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This is a question that every esophageal cancer patient and family member is concerned about.
In fact, the prognosis after surgery is different according to the early, middle and late stages of esophageal cancer.
Early esophageal cancer is when the tumour has just started and cancer cells have just appeared on the mucous membranes. At this time, the lesion is small and relatively limited, and the surgical effect is very good. Medium-stage esophageal cancer is when the tumor cells begin to spread in the esophageal wall, and at this time, it is relatively troublesome, and the scope of surgery needs to be increased, and the entire esophagus may need to be removed.
Advanced esophageal cancer has spread beyond the wall of the esophagus and metastasized to other sites, and advanced surgery is difficult and the prognosis is poor.
There are several other factors that affect esophageal cancer surgery:
Regional lymph node metastasis: an important factor affecting prognosis.
Residual carcinoma at the margins.
Preoperative Radiology Synthesis**.
Location of tumor: The prognosis of the lower esophagus is generally considered to be better than that of the middle and upper esophagus.
Depth of cancer invasion: closely related to prognosis.
The prognosis for patients with esophageal cancer is generally squamous cell carcinoma better than adenocarcinoma; The constricted and mushroom umbrella type is better than the ulcerative type and medullary type. The 5-year survival rate of patients with early esophageal cancer without metastasis is 60, and the 5-year survival rate of metastasis or midstream esophageal cancer is less than 25, and the average 5-year survival rate is 18 1 40 8, but the prognosis of esophageal cancer is reported to be very poor, and the 5-year survival rate is less than 5.
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The overall prognosis of esophageal cancer is not good, and the earlier the stage, the longer the survival of esophageal cancer patients. Stage 0, stage and stage tumors are considered resectable**, and the 5-year survival rate can reach or exceed %, respectively. Stage patients rarely have tumors that can be removed**, and most doctors consider stage tumors to be unresectable and **.
The presence or absence of lymph node invasion also has a significant impact on prognosis. Generally speaking, esophageal cancer is located in the upper esophagus, the length of the lesion is more than 5 cm, the muscle layer of the esophagus has been invaded, the degree of differentiation of cancer cells is poor, or the metastasis has been poorly prognostic.
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Hello, poorly differentiated squamous cell carcinoma is a relatively malignant tumor, now there is no metastasis is still a relatively good phenomenon, now it needs timely chemotherapy, and at the appropriate time, radiotherapy is also needed to prevent metastasis, any tumor needs a good immune environment, which can enhance the patient's immunity, in addition, life confidence is also very important, many people are intimidated by the disease.
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Esophageal cancer can be classified as early, intermediate and advanced. For patients with early-stage intramucosal cancer, the five-year survival rate can reach more than 90% if surgical resection, including endoscopic surgical resection; In patients with intermediate stage, especially in the case of lymph node metastasis, the five-year survival rate is less than 50%; The five-year survival rate for patients with advanced disease is less than 10%. The prognosis must be judged in combination with the patient's stage and physical condition after esophageal cancer surgery, if the patient's physical condition is better, adhere to the comprehensive**, regular, regular reexamination, the five-year survival rate is higher, if the patient's physical fitness is poor, unable to continue the system**, the prognosis is poor.
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It mainly depends on whether esophageal cancer can be detected early and whether the method is appropriate and the patient's physical condition, the sooner it is removed, the better, and the operation time should not be delayed because of mild symptoms, good general condition or small cancer. Traditional Chinese medicine can be used to improve the patient's physique, enhance immunity, and be used in conjunction with surgery or radiotherapy and chemotherapy, as well as reduce toxicity and synergistic effect, improve clinical symptoms, and reduce patients' pain.
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How long is the survival time after esophageal cancer, mainly depends on the stage of esophageal cancer, and if early esophageal cancer can be operated as soon as possible, there is a good possibility. If it is a relatively early stage of esophageal cancer, many patients can be cured after a comprehensive combination of surgery**. However, because the early symptoms of esophageal cancer are not obvious, most patients are found to be in the middle and advanced stages, and even if they undergo surgery**, and then adjuvant such as radiotherapy and chemotherapy** after surgery, **metastasis often occurs, and the five-year survival rate is less than 40%.
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The length of life after esophageal cancer surgery is related to various factors such as the type of cancer, whether it is early or advanced, mental and psychological factors, postoperative conditioning and maintenance, and dietary factors.
If it is an early stage of esophageal cancer, timely surgery**, postoperative radiotherapy, chemotherapy, traditional Chinese medicine and symptomatic methods**, the patient himself maintains a good attitude, establishes confidence and determination to fight against cancer, usually.
