest as to early the intersection of gastric carcinoma and patient, includes protein, the intersection of fat and abundant the intersection of cooking and relatively bad food, try hard to reduce the content of coarse fibre in the food. Must notice: The coarse food difficult to digest can aggravate the patient's condition.
As to the intersection of stomach and the intersection of sinus and cancer, especially ulcer type must offer soft food or half liquid food, the difficult subcooling of food is overheated, it is apt to cause the vascular change of mucous membrane of stomach and cause and bleed that the temperature is changed. Must avoid cigarette spilling and spicy stimulating food, these may stimulate stomach wriggling and convulsion, increase the patient's pain and discomfort sense,etc.. Once making a definite diagnosis of should manage and smell as soon as possible.
1, garlic contain garlics plainly, can block the formation of carcinogen inferior nitre amine from a plurality of respects. Have certain function in preventing cancer of the esophagus, gastric carcinoma and many kinds of cancer and tumour, in order to eat the result raw better. It should not be eaten more that the deficiency of Yin fire is prosperous.
2, onion contain some cancer-resisting substances in garlics, also contain valley Guang glucoside peptide at the same time, the latter can combine with the carcinogen, have detoxication. Also should be wonderful in order to eat raw.
3, important source of the tomato vitamin C, in the storage and course cooked, vitamin C that it includes is difficult to be destroyed, also contain carrotene, lycopene, thiamine clan in the tomato, it is the strongest and carotenoid that lycopene resists the oxidizability. Don't eat tomatoes in the empty stomach, can't eat the tomato not ripe, don't eat with cucumber.
4 . , cucumber Includes protein, fat, carbohydrate compound, mineral, vitamin (A , B1, B2, C, E) , compositions such as propanol two acid,etc.. No matter cancer generates heat or inflammation patient generating heat, eating cucumbers can clear away heat. Water or whole body hydropic patient wipe out cucumber to be helpful with ascites, chest.
[1] [2]Make page one
|
How should the gastric carcinoma patient eat? 's prevention and health care
How should the gastric carcinoma patient eat? 's prevention and health care
Gastric carcinoma is a kind of common tumour, occupy the first place in our country's malignant tumour mortality. It is the indigestive behavior, the transient slight swelling of upper abdomen after eating that most gastric carcinoma patients are early, the appetite is reduced, appetite failing or uncomfortable sense of upper abdomen,etc.. Once making a definite diagnosis of should treat as soon as possible.
Should offer apt food that digest as to early the intersection of gastric carcinoma and patient, includes protein, the intersection of fat and abundant the intersection of cooking and relatively bad food, try hard to reduce the content of coarse fibre in the food. Must notice: The coarse food difficult to digest can aggravate the patient's condition.
As to the intersection of stomach and the intersection of sinus and cancer, especially ulcer type must offer soft food or half liquid food, the difficult subcooling of food is overheated, it is apt to cause the vascular change of mucous membrane of stomach and cause and bleed that the temperature is changed. Must avoid cigarette spilling and spicy stimulating food, these may stimulate stomach wriggling and convulsion, increase the patient's pain and discomfort sense,etc.. Once making a definite diagnosis of should manage and smell as soon as possible.
1,Garlic It is plain to contain garlics, can block the formation of carcinogen inferior nitre amine from a plurality of respects. Have certain function in preventing cancer of the esophagus, gastric carcinoma and many kinds of cancer and tumour, in order to eat the result raw better. It should not be eaten more that the deficiency of Yin fire is prosperous.
2,Onion Contain some cancer-resisting substances in garlics, also contain valley Guang glucoside peptide at the same time, the latter can combine with the carcinogen, have detoxication. Also should be wonderful in order to eat raw.
3,Tomato Important source of vitamin C, in storage and course of cooking, vitamin C it include difficult to destroy, also contain carrotene, lycopene, thiamine clan in the tomato, it is the strongest and carotenoid that lycopene resists the oxidizability. Don't eat tomatoes in the empty stomach, can't eat the tomato not ripe, don't eat with cucumber.
4 .Cucumber Includes protein, fat, carbohydrate compound, mineral, vitamin (A , B1, B2, C, E) , compositions such as propanol two acid,etc.. No matter cancer generates heat or inflammation patient generating heat, eating cucumbers can clear away heat. Water or whole body hydropic patient wipe out cucumber to be helpful with ascites, chest.
5,Broccoli Rich in vitamin C, carrotene, calcium, potassium,etc., and have low fat, advantage low in calories.
6,Celery Contain protein, carbohydrate, fat, vitamin and mineral quality, the celery also contains the volatile celery oil at the same time, can promote the appetite. Contain a large number of fibers in the celery plainly, often eat and can prevent large intestine cancer. British scientist studies to find, edible Chinese celery can offset the damage to the lung of noxious substance in the tobacco, prevent and cure lung cancer to a certain extent.
7,Asparagus Contain acyl amine of winter of Tianmen existing in abundant albumen nuclear acid folic acid, shining and free attitude of microelement of organization, prevent and treat the efficiency to various cancer patients, especially have special curative effect on wing dirty cancer, lung cancer, skin carcinoma.
8,Eggplant Rich in vitamin P, the solanaceous vegetables contain important planting and melting things, research reveals that can prevent the forming of the cancer cell. The anticancer function of eggplant is three: Distribute the blood and stop the pain, subsides swelling, wide intestines. Some the intersection of digestive tract and the intersection of cancer and patient to accept chemotherapy, present generate heat elbow, can also treat the food with the eggplant auxiliarily.
9,Sweet potato Contain abundant candy, protein, cellulose and many kinds of vitamins, among them carrotene, Vitamin E and vitamin C are much particularly. Sweet potato also contains abundant 2,6-diaminocaproic acid. It is edible sweet potato must steam to steam completely,had better at the same time milks edible.
10,Carrot It is plain to contain the abundant carrot, and is seldom destroyed under the high temperature, and easy to be absorbed by the human body, and then change to link Class A. The person smoking for a long time, if drink half a cup of carrot juice every day, have very good effect on also lung. Research verifies that it helps to give protection against cancer to eat the carrot every day. Clinical research is found, when the cancer patient accepts chemotherapy, if can eat some more carrot, can lighten chemotherapy and react.
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Gastric carcinoma is a kind of common tumour, occupy the first place in our country's malignant tumour mortality. It is the indigestive behavior, the transient slight swelling of upper abdomen after eating that most gastric carcinoma patients are early, the appetite is reduced, appetite failing or uncomfortable sense of upper abdomen,etc.. Once making a definite diagnosis of should treat as soon as possible.
Should offer apt food that digest as to early the intersection of gastric carcinoma and patient, includes protein, the intersection of fat and abundant the intersection of cooking and relatively bad food, try hard to reduce the content of coarse fibre in the food. Must notice: The coarse food difficult to digest can aggravate the patient's condition.
As to the intersection of stomach and the intersection of sinus and cancer, especially ulcer type must offer soft food or half liquid food, the difficult subcooling of food is overheated, it is apt to cause the vascular change of mucous membrane of stomach and cause and bleed that the temperature is changed. Must avoid cigarette spilling and spicy stimulating food, these may stimulate stomach wriggling and convulsion, increase the patient's pain and discomfort sense,etc.. Once making a definite diagnosis of should manage and smell as soon as possible.
1,Garlic It is plain to contain garlics, can block the formation of carcinogen inferior nitre amine from a plurality of respects. Have certain function in preventing cancer of the esophagus, gastric carcinoma and many kinds of cancer and tumour, in order to eat the result raw better. It should not be eaten more that the deficiency of Yin fire is prosperous.
