's general knowledge of 4 factors of recuring of postoperative gastric carcinoma
According to researching and analysing, postoperative gastric carcinoma recurs and mainly relates to the following four factors:
First, the intersection of cancerous swelling and patient before undergoing an operation treatment, it belongs to to be relatively gastric carcinoma of later period already later period, cancerous swelling has already penetrated the coat of the stomach, invading and abdominal cavity and neighbouring organ tissue, such as pancreas, colon, liver, mesenterium,etc.; Or shift to the distant place by the lymphoid tissue. Unable person who effect a radical cure excise tumour, remain the intersection of cancer and organization of quantity in the abdominal cavity in operation, present recuring shortly after postoperative these patients frequently. For example there is a old patient, because the appetite fails for 3 months and has not paid attention to, became thin, vomited, went to the hospital to go to a doctor until nearly 1 month without digesting the food the going on later, diagnose as stomach sinus cancer accompanies pyloric stenosis through checking. Tumour of the wall after finding the stomach sinus in the operation already and but pancreas adhesion can't be excised completely, postoperative insufficient half a year appear in pelvis lump and ascites.
Second, the intersection of surgery and treatment have a few doctor pay attention to nearly Sri Lankan curative effect only completely incompletely, proceed from angle of wound simply, narrow the operation range that gastric carcinoma effects a radical cure inappropriately, remain cancerous swelling different to find of naked eye of small quantity organize or shift the lymph node in the abdominal cavity, in addition, postoperative and ignore complex treatment. They resume very well often recently while being postoperative, pass first period (within one year behind general operation) ,Will present cancerous swelling and recur.
Already organism immunity dropped before third, organism immunity had a lot of gastric carcinoma patient skills low, mainly display and defend the failing of the function in the immunity, namely internal immune cells are discerned and wounded the ability of the cancer cell to reduce; Add the operation wound and anaesthesia blow of health resistance, cause this kind of patient's immunity after the operation lower. If the postoperative immunity not improving the patient in time, then patient, often tumour recurs after the operation; Even done more thorough radical cure, some people will be recuring postoperative at a specified future date. There is a middle aged patient of 2 stage gastric carcinoma, it is relatively low because of the organism immunity level, expert at, effect a radical cure 5 years after the operation, find lump, is checked at the intersection of umbilicus and hole department and proves shifting gastric carcinoma by pathology.
Fourth, biological characteristic usually refers to the malignant intensity of tumour. His gastric carcinoma's malignant intensity of the often old patient is relatively low, and young gastric carcinoma patient's malignant intensity is relatively high, the prognosis is relatively bad. Generally speaking, higher, cancerous swelling to that the drug resistance of chemotherapy is strong of malignant intensity, it is lower than the malignant intensity, the cancerous swelling sensitive to chemotherapy is apt to recur.
In a word, the postoperative reason to recur of gastric carcinoma is relatively complicated, a patient has many kinds of recurring factors to exist. And because condition different and individual differences, different patients can demonstrate different recurring signs.
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