How to treat a 77 year old man with esophageal cancer

The diet of esophageal cancer patients should be light, but some patients like to have a strong taste, but it is too light to affect the patient's appetite, so pay attention to the patient's personal appetizing food, as long as it is nutritious, eat what he likes. Eggs, fish, shrimp, various meats, pork livers and other foods with high protein content are good nutrients, and some milk powder, milk, soy milk, etc. Vegetables help to replenish vitamins.

In general, paying attention to daily life can prolong life.

Nowadays, the first tumor is a problem in the world, if the symptoms of esophageal cancer are detected in time in the early stage, and the tumor is limited to carcinoma in situ and surgical resection, the prognosis of these patients is better. When the tumor develops to an advanced stage, lymph node metastasis, or direct invasion of the lower esophagus, direct invasion of the esophageal wall, posterior mediastinum, including the atria and blood vessels, these patients are often difficult, and can not be sexual, can only be palliative. The main purpose of palliative care** is to improve quality of life and prolong survival.

In this part of the patients, the survival time is often relatively limited. Therefore, the effect of esophageal cancer** depends on how early or late the disease is detected. In the early stage, there can be many first-class means, such as surgery, radiotherapy and chemotherapy, and immunization and targeting.

When the disease progresses, the entire resistance decreases, and some first-class methods cannot be carried out, affecting the survival time of patients. Therefore, if esophageal symptoms appear, it is necessary to carry out ** as soon as possible, and early intervention is required, and the prognosis is relatively good.

Esophageal cancer is a common malignant tumor of the upper gastrointestinal tract, and if esophageal cancer is diagnosed, it should be actively undertaken**.

The principle of esophageal cancer is multidisciplinary, including surgery, radiology, and chemistry.

Early esophageal cancer and precancerous lesions can be treated with argon ion beam coagulation and endoscopic mucosal resection.

Surgery is the preferred method for esophageal cancer, the principle of surgery is complete resection of the tumor and lymph node dissection, transthoracic esophageal cancer resection is the current conventional surgical method, and the minimally invasive technique represented by thoracoscopy is now also applied to surgery.

For patients with inoperable advanced esophageal cancer, palliative surgery is available to improve quality of life, and the combination of radiation and chemotherapy for esophageal cancer also includes a combination of radiation and chemotherapy.

Common malignant tumors of the upper gastrointestinal tract, if diagnosed with esophageal cancer, should be aggressively performed**.

For older patients, it is recommended to choose TCM conservative**.

How long patients with esophageal cancer can live varies from person to person, and the length of life of different patients is also different, but as long as it can be detected early and an effective and reasonable plan is taken, it is possible to effectively control cancer. Patients with advanced esophageal cancer should maintain a healthy and optimistic attitude, actively cooperate, and adopt the correct method, which can completely improve the survival rate and survival time with tumors.

Western medicine such as surgery, radiotherapy and chemotherapy must be cautious when choosing, otherwise it will bring serious consequences to the patient and even accelerate death. If inappropriate surgery is performed on an unsuitable patient, such as an advanced patient whose cancer cells have metastasized, the impact on the patient after the operation is great, and the patient will have to recover for a long time, and the comprehensive ** cannot be done during this time, resulting in the rapid growth of metastases, which may accelerate death.

The lifespan of esophageal cancer depends on many aspects, in general, the earlier esophageal cancer is detected and **, the longer the patient's survival time and better the quality of life, for example, early esophageal patients confined to the mucosal layer and submucosa can have a five-year survival rate of more than 95%, while the five-year survival rate of advanced esophageal cancer is less than 3%, so esophageal cancer emphasizes early detection and early **.

After the diagnosis of esophageal cancer patients, some barium swallows or gastroscopy will be routinely performed to clarify the location of the tumor in the esophagus, the surgical resection rate is more than 80% in China, early esophageal cancer can be obtained through surgery**, other methods, radiotherapy, chemotherapy and other comprehensive methods**, esophageal cancer life also depends on the patient, for some adjuvant ** tolerance, some people are more sensitive to chemotherapy, Some people are not sensitive to chemotherapy.

Can the elderly eat ginseng if they are weak?