2,Onion Contain some cancer-resisting substances in garlics, also contain valley Guang glucoside peptide at the same time, the latter can combine with the carcinogen, have detoxication. Also should be wonderful in order to eat raw.
3,Tomato Important source of vitamin C, in storage and course of cooking, vitamin C it include difficult to destroy, also contain carrotene, lycopene, thiamine clan in the tomato, it is the strongest and carotenoid that lycopene resists the oxidizability. Don't eat tomatoes in the empty stomach, can't eat the tomato not ripe, don't eat with cucumber.
4 .Cucumber Includes protein, fat, carbohydrate compound, mineral, vitamin (A , B1, B2, C, E) , compositions such as propanol two acid,etc.. No matter cancer generates heat or inflammation patient generating heat, eating cucumbers can clear away heat. Water or whole body hydropic patient wipe out cucumber to be helpful with ascites, chest.
5,Broccoli Rich in vitamin C, carrotene, calcium, potassium,etc., and have low fat, advantage low in calories.
6,Celery Contain protein, carbohydrate, fat, vitamin and mineral quality, the celery also contains the volatile celery oil at the same time, can promote the appetite. Contain a large number of fibers in the celery plainly, often eat and can prevent large intestine cancer. British scientist studies to find, edible Chinese celery can offset the damage to the lung of noxious substance in the tobacco, prevent and cure lung cancer to a certain extent.
7,Asparagus Contain acyl amine of winter of Tianmen existing in abundant albumen nuclear acid folic acid, shining and free attitude of microelement of organization, prevent and treat the efficiency to various cancer patients, especially have special curative effect on wing dirty cancer, lung cancer, skin carcinoma.
8,Eggplant Rich in vitamin P, the solanaceous vegetables contain important planting and melting things, research reveals that can prevent the forming of the cancer cell. The anticancer function of eggplant is three: Distribute the blood and stop the pain, subsides swelling, wide intestines. Some the intersection of digestive tract and the intersection of cancer and patient to accept chemotherapy, present generate heat elbow, can also treat the food with the eggplant auxiliarily.
9,Sweet potato Contain abundant candy, protein, cellulose and many kinds of vitamins, among them carrotene, Vitamin E and vitamin C are much particularly. Sweet potato also contains abundant 2,6-diaminocaproic acid. It is edible sweet potato must steam to steam completely,had better at the same time milks edible.
10,Carrot It is plain to contain the abundant carrot, and is seldom destroyed under the high temperature, and easy to be absorbed by the human body, and then change to link Class A. The person smoking for a long time, if drink half a cup of carrot juice every day, have very good effect on also lung. Research verifies that it helps to give protection against cancer to eat the carrot every day. Clinical research is found, when the cancer patient accepts chemotherapy, if can eat some more carrot, can lighten chemotherapy and react.
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The gastric carcinoma treatment is chosen newly - -Gastric carcinoma of the peritoneoscope radically treats _'s treatment of the skill
The gastric carcinoma treatment is chosen newly - -Gastric carcinoma of the peritoneoscope radically treats _'s treatment of the skill
Gastric carcinoma is common malignant tumour, the surgery treatment is to treat the most effective measure of gastric carcinoma at present. But a traditional one make belly operation have wound to be large resuming slow, the intersection of pain and obvious, the intersection of complication and more insufficient grade while being postoperative, so gastric carcinoma achieved the operation a little it has been surgeon's untiring pursuit of intestines and stomach all the time. Though the down gallbladder of peritoneoscope excises skill,etc. to already launch extensively, has radically treated the skill to expect much because of its great, technology of dissecting and concerning the difficulty of complicatedness, operation at the down gastric carcinoma of the peritoneoscope, it has been still a difficult problem all the time.
Some hospitals have launched the peritoneoscope gastric carcinoma radical operation according to the Chinese characteristic, has already succeeded in implementing more than 800 so far, the result is good, and set up a set of effectual peritoneoscope gastric carcinoma operation operation regulations.
This set of norms make the gastric carcinoma patient's peritoneoscope treat the all-inclusive cost and holds the belly and treat the all-inclusive cost basically fair while guaranteeing to radically treat the range, reduce the wound, make this advanced technology benefit the vast gastric carcinoma patient.
This kind of technology, through driving 5 keyhole of 0.5-1.0 centimetres and one kind of duck eyes in the belly wall, meddle in the peritoneoscope of 1 centimetre of diameters, reveal the picture of the internal organs in the abdominal cavity on the television screen clearly, the doctor sees the television screen on one side, insert in the small apparatus and operate through the belly wall duck eye on one side, it needs 20 centimetres of the above to cut operation that eloquence can finish to finish the traditional operation. And because the video of the peritoneoscope enlarges function, can clean to stomach lymph node more completely, organizations excised take out through a small notch of 3- 6 centimetres finally.
Through careful clinical contrast, operation this have wound little gastrointestinal interference light, bleed little (need blood transfusion basically) , the light, postoperative patient of pain resumes fast after the operation, advantage of reducing notably etc. of cut-outing cicatrix and small, postoperative complication. In addition, the intersection of peritoneoscope and operation can prevent from to later period meaningless even cutting open belly, ascertaining harmful, patient of gastric carcinoma.
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Gastric carcinoma is common malignant tumour, the surgery treatment is to treat the most effective measure of gastric carcinoma at present. But a traditional one make belly operation have wound to be large resuming slow, the intersection of pain and obvious, the intersection of complication and more insufficient grade while being postoperative, so gastric carcinoma achieved the operation a little it has been surgeon's untiring pursuit of intestines and stomach all the time. Though the down gallbladder of peritoneoscope excises skill,etc. to already launch extensively, has radically treated the skill to expect much because of its great, technology of dissecting and concerning the difficulty of complicatedness, operation at the down gastric carcinoma of the peritoneoscope, it has been still a difficult problem all the time.
Some hospitals have launched the peritoneoscope gastric carcinoma radical operation according to the Chinese characteristic, has already succeeded in implementing more than 800 so far, the result is good, and set up a set of effectual peritoneoscope gastric carcinoma operation operation regulations.
This set of norms make the gastric carcinoma patient's peritoneoscope treat the all-inclusive cost and holds the belly and treat the all-inclusive cost basically fair while guaranteeing to radically treat the range, reduce the wound, make this advanced technology benefit the vast gastric carcinoma patient.
This kind of technology, through driving 5 keyhole of 0.5-1.0 centimetres and one kind of duck eyes in the belly wall, meddle in the peritoneoscope of 1 centimetre of diameters, reveal the picture of the internal organs in the abdominal cavity on the television screen clearly, the doctor sees the television screen on one side, insert in the small apparatus and operate through the belly wall duck eye on one side, it needs 20 centimetres of the above to cut operation that eloquence can finish to finish the traditional operation. And because the video of the peritoneoscope enlarges function, can clean to stomach lymph node more completely, organizations excised take out through a small notch of 3- 6 centimetres finally.
Through careful clinical contrast, operation this have wound little gastrointestinal interference light, bleed little (need blood transfusion basically) , the light, postoperative patient of pain resumes fast after the operation, advantage of reducing notably etc. of cut-outing cicatrix and small, postoperative complication. In addition, the intersection of peritoneoscope and operation can prevent from to later period meaningless even cutting open belly, ascertaining harmful, patient of gastric carcinoma.
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Carry out _'s treatment of the 16 -word policy in gastric carcinoma treatment
Carry out _'s treatment of the 16 -word policy in gastric carcinoma treatment
Gastric carcinoma is one of the common malignant tumour in our country, occupy the first place of all kinds of tumours in our country its morbidity. Nearly 170,000 people die of stomach cancer every year, are nearly close to 1/4 of the death toll of all malignant tumour, and more than 20,000 new gastric carcinoma patients come out every year, the most effective method is to take open oral liquid of gullet. Gastric carcinoma is really a kind of disease threatening people's health seriously. Gastric carcinoma can take place at any age, but see more with 40- 60 years old, it is about 2 that the man exceeds women: 1.