If it is an advanced esophageal cancer, even if it is treated in a timely and appropriate manner, it will generally live for about 1-2 years. If the condition is quite severe, even if you have surgery, most of them will live for about half a year.
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Guangzhou Fuda Cancer Hospital can be said to be well-known, and everyone is serious and responsible.
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The prognosis of early esophageal cancer is good after surgery, with a 5-year survival time of more than 70%, and some can meet the clinical standard. The survival period of intermediate and advanced esophageal cancer is generally in.
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Under normal circumstances, 10-20 years need to be seen according to the classification of the disease, the degree of malignancy, the patient's physique, and the time of acceptance. If surgery is performed at an early stage, it is generally possible to live for more than ten years. If it is in the middle to late stages, the likely survival time ranges from one to two years.
According to statistics, it is found that esophageal cancer dies every year in the world.
of more than 300,000 people, and our country accounts for about half of the number. Mortality from esophageal cancer.
The reason for the persistence is directly related to the failure to carry out ** in time to control the disease. So, how long can you live after esophageal cancer surgery?
How long patients with esophageal cancer can live after surgery is not completely certain, mainly depending on the pathological stage of the disease and the best effect. If surgery is performed at the early stage of esophageal cancer****, then actively cooperate with radiotherapy and chemotherapy.
And if the effect is better, it may not affect the survival time, and the survival time can be as long as more than ten years or even longer. However, if it is esophageal cancer that has progressed to the middle and advanced stages.
Most prognosis. It is not good, and only palliative radiotherapy can be given.
and chemotherapy, but there is a ** risk, so the survival period is generally about one to two years.
Factors influencing survival time after esophageal cancer.
1.Whether it is early**.
The survival time of esophageal cancer after surgery is directly related to whether the patient receives ** at an early stage. Because early esophageal cancer** is relatively difficult and has a good prognosis, most patients can survive for a long time after early surgery** and have a five-year survival rate.
Up to 70%-80%.
2.The degree of malignancy of the disease.
According to pathology.
The degree of malignancy of esophageal cancer also determines the length of survival time after surgery.
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You can live for about 20 years after esophageal cancer surgery, which can make your body healthier.
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Once the patient with esophageal cancer is diagnosed, it is necessary to undergo surgery in time, and the life expectancy after surgery is determined according to the disease control, and it is generally possible to survive for more than five years without problems, so it is necessary to take more care after the operation and pay attention to the diet to eat some light and easy-to-digest food, and do a good review regularly.
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There are many aspects that medical staff and their families should pay attention to after esophageal cancer surgery. It is necessary for patients with esophageal cancer not to drink water after surgery, and only drink water when the doctor tells them to drink water, and drink a small amount of water at the beginning to prevent anastomotic leakage, and eating is generally three days later. The semi-liquid phase should be slightly longer, and do not rush to transition to general eating.
The most important thing is to do a good job of selenium supplementation for esophageal cancer, such as eating Hengjian Selenium Weikang, which can improve the success rate of surgery and reduce the occurrence of surgical complications. Prevents ** and metastasis, improves the body's repair function.
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Generally speaking, the survival period of advanced esophageal cancer is 3 months to 1 year, but if the surgery is **, the survival period will be extended, if the ** is better, the later stage is not **, the personality is optimistic, the quality of life is high, the survival cycle will be as long as several years to decades, with the continuous development of medicine, it is no longer a dream to defeat cancer. The hospital of Henan Institute of Modern Medicine adopts the "Trinity of Traditional Chinese Medicine Esophageal Cancer**", which has been clinically proven by tens of thousands of cancer patients, with a total effective rate of more than 97%. Studies have proved that traditional Chinese medicine can effectively prevent postoperative and metastatic tumors; It has a relieving and stabilizing effect on tumor lesions, has a significant improvement effect on clinical symptoms, can improve the quality of life of patients, and has achieved the goal of taking traditional Chinese medicine.
For patients with esophageal cancer in our hospital, the rapid treatment is generally effective in 3-7 days, and the slow 10-15 days can have obvious results, improve symptoms and reduce pain. The condition can be controlled after 1-2 courses of medication, and the purpose of ** can be achieved in about 6 courses of treatment, and it is not easy to ** after that. In addition, for patients with intermediate and advanced stages or patients who are not suitable for surgery, radiotherapy, chemotherapy and postoperative metastasis, the purpose can be achieved.
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In fact, it is not possible to say exactly how long you can live after esophageal cancer surgery. The specific survival rate depends on the degree of progression of the disease and the patient's own conditions.