Esophageal cancer is a malignant tumor, so how long you can live depends mainly on the stage of its cancer, and whether the way is appropriate. If the stomach cancer has been relatively late, there has been distant metastasis, may only live for half a year to a year, in good health, may be maintained for a year or two, patients pay attention to personal eating habits, try to eat light and easy to digest food, try not to eat hard and dry food, appropriate strengthening of nutritional support, help the body recovery, prolong the time of life. In the later stage, it is still conservative to use some ** methods, and at the same time, we should also pay attention to dietary habits, which is better for the prognosis of patients.

There are several ways of esophageal cancer:

1. Surgery**.

Surgery can be used as the best method for esophageal cancer with early local lesions, and it can no longer meet the first standard for patients with esophageal cancer with distant metastases in the middle and advanced stages. Pathological stage is the most important prognostic factor for the survival of esophageal cancer patients, and it is important for patients with advanced esophageal cancer to be 5% after surgical resection

The annual survival rate is 80-90%, or even more than 90%, and the localized area of the tumor reaches an advanced stage.

and stage) have a 5-year survival rate of less than 15%. In addition, aggressive surgical resection is associated with severe pulmonary complications and a high mortality rate. For those stage and stage, locally advanced lesions, esophageal cancer is still up to 30% after surgery

pulmonary complications may occur. For patients with esophageal cancer who are in the middle and advanced stages of poor physical fitness, surgery is often not used** for esophageal cancer.

2. Radiation**.

Radiation is used to reduce the size of the tumor before surgery or to destroy remaining cancer cells after surgery. When the size and location of the tumour are not suitable for surgical resection, or when the patient's other factors are not suitable for surgery, radiotherapy** esophageal cancer (radiotherapy) is an alternative to surgery. In recent years, some new radiotherapy techniques have been introduced, such as:"Three-dimensional spatial stereotactic cesotaxic radiotherapy"with"Intensity-modulated radiotherapy"etc., and there are more aimed at reducing the damage caused by radiotherapy to the heart"4-way irradiation method"。

3. Traditional Chinese Medicine**.

As one of the traditional treasures of China, Chinese medicine has a long history of esophageal cancer. Traditional Chinese medicine pays attention to the whole thing, regulates the body functions, and balances the internal environment. Therefore, it is a good supplement for Western medicine to fight and eliminate cancer.

Traditional Chinese medicine such as ginsenoside RH2 is the most effective anti-cancer ingredient extracted from ginseng, combined with chemoradiotherapy, which can increase efficiency and reduce toxicity, shorten the recovery cycle, and prevent metastasis. Among them, Hainan Asia Pharmaceutical Group produces "Jinxing" capsules, the content of which is up to 39 Health Network to learn more.

4. Chemistry**: The main means is medication, which is aimed at patients with advanced esophageal cancer, patients who cannot undergo surgery**, patients who are insensitive to radiotherapy, and those who may have residual cancer tissue or suspected incomplete lymphatic clearance during surgery.

5. Others: such as hyperthermia, laser, argon-helium knife, etc., are palliative methods, often used for advanced tumors, at this time, patients are mostly due to the poor effect of the application of conventional methods or the progress of the disease, and they have no choice but to choose these palliative methods, in order to alleviate symptoms, improve the quality of life, and delay the survival time.

In the advanced stage of esophageal cancer, the combination of traditional Chinese medicine anti-cancer drugs has a good effect, and many elderly patients can not be operated on or chemoradiotherapy, and can be carried out with traditional Chinese medicine first, and the use of ginsenoside rh2 is first to improve the patient's symptoms and improve the quality of life of the patient, Rh2 life protectant is one of the better, and there is currently a literature to support that ginsenoside rh2 can inhibit the proliferation of esophageal cancer cells, block the G0 G1 stage, induce its differentiation effect, reduce ** and metastasis. After the body is recuperated, if surgery and radiotherapy are suitable, a combination of surgery and radiotherapy can be performed**.

For patients with esophageal cancer who have a single site of advanced metastasis and the patient's constitution is acceptable, and are willing to undergo surgery, surgical palliative resection can be considered, but it is best to combine the traditional Chinese medicine of advanced esophageal cancer before and after surgery to help enhance the patient's immune function, improve resistance, help enhance the effect of surgery after surgery, improve the thoroughness of surgery, reduce postoperative complications, prevent postoperative metastasis, and speed up the patient's recovery. However, it is worth reminding patients that they must have a detailed examination before surgery, and family members should consult with the attending physician for clarification.