Its pathogenic factor is not clear, may be with many kinds of factors, for instance habits and customs, diet kind, environmental factor, hereditary quality, spiritual factor,etc. have something to do with, also polyp, stomach the intersection of mucous membrane and special-shaped hyperplasia and skin take grow, incomplete stomach under operation at the intestines with chronic gastritis, stomach, and spiral shell's bacillus of long-term pylorus (HP) Infect etc. and relate.
Gastric carcinoma can take place to any position of the stomach, see more the intersection of stomach and sinus department, especially side of lesser curvature. Later period gastric carcinoma) in soak, divide into early gastric carcinoma and the intersection of progress and issues of gastric carcinoma deeply according to the intersection of cancer and organization ' .
The early symptom of gastric carcinoma is often not obvious, intangible the intersection of upper abdomen and uncomfortable, secret anguish, belch, suffused with acid, the intersection of appetite and fail, slight anaemia,etc., similar to gastroduodenal ulcer or chronic the intersection of stomach and inflammation partly. Pain is lightened or relieved after some patients take analgesic, resist ulcer medicine or diet to regulate, ignore, make, check further often. With the progress of the condition, stomach symptom transfers to and obviously presents paining, losing the appetite, becoming thin, weight lightening and anaemia of upper abdomen,etc. gradually. Have the intersection of cancerous swelling and transformation, appear the intersection of belly and lump, the intersection of left and enlargement of lymph nodes, wicked, ascites and malnutritive, etc seriously at being clavicular often later stage.
Its treatment should pay attention to carrying out the 16 -word policy:
The operation is a main fact:Gastric carcinoma treats first-selected surgery. Except early gastric carcinoma, the lymph node was not shifted, or the one that is smaller than 2 centimeters of dislocated upwarping types can narrow the operation, other gastric carcinomas should make surgery of effecting a radical cure etc., clean the extra lymph node. Should pay attention to the intersection of urine and quantity and drainage tube of patient while being postoperative. The urine amount can be judged more or less patient's heart and lungs function. The drainage tube can be compared to a sentry, can measure the wound and resume the situation, after finishing opening the knife, if have, ooze liquid, ooze blood come out, identical mouth bleed the intersection of stomach and a of bleeding, this drainage tube sees that can find out.
Chemotherapy is in order to complement:Gastric carcinoma assists and treats and takes chemotherapy as the core, radiotherapy is less likely to use. Auxiliary chemotherapy go on while being postoperative more in the past, purpose lie in, consolidate the intersection of operation and curative effect, restrain and kill operation residual focus and tumour cell. Recommend chemotherapy in front of the skill relatively in recent years, call new auxiliary chemotherapy too, after gastric carcinoma is made a definite diagnosis of, might not perform the operation at once, will give some chemotherapy medicines first and to control, narrow tumour, then perform the operation, improve the operation and excise success rate. Just like the enclosing without sending the tactics, control all tumours and lymph nodes, stand up first of Northeastern campaign, it is enclosed and destroyed in the operation finally. Make a definite diagnosis of behind the gastric carcinoma needing anxious to shout, do surgery.
Complex treatment:The gastric carcinoma treatment should adopt the complex treatment measure like most other tumours, various methods learn from other's strong points to offset one's weaknesses, coordinate, arrange to use rationally, could make the best curative effect in this way. Except that surgery, take radiotherapy, there are traditional Chinese medicine, immunization therapy,etc., may use selectively, improve immunity and life quality, reduce and recur, shift the risk.
Pay attention to recovering:As the saying goes, " stomach trouble three divides and rules, seven fen is raised " ,Gastric carcinoma treatment does not perform the operation, over after the chemotherapy, another course resumed, followed up a case by regular visits to and recovered for a long time, it is very important that this pair of patients survive for a long time. Don't overly avoid certain food on the diet, non- particular about food, but don't drink and smoke either. Can take some traditional Chinese medicine appropriately, improve immunity. Treat with usual mind, often take exercises, participate in colony activities more.
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Gastric carcinoma is one of the common malignant tumour in our country, occupy the first place of all kinds of tumours in our country its morbidity. Nearly 170,000 people die of stomach cancer every year, are nearly close to 1/4 of the death toll of all malignant tumour, and more than 20,000 new gastric carcinoma patients come out every year, the most effective method is to take open oral liquid of gullet. Gastric carcinoma is really a kind of disease threatening people's health seriously. Gastric carcinoma can take place at any age, but see more with 40- 60 years old, it is about 2 that the man exceeds women: 1.
Its pathogenic factor is not clear, may be with many kinds of factors, for instance habits and customs, diet kind, environmental factor, hereditary quality, spiritual factor,etc. have something to do with, also polyp, stomach the intersection of mucous membrane and special-shaped hyperplasia and skin take grow, incomplete stomach under operation at the intestines with chronic gastritis, stomach, and spiral shell's bacillus of long-term pylorus (HP) Infect etc. and relate.
Gastric carcinoma can take place to any position of the stomach, see more the intersection of stomach and sinus department, especially side of lesser curvature. Later period gastric carcinoma) in soak, divide into early gastric carcinoma and the intersection of progress and issues of gastric carcinoma deeply according to the intersection of cancer and organization ' .
The early symptom of gastric carcinoma is often not obvious, intangible the intersection of upper abdomen and uncomfortable, secret anguish, belch, suffused with acid, the intersection of appetite and fail, slight anaemia,etc., similar to gastroduodenal ulcer or chronic the intersection of stomach and inflammation partly. Pain is lightened or relieved after some patients take analgesic, resist ulcer medicine or diet to regulate, ignore, make, check further often. With the progress of the condition, stomach symptom transfers to and obviously presents paining, losing the appetite, becoming thin, weight lightening and anaemia of upper abdomen,etc. gradually. Have the intersection of cancerous swelling and transformation, appear the intersection of belly and lump, the intersection of left and enlargement of lymph nodes, wicked, ascites and malnutritive, etc seriously at being clavicular often later stage.
Its treatment should pay attention to carrying out the 16 -word policy:
The operation is a main fact:Gastric carcinoma treats first-selected surgery. Except early gastric carcinoma, the lymph node was not shifted, or the one that is smaller than 2 centimeters of dislocated upwarping types can narrow the operation, other gastric carcinomas should make surgery of effecting a radical cure etc., clean the extra lymph node. Should pay attention to the intersection of urine and quantity and drainage tube of patient while being postoperative. The urine amount can be judged more or less patient's heart and lungs function. The drainage tube can be compared to a sentry, can measure the wound and resume the situation, after finishing opening the knife, if have, ooze liquid, ooze blood come out, identical mouth bleed the intersection of stomach and a of bleeding, this drainage tube sees that can find out.
Chemotherapy is in order to complement:Gastric carcinoma assists and treats and takes chemotherapy as the core, radiotherapy is less likely to use. Auxiliary chemotherapy go on while being postoperative more in the past, purpose lie in, consolidate the intersection of operation and curative effect, restrain and kill operation residual focus and tumour cell. Recommend chemotherapy in front of the skill relatively in recent years, call new auxiliary chemotherapy too, after gastric carcinoma is made a definite diagnosis of, might not perform the operation at once, will give some chemotherapy medicines first and to control, narrow tumour, then perform the operation, improve the operation and excise success rate. Just like the enclosing without sending the tactics, control all tumours and lymph nodes, stand up first of Northeastern campaign, it is enclosed and destroyed in the operation finally. Make a definite diagnosis of behind the gastric carcinoma needing anxious to shout, do surgery.