If it is an early stage of esophageal cancer, it can be completely removed as soon as possible through surgery**, which can have a better survival time. For patients with intermediate and advanced stages, surgery** followed by radiotherapy and chemotherapy can also improve the survival rate. If the patient's general condition is good and he is sensitive to drugs or radiation, he or she can also have a good survival rate after surgery with chemoradiotherapy.
And not only need to cooperate, but also need the patient to have a good attitude and a good diet in order to best prolong the postoperative survival time.
Prevention of esophageal cancer: first of all, prevention, prevention is the fundamental way, and gradually change people's habits of eating moldy food, such as sauerkraut, moldy nest head, fish sauce is currently experimentally proven to cause esophageal cancer, it is recommended to eat more fresh vegetables and fruits, fresh vegetables and fruits are rich in vitamin C, which can block the synthesis of nitrosamines. The second is to improve water quality, do a good job in environmental sanitation, prevent water pollution, and correct the lack of molybdenum trace element in the soil.
There is also a focus on testing for 35-year-old people with a family history of esophageal cancer, regular screening, and strive for early detection, early diagnosis.
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The early symptoms of esophageal cancer are mainly choking sensation after eating dry and hard food, followed by retrosternal burning discomfort, but most patients have atypical symptoms in the early stage, mainly confirmed by gastroscopy and biopsy pathology, and esophageal cancer is mainly diagnosed by surgery**, open surgery** or minimally invasive thoracoscopic surgery**.
Early esophageal cancer can be achieved with surgery. Secondly, for older patients, or patients who are unable to operate or unwilling to undergo surgery, local radiotherapy at the location of esophageal lesions can be considered**, and the effect of radiotherapy is also good, and the survival time is about three to five years.
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**Of course, the sooner the better, the postoperative care should also be thoughtful, and the patient's physique is also a key factor in determining the prognosis of surgery, so.
It's not a certainty, how long can you live after esophageal cancer surgery? Here's a closer look.
Prevention is key:
Postoperative is a fatal factor, if you want to ensure postoperative survival, you must prevent it, and the effective way to prevent it is to be fast, and take care measures after it. With the continuous improvement of surgical methods, the survival time after esophageal cancer surgery has been significantly higher than before. Therefore, patients should not worry too much, whether the mentality is good or not will also affect the success rate of the operation to a large extent.
Improving immune function after surgery is a top priority. The most direct way is to do a good job of dietary care, supplement nutrition, promote wound healing, improve immunity, and enhance anti-cancer ability.
In order to ensure the best effect of the patient's surgery, in addition to doing a good job in dietary care, give a nutritious diet of high protein, high calorie and high vitamin, chicken, fish, shrimp, eggs and soy products, and give the patient more milk, lotus root flour and fresh juice, as well as eat more fresh vegetables and fruits. It is also necessary to do a good job of various nursing measures.
How Long Can You Live After Esophageal Cancer Surgery? Do a good job of various nursing measures after surgery to ensure the best effect: 1. Psychological care.
Postoperative comfort and encouragement to the patient is very important and has a significant impact on improving the patient's psychological state. It is necessary to instruct the patient to relax themselves, divert their attention to reduce pain, take the initiative to care for and be considerate of the patient, so that they realize that they have passed the difficulty of the operation, and actively participate in the process.
Second, assist in expectoration.
The patient should take a flat lying position to keep the airway open, cooperate with the physician to properly fix the chest drainage tube, pay close attention to the patient's breathing and the changes in his condition, and encourage the patient to take deep breaths after the patient is awake, and pat the back when coughing. If the patient is reluctant to cough for fear of wound dehiscence and pain, an appropriate amount of analgesic should be used and nebulized to dilute the sputum.
Third, closed thoracostopathy.
It is necessary to pay attention to the position of the thoracic drainage tube frequently, prevent prolapse, twisting, and folding, keep it unobstructed, assist in the elimination of blood accumulation in the pleural cavity, eliminate the residual cavity, observe the fluctuation of the water column, and if the bright red bloody fluid is drawn out, it indicates the possibility of active bleeding, and it should be treated in time.
Fourth, gastrointestinal decompression care.
In the early postoperative period, it is easy to have gas and gastric juice retention, and even gastric dilation, gastric hyperdistension increases anastomotic tension, which is not conducive to healing, and also compresses the lungs and affects respiratory function, so gastrointestinal decompression and suction should be carried out, and the negative pressure should not be too high, so as to avoid the gastric tube side hole absorbing the gastric mucosa and causing blockage, and the gastric tube can be flushed with saline.
The above is the relevant introduction, how long can you live after esophageal cancer surgery?