Symptom control in patients with advanced esophageal cancer is the key, and at the same time, it is also necessary to pay attention to improving the patient's own disease resistance, and the application of traditional Chinese medicine has great advantages in both aspects. In addition, patients with advanced esophageal cancer should also pay attention to the conditioning diet, such as semi-liquid food and full flow, and pay attention to the quality of semi-liquid food and full flow, do not restrict calories, and be nutritious, soft meals, easy to digest and absorb, and make homogenized meals if necessary.

Generally, 70 to 80 years old are called elderly patients, and this type of esophageal cancer patient group has its particularity in physiological, psychological and social life.

Surgery is not recommended for some elderly patients with poor physical condition, complex medical history, and multiple organ diseases. For such patients, even seemingly ordinary complications can become insurmountable obstacles in life, and surgical deaths within 30 days after surgery are more likely to occur in this group.

For patients who are in good physical condition, have a greater possibility and certainty of surgical resection, and are able to have ** resection, they should be fully prepared for surgery and strive for surgery. Minimize surgical blows and shorten the operation time during surgery. As an adjunct, you can take traditional Chinese medicine such as red ginseng, ginsenoside RH2 (life protectane), cordyceps sinensis according to your own situation, which can enhance the first effect, increase the number of white blood cells, reduce the pain of patients, prevent ** and metastasis, improve the quality of life, and pay attention to diet and necessary exercise.

Some patients with esophageal cancer have difficulty eating due to esophageal obstruction for a long time before admission, and their nutritional status is very poor. After admission, nasogastric feeding high-calorie nutrition, such as soybean milk, broth, etc., is given to quickly improve the physical condition and enhance the ability to tolerate surgery. This can avoid postoperative blood transfusion, plasma and protein transfusion, and reduce the complications caused by prolonged parenteral nutrition.

Hospital Cell ** Center.

The advantages of argon-helium ultracold knife in our hospital.

At present, the main means for esophageal cancer are drugs, surgery and radiation. Among them, drugs** include traditional Chinese medicine** and chemical drugs**. The following is a brief introduction to the characteristics of each means.

1. Drugs**.

Traditional Chinese medicine**: For the treatment of esophageal cancer, traditional Chinese medicine is mostly used to treat the main prescription with syndrome differentiation, and the method of combining correction with blood circulation and blood stasis. The clinical application has also proved that this method has a certain curative effect.

Chemical drugs**: At present, for esophageal cancer**, most patients choose chemical drugs**, but there are not many who do have curative effects.

2. The preferred method of surgery for **:** esophageal cancer is surgery. However, the contraindications to surgery are: Clinical x-rays and other examinations confirm that the esophageal lesions are extensive and involve adjacent organs, such as the trachea, lungs, and longitudinal.

septum, aorta, etc. Those with severe cardiopulmonary or hepatic and renal insufficiency or cachexia who cannot tolerate surgery. In addition to the above, surgery should be performed once the diagnosis is confirmed and the physical condition allows**.

3. Radiation**: Radiation for esophageal cancer includes two categories: ** and palliative. Radiotherapy is characterized by less damage and is more effective than surgery, so patients with esophageal cancer should be treated with radiotherapy as the first choice.

Patients with acceptable general condition, semi-liquid or smooth access to liquid diet, thoracic esophageal cancer without contraindications such as supraclavicular lymph node metastasis and distant metastasis, can be treated with ** radiotherapy.

In general, surgery should be performed for more advanced lesions of esophageal cancer**; For more advanced lesions, located in the middle or upper segment, and younger and taller, or with contraindications to surgery, radiation** should be preferred. The earlier the treatment of esophageal cancer**, the better. Even patients with advanced esophageal cancer, if the best is right, can be transformed into a good side.

In addition to some of the above-mentioned methods, there is currently a special technology in esophageal cancer, that is, cell regulation technology, which can not only effectively kill cancer cells, but also improve the body's resistance and make up for the damage caused by chemotherapy.