Complex treatment:The gastric carcinoma treatment should adopt the complex treatment measure like most other tumours, various methods learn from other's strong points to offset one's weaknesses, coordinate, arrange to use rationally, could make the best curative effect in this way. Except that surgery, take radiotherapy, there are traditional Chinese medicine, immunization therapy,etc., may use selectively, improve immunity and life quality, reduce and recur, shift the risk.
Pay attention to recovering:As the saying goes, " stomach trouble three divides and rules, seven fen is raised " ,Gastric carcinoma treatment does not perform the operation, over after the chemotherapy, another course resumed, followed up a case by regular visits to and recovered for a long time, it is very important that this pair of patients survive for a long time. Don't overly avoid certain food on the diet, non- particular about food, but don't drink and smoke either. Can take some traditional Chinese medicine appropriately, improve immunity. Treat with usual mind, often take exercises, participate in colony activities more.
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How should the gastric carcinoma patient eat? 's prevention and health care
How should the gastric carcinoma patient eat? 's prevention and health care
Gastric carcinoma is a kind of common tumour, occupy the first place in our country's malignant tumour mortality. It is the indigestive behavior, the transient slight swelling of upper abdomen after eating that most gastric carcinoma patients are early, the appetite is reduced, appetite failing or uncomfortable sense of upper abdomen,etc.. Once making a definite diagnosis of should treat as soon as possible.
Should offer apt food that digest as to early the intersection of gastric carcinoma and patient, includes protein, the intersection of fat and abundant the intersection of cooking and relatively bad food, try hard to reduce the content of coarse fibre in the food. Must notice: The coarse food difficult to digest can aggravate the patient's condition.
As to the intersection of stomach and the intersection of sinus and cancer, especially ulcer type must offer soft food or half liquid food, the difficult subcooling of food is overheated, it is apt to cause the vascular change of mucous membrane of stomach and cause and bleed that the temperature is changed. Must avoid cigarette spilling and spicy stimulating food, these may stimulate stomach wriggling and convulsion, increase the patient's pain and discomfort sense,etc.. Once making a definite diagnosis of should manage and smell as soon as possible.
1, garlic contain garlics plainly, can block the formation of carcinogen inferior nitre amine from a plurality of respects. Have certain function in preventing cancer of the esophagus, gastric carcinoma and many kinds of cancer and tumour, in order to eat the result raw better. It should not be eaten more that the deficiency of Yin fire is prosperous.
2, onion contain some cancer-resisting substances in garlics, also contain valley Guang glucoside peptide at the same time, the latter can combine with the carcinogen, have detoxication. Also should be wonderful in order to eat raw.
3, important source of the tomato vitamin C, in the storage and course cooked, vitamin C that it includes is difficult to be destroyed, also contain carrotene, lycopene, thiamine clan in the tomato, it is the strongest and carotenoid that lycopene resists the oxidizability. Don't eat tomatoes in the empty stomach, can't eat the tomato not ripe, don't eat with cucumber.
4 . , cucumber Includes protein, fat, carbohydrate compound, mineral, vitamin (A , B1, B2, C, E) , compositions such as propanol two acid,etc.. No matter cancer generates heat or inflammation patient generating heat, eating cucumbers can clear away heat. Water or whole body hydropic patient wipe out cucumber to be helpful with ascites, chest.
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Gastric carcinoma is a kind of common tumour, occupy the first place in our country's malignant tumour mortality. It is the indigestive behavior, the transient slight swelling of upper abdomen after eating that most gastric carcinoma patients are early, the appetite is reduced, appetite failing or uncomfortable sense of upper abdomen,etc.. Once making a definite diagnosis of should treat as soon as possible.
Should offer apt food that digest as to early the intersection of gastric carcinoma and patient, includes protein, the intersection of fat and abundant the intersection of cooking and relatively bad food, try hard to reduce the content of coarse fibre in the food. Must notice: The coarse food difficult to digest can aggravate the patient's condition.
As to the intersection of stomach and the intersection of sinus and cancer, especially ulcer type must offer soft food or half liquid food, the difficult subcooling of food is overheated, it is apt to cause the vascular change of mucous membrane of stomach and cause and bleed that the temperature is changed. Must avoid cigarette spilling and spicy stimulating food, these may stimulate stomach wriggling and convulsion, increase the patient's pain and discomfort sense,etc.. Once making a definite diagnosis of should manage and smell as soon as possible.
1, garlic contain garlics plainly, can block the formation of carcinogen inferior nitre amine from a plurality of respects. Have certain function in preventing cancer of the esophagus, gastric carcinoma and many kinds of cancer and tumour, in order to eat the result raw better. It should not be eaten more that the deficiency of Yin fire is prosperous.
2, onion contain some cancer-resisting substances in garlics, also contain valley Guang glucoside peptide at the same time, the latter can combine with the carcinogen, have detoxication. Also should be wonderful in order to eat raw.
3, important source of the tomato vitamin C, in the storage and course cooked, vitamin C that it includes is difficult to be destroyed, also contain carrotene, lycopene, thiamine clan in the tomato, it is the strongest and carotenoid that lycopene resists the oxidizability. Don't eat tomatoes in the empty stomach, can't eat the tomato not ripe, don't eat with cucumber.
4 . , cucumber Includes protein, fat, carbohydrate compound, mineral, vitamin (A , B1, B2, C, E) , compositions such as propanol two acid,etc.. No matter cancer generates heat or inflammation patient generating heat, eating cucumbers can clear away heat. Water or whole body hydropic patient wipe out cucumber to be helpful with ascites, chest.
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's general knowledge of epidemiology of gastric carcinoma
's general knowledge of epidemiology of gastric carcinoma
Gastric carcinoma is one of the main malignant tumour of our country. According to the intersection of our country and 29 provinces and cities, autonomous region ' 1973- 1975) The investigation result of the cause of the death, it accounts for second and the third in man and women death reason to die of malignant tumour. Gastric carcinoma takes the first place in malignant tumour. Annual death is about 160,000 people, accounts for 23.03% of the death of malignant tumour. Of our country gastric carcinoma crude mortality 17.30/10 Wan (man 22.15/10 Wan, woman 12.23/10 Wan) ; The intersection of China and population regulate mortality into 15.41/10 Wan (man 20.93/10 Wan, woman 10.16/10 Wan) ; World population regulate mortality into 23.86/10 Wan, woman 15.93/10 Wan. Belong to the height of gastric carcinoma to send to the country.
The area of gastric carcinoma is distributed gastric carcinoma in different countries of the world, all the difference exists greatly in morbidity and mortality of different areas in the same country.
1.Morbidity
According to " cancer morbidity in the world five continents " of 1982 Materials of Vol. 4. Pluck the morbidity of gastric carcinoma of countries all over the world out, see Table 1. It is the result that cancers from all parts of the world were registered around 1975. Israel most high Japan have, man exceed 70/10 Wan, woman exceed 30/10 Wan. Male morbidity exceed 30/10 area of Wan in Europe, the intersection of Asia and Northeast, Latin America; The morbidity is in 15- 30/10 there are North America, western Europe, the Atlantic Ocean in Wan's areas; And West Asia, Africa, middle and southern American west and Australia are in 15/ 10 Wan is following. The geographical distribution of women's morbidity is generally the same with man. China morbidity, according to Shanghai, man 55.7/10 Wan, woman 21.0/ 10 Wan.
2.Mortality
The country of gastric carcinoma with higher mortality, the main fact is distributed in areas such as Asia, Latin America and Europe,etc.. Japan, Singapore and China, it is the country with higher mortality of Asia. The mortality of Costa Rica, Chile of Latin America Israel is the highest. Countries such as Soviet Union, Hungary, Poland, Iceland, Malia Luo, Bulgaria,etc. had relatively high mortality in the past in Europe. Mortality of the above national male adjustment is in 20/ 10 above Wan. The intersection of gastric carcinoma and the intersection of mortality and low country, male gastric carcinoma adjust mortality in 9/ 10 having U.S.A., Canada, Cuba, Australia, Denmark country following Wan.
According to malignant tumour death in 1973- 1975 of our country's investigation, gastric carcinoma of our country is widespread, the difference of mortality in every area is obvious, and there is relative centralization tendency of geography. The high mortality area is in the Northwest, for instance Qinghai, Ningxia, Gansu, higher mortality is in Jiangsu, Shanghai, Fujian, Zhejiang of Liaoning, Jilin, Heilongjiang and southeast coastal area of the Northeast,etc., the low mortality area is in provinces such as Sichuan, Yunnan, Guizhou, Guangdong and Guangxi,etc.. Count the intersection of mortality and most high Qinghai with province, regulate mortality into 52.63/10 Wan (men) With 27.80/10 Wan (woman) ,Most low Guangxi, 7.02/10 Wan (men) With 3.41/10 Wan (woman) ,Differ by 7.5 times and 8.2 times (see Table 3) in two places . Israel county's share is counted, there are 73 high mortality counties in the whole country, are distributed in 14 provinces, count 10 Gansu, Qinghai, Ningxia, 7 respectively of Anhui, 9 Shanxi, 12 Jiangsu, 6 Fujian, Shaanxi, Henan, the intersection of Zhejiang and 1 respectively, Fujian Changle 3 county 120.47/10 Wan, high to rank first. Low copy, county of mortality, have 98, distribute in 9 province, count 25 of Yunnan, 19 of Guangdong, 14 Guangxi, 10 respectively of Hunan, Sichuan, 8 Guizhou, 5 Jiangxi, 4 Shandong, 2 Hubei, Jiangxi Chongyi county 0.22/10 Wan only, the whole country is the lowest.
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Gastric carcinoma is one of the main malignant tumour of our country. According to the intersection of our country and 29 provinces and cities, autonomous region ' 1973- 1975) The investigation result of the cause of the death, it accounts for second and the third in man and women death reason to die of malignant tumour. Gastric carcinoma takes the first place in malignant tumour. Annual death is about 160,000 people, accounts for 23.03% of the death of malignant tumour. Of our country gastric carcinoma crude mortality 17.30/10 Wan (man 22.15/10 Wan, woman 12.23/10 Wan) ; The intersection of China and population regulate mortality into 15.41/10 Wan (man 20.93/10 Wan, woman 10.16/10 Wan) ; World population regulate mortality into 23.86/10 Wan, woman 15.93/10 Wan. Belong to the height of gastric carcinoma to send to the country.
The area of gastric carcinoma is distributed gastric carcinoma in different countries of the world, all the difference exists greatly in morbidity and mortality of different areas in the same country.
1.Morbidity
According to " cancer morbidity in the world five continents " of 1982 Materials of Vol. 4. Pluck the morbidity of gastric carcinoma of countries all over the world out, see Table 1. It is the result that cancers from all parts of the world were registered around 1975. Israel most high Japan have, man exceed 70/10 Wan, woman exceed 30/10 Wan. Male morbidity exceed 30/10 area of Wan in Europe, the intersection of Asia and Northeast, Latin America; The morbidity is in 15- 30/10 there are North America, western Europe, the Atlantic Ocean in Wan's areas; And West Asia, Africa, middle and southern American west and Australia are in 15/ 10 Wan is following. The geographical distribution of women's morbidity is generally the same with man. China morbidity, according to Shanghai, man 55.7/10 Wan, woman 21.0/ 10 Wan.
2.Mortality
The country of gastric carcinoma with higher mortality, the main fact is distributed in areas such as Asia, Latin America and Europe,etc.. Japan, Singapore and China, it is the country with higher mortality of Asia. The mortality of Costa Rica, Chile of Latin America Israel is the highest. Countries such as Soviet Union, Hungary, Poland, Iceland, Malia Luo, Bulgaria,etc. had relatively high mortality in the past in Europe. Mortality of the above national male adjustment is in 20/ 10 above Wan. The intersection of gastric carcinoma and the intersection of mortality and low country, male gastric carcinoma adjust mortality in 9/ 10 having U.S.A., Canada, Cuba, Australia, Denmark country following Wan.
According to malignant tumour death in 1973- 1975 of our country's investigation, gastric carcinoma of our country is widespread, the difference of mortality in every area is obvious, and there is relative centralization tendency of geography. The high mortality area is in the Northwest, for instance Qinghai, Ningxia, Gansu, higher mortality is in Jiangsu, Shanghai, Fujian, Zhejiang of Liaoning, Jilin, Heilongjiang and southeast coastal area of the Northeast,etc., the low mortality area is in provinces such as Sichuan, Yunnan, Guizhou, Guangdong and Guangxi,etc.. Count the intersection of mortality and most high Qinghai with province, regulate mortality into 52.63/10 Wan (men) With 27.80/10 Wan (woman) ,Most low Guangxi, 7.02/10 Wan (men) With 3.41/10 Wan (woman) ,Differ by 7.5 times and 8.2 times (see Table 3) in two places . Israel county's share is counted, there are 73 high mortality counties in the whole country, are distributed in 14 provinces, count 10 Gansu, Qinghai, Ningxia, 7 respectively of Anhui, 9 Shanxi, 12 Jiangsu, 6 Fujian, Shaanxi, Henan, the intersection of Zhejiang and 1 respectively, Fujian Changle 3 county 120.47/10 Wan, high to rank first. Low copy, county of mortality, have 98, distribute in 9 province, count 25 of Yunnan, 19 of Guangdong, 14 Guangxi, 10 respectively of Hunan, Sichuan, 8 Guizhou, 5 Jiangxi, 4 Shandong, 2 Hubei, Jiangxi Chongyi county 0.22/10 Wan only, the whole country is the lowest.
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's prevention and health care of nursing of the gastric carcinoma patient
's prevention and health care of nursing of the gastric carcinoma patient
Gastric carcinoma is the most common digestive tract malignant tumour, age of onset, with 40- 60 year in order to see more, the proportions of men and women are about 3:1.
The cause of disease of gastric carcinoma related to food Central Asia nitre amine, possible that pathological change such as stomach polyp, withering gastritis, gastric ulcer,etc. cancerated before some cancers, find the spirillum of pylorus of stomach is one of the important factors that gastric carcinoma takes place in recent years.
First, attend to and diagnose
1,Anxious, frightened or desperate to lack of understanding, not confident in therapeutic effect of disease to have something to do with with development and prognosis of disease. Basis: Depressed, depressed, sentimental and losing and helping.
2,Malnutrition relates to following factors: A stomach function reduce and nutrition take in enough; B tumour grows and consumes a large amount of energy; C fasting; Response to chemotherapy of d digestive tract. Basis: Become thin, anaemia, low albumen blood disease.
3,Knowledge is scarce, lack the doctors and nurses knowledge about gastric carcinoma.
Second, attend to the measure
1,The psychology is attended to: To the gastric carcinoma patient, should notice in the nursery work that finds the patient's mood is changed, the nurse should notice the intensity and ability to accept are offered information according to the needs of patient; Adopt the non- technical language to enable patient to understand, help to analyze advantage and progress being treated, make patients see the hope as much as possible, psychological to dispel the patient's worry and passivism, strengthen confidence in treatment, can cooperate and treat and attend to actively.
2,Nutrition is attended to: Gastric carcinoma patient want, strengthen nutrition, attend to, correct, shoulder nitrogen to be balanced, improve the intersection of operation and tolerance and postoperative result recovered. The persons who can eat offer high heat, high protein, high vitamin diet, the food should be fresh and apt to digest. As to the unable to eat or prohibit to eat patient, comply with enough energy of the intravenous supply, amino acids, electrolyte and vitamin, can implement the nutrition (TPN) outside the whole intestines and stomach if necessary . Food which reduce the fat, albumen with high content to that the patient of chemotherapy should be appropriate, eat more green vegetables and fruits, is beneficial to digesting and absorbing.
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Gastric carcinoma is the most common digestive tract malignant tumour, age of onset, with 40- 60 year in order to see more, the proportions of men and women are about 3:1.
The cause of disease of gastric carcinoma related to food Central Asia nitre amine, possible that pathological change such as stomach polyp, withering gastritis, gastric ulcer,etc. cancerated before some cancers, find the spirillum of pylorus of stomach is one of the important factors that gastric carcinoma takes place in recent years.
First, attend to and diagnose
1,Anxious, frightened or desperate to lack of understanding, not confident in therapeutic effect of disease to have something to do with with development and prognosis of disease. Basis: Depressed, depressed, sentimental and losing and helping.
2,Malnutrition relates to following factors: A stomach function reduce and nutrition take in enough; B tumour grows and consumes a large amount of energy; C fasting; Response to chemotherapy of d digestive tract. Basis: Become thin, anaemia, low albumen blood disease.
3,Knowledge is scarce, lack the doctors and nurses knowledge about gastric carcinoma.
Second, attend to the measure
1,The psychology is attended to: To the gastric carcinoma patient, should notice in the nursery work that finds the patient's mood is changed, the nurse should notice the intensity and ability to accept are offered information according to the needs of patient; Adopt the non- technical language to enable patient to understand, help to analyze advantage and progress being treated, make patients see the hope as much as possible, psychological to dispel the patient's worry and passivism, strengthen confidence in treatment, can cooperate and treat and attend to actively.
2,Nutrition is attended to: Gastric carcinoma patient want, strengthen nutrition, attend to, correct, shoulder nitrogen to be balanced, improve the intersection of operation and tolerance and postoperative result recovered. The persons who can eat offer high heat, high protein, high vitamin diet, the food should be fresh and apt to digest. As to the unable to eat or prohibit to eat patient, comply with enough energy of the intravenous supply, amino acids, electrolyte and vitamin, can implement the nutrition (TPN) outside the whole intestines and stomach if necessary . Food which reduce the fat, albumen with high content to that the patient of chemotherapy should be appropriate, eat more green vegetables and fruits, is beneficial to digesting and absorbing.
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The gastric carcinoma treatment wants _'s treatment
The gastric carcinoma treatment wants _'s treatment
Gastric carcinoma treatment take surgery as the core still so far, postoperative according to different pathologic the intersection of inspection and result, complement it by drug therapy. The therapeutic principle of gastric carcinoma is:
, the intersection of 2 stage and the intersection of gastric carcinoma and person who effect a radical cure, behind the operation, pathology check the cancer cell split up well, can exempt chemotherapy, 2 stage patient should make chemotherapy while being postoperative.
Issues of gastric carcinoma should chemotherapy, traditional Chinese medicine treatment,complement by radiotherapy if necessary.
A gastric carcinoma, so long as have illness coming on originally the cooking stove is allowed, patient's general situation can bear anaesthetizing and operation, should try, do the intersection of excision and skill of condoning etc., in order to improve the intersection of life and quality of patient, complement by traditional Chinese medicine or chemotherapy while being postoperative.
(1) Surgery treatment
The surgery treatment remains the first-selected method of gastric carcinoma. Because diagnose and treat the improvement of competence in gastric carcinoma, surgery adapts to the card and relatively expands correspondingly, except that send the cooking stove originally enormously, fixed, the extensive transformation of internal organs in the belly, companion's courageous and upright ascites is evil liquid quality at present, so long as patient situation permits that should cut open the chance that the belly ascertains all over. Have distant place shift sometimes, lymph node shift at being for instance clavicular, patient serious complication but general situation still the intersection of ability and person of operation received with pyloric stenosis, person who punch, the chance of should also condone ing operation, in order to relieve symptom, lighten the agony. National gastric carcinoma cooperated the group summarized 9602 stomaches 3 which made various surgery treatments, survival rate was 32 respectively in 5 in 1981. 6% and 20. 8% .
(2) Radiotherapy
Gastric gland cancer radiates low sensitiveness, single radiotherapy or narrowing only accounting for 60% of more than 50% with tumour after the complex treatment of chemotherapy, tumour is 10% alone of persons who totally disappear, so, gastric carcinoma can't effect a radical cure with radiotherapy alone, the role in gastric carcinoma treatment of radiotherapy is mainly complementary or condoning one. Used for complex treatment more, four kinds such as radiotherapy, postoperative radiotherapy and condoning radiotherapy in the radiotherapy, skill before there are skills in main forms of radiotherapy. Radiotherapy can make the excising rate of radical operation improve by about 20% before the skill according to literature, survival rate is raised in 5 of gastric carcinoma of later period in making 10% - 25% .
(3) Chemistry treatment
It is postoperative besides a few patients for gastric carcinoma to excise, mostly need the postoperative chemotherapy of conduct. It has cancer cells that postoperative his reason department may be remaining, or some gastric carcinoma operations are difficult to totally remove, either shift focuses through the lymph or blood system. Practice has proved postoperative gastric carcinoma cooperates with chemotherapy compared with simple operation, the former should be long in life cycle, there is less postoperative recurring. This is why a doctor often arranges the reason of chemotherapy before the skill for patients.
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Gastric carcinoma treatment take surgery as the core still so far, postoperative according to different pathologic the intersection of inspection and result, complement it by drug therapy. The therapeutic principle of gastric carcinoma is:
, the intersection of 2 stage and the intersection of gastric carcinoma and person who effect a radical cure, behind the operation, pathology check the cancer cell split up well, can exempt chemotherapy, 2 stage patient should make chemotherapy while being postoperative.
Issues of gastric carcinoma should chemotherapy, traditional Chinese medicine treatment,complement by radiotherapy if necessary.
A gastric carcinoma, so long as have illness coming on originally the cooking stove is allowed, patient's general situation can bear anaesthetizing and operation, should try, do the intersection of excision and skill of condoning etc., in order to improve the intersection of life and quality of patient, complement by traditional Chinese medicine or chemotherapy while being postoperative.
(1) Surgery treatment
The surgery treatment remains the first-selected method of gastric carcinoma. Because diagnose and treat the improvement of competence in gastric carcinoma, surgery adapts to the card and relatively expands correspondingly, except that send the cooking stove originally enormously, fixed, the extensive transformation of internal organs in the belly, companion's courageous and upright ascites is evil liquid quality at present, so long as patient situation permits that should cut open the chance that the belly ascertains all over. Have distant place shift sometimes, lymph node shift at being for instance clavicular, patient serious complication but general situation still the intersection of ability and person of operation received with pyloric stenosis, person who punch, the chance of should also condone ing operation, in order to relieve symptom, lighten the agony. National gastric carcinoma cooperated the group summarized 9602 stomaches 3 which made various surgery treatments, survival rate was 32 respectively in 5 in 1981. 6% and 20. 8% .
(2) Radiotherapy
Gastric gland cancer radiates low sensitiveness, single radiotherapy or narrowing only accounting for 60% of more than 50% with tumour after the complex treatment of chemotherapy, tumour is 10% alone of persons who totally disappear, so, gastric carcinoma can't effect a radical cure with radiotherapy alone, the role in gastric carcinoma treatment of radiotherapy is mainly complementary or condoning one. Used for complex treatment more, four kinds such as radiotherapy, postoperative radiotherapy and condoning radiotherapy in the radiotherapy, skill before there are skills in main forms of radiotherapy. Radiotherapy can make the excising rate of radical operation improve by about 20% before the skill according to literature, survival rate is raised in 5 of gastric carcinoma of later period in making 10% - 25% .
(3) Chemistry treatment
It is postoperative besides a few patients for gastric carcinoma to excise, mostly need the postoperative chemotherapy of conduct. It has cancer cells that postoperative his reason department may be remaining, or some gastric carcinoma operations are difficult to totally remove, either shift focuses through the lymph or blood system. Practice has proved postoperative gastric carcinoma cooperates with chemotherapy compared with simple operation, the former should be long in life cycle, there is less postoperative recurring. This is why a doctor often arranges the reason of chemotherapy before the skill for patients.
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How does gastric carcinoma patient increase the _ treatment of the appetite during chemotherapy
How does gastric carcinoma patient increase the _ treatment of the appetite during chemotherapy
(1)Change the recipe, change the cooking method: A kind of new food can promote the appetite, for example the patient who often eats the pork food can change and eat fish, shrimp, crab, chicken,etc., conditional can eat some tortoises, turtles. Changing and cooking the method makes the food have different color, smell and taste, can increase the appetite too. But no matter any food, must reach food well done and more rotten intensity while cooking, can digest and assimilate smoothly.
(2)Medicated diet whets the appetite and invigorates the spleen: Hawthorn meat cubelets: Hawthorn 100g, thin pig (or the ox) Meat 1000g, vegetable oil 250g, and the mushroom, ginger, spring onions, pepper, cooking wine, gourmet powder, white sugar are right amount of respectively. Cut red meat slice first, oil explode, wait for fonticuli cranii cook, be completely with the intersection of hawthorn and condiment and then, can eat. Can both whet the appetite and resist cancer. Radix Astragali Chinese yam custard: Use the intersection of Radix Astragali and 30g, add, poach half an hour, remove slag, add the intersection of Chinese yam and slices of 60g, boil 30 minute again, add white sugar (constipation person with honey) . Each take once in morning and evening of every day. Have angry blood circulation promoting of benefit, increase the appetite, improve the function that the intestines and stomach absorb the function.
(3)Eat more fresh vegetables and fruit of vitamins with high content: This kind of food not only can increase resistance but also can increase the appetite. Some patients think that should avoid eating the raw, cold food, but should treat the fruit vegetables according to actual circumstances. Can eat the dish juice and fruit apt to digest of small quantity in postoperative initial stage, there should not be much quantity each time, in conformity with much meal of small quantity. The function of intestines and stomach can eat some light and delightful ones rawly and mix cold dish and fruit after basically resuming, especially chemotherapy, the intersection of radiotherapy and issue, have function of whetting the appetite obviously.
(4)Exchange the diet experience between the ward mates: Exchanging the diet experience not only can learn from other's strong points to offset one's weaknesses, but also help to increase the appetite between the ward mates, this is very essential to cancer patient.
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(1)Change the recipe, change the cooking method: A kind of new food can promote the appetite, for example the patient who often eats the pork food can change and eat fish, shrimp, crab, chicken,etc., conditional can eat some tortoises, turtles. Changing and cooking the method makes the food have different color, smell and taste, can increase the appetite too. But no matter any food, must reach food well done and more rotten intensity while cooking, can digest and assimilate smoothly.
(2)Medicated diet whets the appetite and invigorates the spleen: Hawthorn meat cubelets: Hawthorn 100g, thin pig (or the ox) Meat 1000g, vegetable oil 250g, and the mushroom, ginger, spring onions, pepper, cooking wine, gourmet powder, white sugar are right amount of respectively. Cut red meat slice first, oil explode, wait for fonticuli cranii cook, be completely with the intersection of hawthorn and condiment and then, can eat. Can both whet the appetite and resist cancer. Radix Astragali Chinese yam custard: Use the intersection of Radix Astragali and 30g, add, poach half an hour, remove slag, add the intersection of Chinese yam and slices of 60g, boil 30 minute again, add white sugar (constipation person with honey) . Each take once in morning and evening of every day. Have angry blood circulation promoting of benefit, increase the appetite, improve the function that the intestines and stomach absorb the function.
(3)Eat more fresh vegetables and fruit of vitamins with high content: This kind of food not only can increase resistance but also can increase the appetite. Some patients think that should avoid eating the raw, cold food, but should treat the fruit vegetables according to actual circumstances. Can eat the dish juice and fruit apt to digest of small quantity in postoperative initial stage, there should not be much quantity each time, in conformity with much meal of small quantity. The function of intestines and stomach can eat some light and delightful ones rawly and mix cold dish and fruit after basically resuming, especially chemotherapy, the intersection of radiotherapy and issue, have function of whetting the appetite obviously.
(4)Exchange the diet experience between the ward mates: Exchanging the diet experience not only can learn from other's strong points to offset one's weaknesses, but also help to increase the appetite between the ward mates, this is very essential to cancer patient.
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Sunday, December 2, 2012
The gastric carcinoma treatment " The 16 -word policy " ! 's treatment
The gastric carcinoma treatment " The 16 -word policy " ! 's treatment
The operation is a main fact:Gastric carcinoma treats first-selected surgery. Except early gastric carcinoma, the lymph node was not shifted, or the one that is smaller than 2 centimeters of dislocated upwarping types can narrow the operation, other gastric carcinomas should make surgery of effecting a radical cure etc., clean the extra lymph node.
Should pay attention to the intersection of urine and quantity and drainage tube of patient while being postoperative. The urine amount can be judged more or less patient's heart and lungs function. The drainage tube can be compared to a sentry, can measure the wound and resume the situation, after finishing opening the knife, if have, ooze liquid, ooze blood come out, identical mouth bleed the intersection of stomach and a of bleeding, this drainage tube sees that can find out.
Chemotherapy is in order to complement:Gastric carcinoma assists and treats and takes chemotherapy as the core, radiotherapy is less likely to use. Auxiliary chemotherapy go on while being postoperative more in the past, purpose lie in, consolidate the intersection of operation and curative effect, restrain and kill operation residual focus and tumour cell. Recommend chemotherapy in front of the skill relatively in recent years, call new auxiliary chemotherapy too, after gastric carcinoma is made a definite diagnosis of, might not perform the operation at once, will give some chemotherapy medicines first and to control, narrow tumour, then perform the operation, improve the operation and excise success rate. Just like the enclosing without sending the tactics, control all tumours and lymph nodes, stand up first of Northeastern campaign, it is enclosed and destroyed in the operation finally. Make a definite diagnosis of behind the gastric carcinoma needing anxious to shout, do surgery.
Complex treatment:The gastric carcinoma treatment should adopt the complex treatment measure like most other tumours, various methods learn from other's strong points to offset one's weaknesses, coordinate, arrange to use rationally, could make the best curative effect in this way. Except that surgery, take radiotherapy, there are traditional Chinese medicine, immunization therapy,etc., may choose to use, improve immunity and life quality, reduce and recur, shift the risk.
Pay attention to recovering:As the saying goes, " stomach trouble three divides and rules, seven fen is raised " ,Gastric carcinoma treatment does not perform the operation, over after the chemotherapy, another course resumed, followed up a case by regular visits to and recovered for a long time, it is very important that this pair of patients survive for a long time. Don't overly avoid certain food on the diet, non- particular about food, but don't drink and smoke either, can take some traditional Chinese medicine appropriately, improve immunity. Then treat with usual mind, often take exercises, participate in the colony activity, follow up a case by regular visits to regularly.
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The operation is a main fact:Gastric carcinoma treats first-selected surgery. Except early gastric carcinoma, the lymph node was not shifted, or the one that is smaller than 2 centimeters of dislocated upwarping types can narrow the operation, other gastric carcinomas should make surgery of effecting a radical cure etc., clean the extra lymph node.
Should pay attention to the intersection of urine and quantity and drainage tube of patient while being postoperative. The urine amount can be judged more or less patient's heart and lungs function. The drainage tube can be compared to a sentry, can measure the wound and resume the situation, after finishing opening the knife, if have, ooze liquid, ooze blood come out, identical mouth bleed the intersection of stomach and a of bleeding, this drainage tube sees that can find out.
Chemotherapy is in order to complement:Gastric carcinoma assists and treats and takes chemotherapy as the core, radiotherapy is less likely to use. Auxiliary chemotherapy go on while being postoperative more in the past, purpose lie in, consolidate the intersection of operation and curative effect, restrain and kill operation residual focus and tumour cell. Recommend chemotherapy in front of the skill relatively in recent years, call new auxiliary chemotherapy too, after gastric carcinoma is made a definite diagnosis of, might not perform the operation at once, will give some chemotherapy medicines first and to control, narrow tumour, then perform the operation, improve the operation and excise success rate. Just like the enclosing without sending the tactics, control all tumours and lymph nodes, stand up first of Northeastern campaign, it is enclosed and destroyed in the operation finally. Make a definite diagnosis of behind the gastric carcinoma needing anxious to shout, do surgery.
Complex treatment:The gastric carcinoma treatment should adopt the complex treatment measure like most other tumours, various methods learn from other's strong points to offset one's weaknesses, coordinate, arrange to use rationally, could make the best curative effect in this way. Except that surgery, take radiotherapy, there are traditional Chinese medicine, immunization therapy,etc., may choose to use, improve immunity and life quality, reduce and recur, shift the risk.
Pay attention to recovering:As the saying goes, " stomach trouble three divides and rules, seven fen is raised " ,Gastric carcinoma treatment does not perform the operation, over after the chemotherapy, another course resumed, followed up a case by regular visits to and recovered for a long time, it is very important that this pair of patients survive for a long time. Don't overly avoid certain food on the diet, non- particular about food, but don't drink and smoke either, can take some traditional Chinese medicine appropriately, improve immunity. Then treat with usual mind, often take exercises, participate in the colony activity, follow up a case by regular visits to regularly.
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Standardize _'s treatment to treat the skill while effecting a radical cure in gastric carcinoma
Standardize _'s treatment to treat the skill while effecting a radical cure in gastric carcinoma
" The focal point with therapeutic gastric carcinoma, should be emphasizing regulation and relevant and auxiliary and therapeutic rationality of effecting a radical cure surgery constantly. " The professor of department of general surgery of PLA general hospital held oldly and strictly on April 26 " The 2008th intestines and stomach tumour surgery makes a diagnosis and gives treatment in the summit forum synthetically " Have and appeal to every expert. Gastric carcinoma is one of the most common malignant tumour, the morbidity is second only to lung cancer worldwide, occupy the second place. The mortality of annual gastric carcinoma of our country occupies and belongs to the malignant tumour death first.
It is TNM by stages to employ the comparatively extensive phased method in the world at present, its advantage is simple and convenient, rational, easy to popularize; The shortcoming is that have not stipulated the lymph node to check total number and each lymph node to slice, count. 13 gastric carcinoma of edition lymph node substations where JRSGC1999 revises every year are another main phased method in the world, have already been adopted by a lot of countries including our country. This kind of method, for guiding and cleaning in the surgical course of gastric carcinoma, offering the important basis the accurate lymph node. A lot of study materials, indicate the intersection of JRSGC and for instruct gastric carcinoma surgery to help greatly lymphocytic system of dividing into groups, and TNM contributes to the postoperative treatment of guidance by stages.
In recent years, the surgery of peritoneoscope becomes a new technology employed, launched in treatment of gastric carcinoma. Up to the end of 2006, Japan has already had gastric carcinoma patient's competent peritoneoscope gastric carcinoma operations of nearly 9000 examples. Our country domestic to launch the surgery already even.
While mentioning the developing direction of gastric carcinoma treatment, point out oldly and strictly, organize the variation of gene, and gene sequence to demonstrate the particular clinical, pathological characteristic, have already become a new hot problem of the research field at present. While the gastric carcinoma patient treats, can employ the gastroscope to make a few tumours to organize, carry on genetic analysis, offer the basis for the patient's treatment.
" The 2008th intestines and stomach tumour surgery makes a diagnosis and gives treatment in the summit forum synthetically " Have invited the experts from countries such as U.S.A., Japan, South Korea,etc. to divide the specialist lecture, introduce area research of discipline and the newest progress of treating; Invited the expert in surgical field of the domestic intestines and stomach to demonstrate the operation at the same time, fully show the latest research results in this field in our country, further promote the healthy development of universities and colleges field of our country.
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" The focal point with therapeutic gastric carcinoma, should be emphasizing regulation and relevant and auxiliary and therapeutic rationality of effecting a radical cure surgery constantly. " The professor of department of general surgery of PLA general hospital held oldly and strictly on April 26 " The 2008th intestines and stomach tumour surgery makes a diagnosis and gives treatment in the summit forum synthetically " Have and appeal to every expert. Gastric carcinoma is one of the most common malignant tumour, the morbidity is second only to lung cancer worldwide, occupy the second place. The mortality of annual gastric carcinoma of our country occupies and belongs to the malignant tumour death first.
It is TNM by stages to employ the comparatively extensive phased method in the world at present, its advantage is simple and convenient, rational, easy to popularize; The shortcoming is that have not stipulated the lymph node to check total number and each lymph node to slice, count. 13 gastric carcinoma of edition lymph node substations where JRSGC1999 revises every year are another main phased method in the world, have already been adopted by a lot of countries including our country. This kind of method, for guiding and cleaning in the surgical course of gastric carcinoma, offering the important basis the accurate lymph node. A lot of study materials, indicate the intersection of JRSGC and for instruct gastric carcinoma surgery to help greatly lymphocytic system of dividing into groups, and TNM contributes to the postoperative treatment of guidance by stages.
In recent years, the surgery of peritoneoscope becomes a new technology employed, launched in treatment of gastric carcinoma. Up to the end of 2006, Japan has already had gastric carcinoma patient's competent peritoneoscope gastric carcinoma operations of nearly 9000 examples. Our country domestic to launch the surgery already even.
While mentioning the developing direction of gastric carcinoma treatment, point out oldly and strictly, organize the variation of gene, and gene sequence to demonstrate the particular clinical, pathological characteristic, have already become a new hot problem of the research field at present. While the gastric carcinoma patient treats, can employ the gastroscope to make a few tumours to organize, carry on genetic analysis, offer the basis for the patient's treatment.
" The 2008th intestines and stomach tumour surgery makes a diagnosis and gives treatment in the summit forum synthetically " Have invited the experts from countries such as U.S.A., Japan, South Korea,etc. to divide the specialist lecture, introduce area research of discipline and the newest progress of treating; Invited the expert in surgical field of the domestic intestines and stomach to demonstrate the operation at the same time, fully show the latest research results in this field in our country, further promote the healthy development of universities and colleges field of our country.
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