Please judge the prognosis, thank you Dr. Renxin Renshu!

It's been a long time since I've seen the "benevolence and benevolence" come ......So it's ...... to briefly talk about my opinion

The prognosis of this patient is promising, and if I do it according to my method, I will have no problem living for 10 years with high quality. For this purpose, please click on my name and go to my Know blog. Read the "Review of Cancer Treatment" in detail, be careful, understand the whole text in detail, and if you have any doubts, please publish it online.

We wish you a long life in Shenzhen.

In this case, in addition to tossing or tossing, the good time is very limited, and it is recommended that traditional Chinese medicine fight tumors **, in order to inhibit the development of the disease and gradually improve the body's immunity as the main direction.

1: Long-term use of Chinese herbal medicine. It's usually fine (of course, find a doctor who knows how to do it). 2: Regular check-ups. Don't want anything else.

1) Mild reactions after radiotherapy are mainly considered.

Just look at it.

2) It is estimated to have little relationship with tumor metastasis. Pay attention to see if the patient has vomiting or headache.

3) Pay attention to whether the medication the patient is currently taking is any of the drugs that cause drowsiness.

1) The opinions of the 2 netizens upstairs are not accurate or comprehensive enough, so listen to me. After all, postoperative adjuvant involves a lot of economic exertion and toxicity.

2) Esophageal cancer is characterized by a high rate after surgery.

3) At present, the patient has lymph node metastasis, indicating that the rate of ** in the future is not low. The most aggressive** is in conjunction with postoperative adjuvant radiotherapy.

Chemotherapy. But at the same time, the toxicity of this ** is also the greatest.

Although the ** rate can be appropriately reduced, the reduction is ordinary. It is not possible to reduce it drastically.

4) The compromise is postoperative chemotherapy alone, or postoperative radiotherapy.

The effect is almost good, and at the same time less toxic and safer.

5) If neither radiotherapy nor chemotherapy is done. Okay, too. At the very least, the toxicity of chemoradiotherapy was avoided.

But it will be easier in the future**. 6) Select.

5？The choice is yours.

Drowsiness is a very common symptom of head radiotherapy, and decreased nervous system excitability can also cause ...... of appetite, emotion and other disordersDuring this period, it is necessary to think about other symptoms of the patient's head, in case the symptoms of the tumor are covered up by radiotherapy***!

There should be nothing major, pay attention to maintenance and review.

The symptoms should be advanced esophageal cancer, but it is easy to determine whether it is bone metastasis based on the signs alone. Further testing is recommended. For example, whole-body bone scintigraphy and a CT of the pelvis to rule out bone disease.

Symptoms of advanced esophageal cancer generally include:

1. Dysphagia Progressive dysphagia is the main symptom of most patients when they visit the hospital, but it is a late manifestation of the disease. Because the wall of the esophagus is elastic and expandable, dysphagia occurs only when about 2 3 of the esophageal circumference is infiltrated by cancer. As a result, after the onset of the above early symptoms, the disease gradually worsens within a few months, progressing from being unable to swallow solid food to being unable to swallow liquid food.

If the cancer is accompanied by inflammation of the esophageal wall, edema, spasm, etc., it can aggravate the difficulty of swallowing. The location of the obstruction is often consistent with the location of the hand cancer.

2. Food reaction often occurs when dysphagia is aggravated, the regurgitation is not large, and it contains food and mucus, as well as blood and pus.

3. Other symptoms: When the cancer compresses the recurrent laryngeal nerve, hoarseness can be caused; Invasion of the phrenic nerve can cause hiccups or phrenic paralysis; compression of the trachea or bronchi may cause shortness of breath and dry cough; Erosion of the aorta can cause fatal bleeding. In complicated esophageal-tracheal or esophageal-bronchial fistula or cancer in the upper esophagus, swallowing fluid often produces cervical sympathetic palsy signs.

I got a breast tumor the year before last, but this year I found out that I had a few more 16*8 2, the doctor said that I am the kind of physique that loves to grow breast tumors, what should I do, do I have to have surgery?

Judging from the results of immunohistochemistry, it should be chemotherapy plus endocrine**, and no one dares to help you pack the ticket, so you can only deal with the most effective **. Improve quality of life.

Let me answer, I think it's probably a breast cancer patient, ER2, PR2, CERB-B2 negative. If this result is the result, it means that the estrogen receptor and progesterone receptor of this patient are positive, from the perspective of **, there is one more ** means than the patient with negative receptor, that is, oral tamoxifen can be continued after chemotherapy**, and some stages are early, and even oral tamoxifen is taken directly without chemotherapy, and it is better to be positive than negative. Cerb-B2 is an indicator of a poor prognosis,3 with a poor prognosis,3 and Heceptin** can be used in negative patients, with a better prognosis in negative patients than positive patients.

The analysis of xiaoyao1619 upstairs is more detailed and in place, so support it.

In view of the language barrier, my understanding of the following languages is as follows:

receptores estrogenicos 80% ii heterogenea

receptores progesterona 80% ii heterogenea

cerb-b2 (marca biogenex, %cel=0

Strong positive ER, strong positive PR, Cerbb2 negative.

If there are no errors in my understanding, the following 2 points are prompted:

1) The patient's immunohistochemistry is ideal.

2) There is a need to carry out "tamoxifen" or similar drugs for 5 years, and the effect is good, it is recommended.

Finally, my advice is that you communicate properly with the local experienced medical oncologist, and if they agree with my understanding, they should also approve of my **.

1) I was stunned for a moment when I read the first line, because I just accepted a 62-year-old breast cancer patient today.

It won't be my patients asking online and continuing to meet me, right? There are still relatively few elderly breast cancer patients in China.

Just kidding. 2) Regarding the prognosis:

It's still good. The patient is indeed a stage 2a case of t2n0m0. The staging is still relatively early.

I think it's more optimistic. Under the premise of norms, patients have about a 70% chance.

In most cases, these patients do not require radiotherapy. Is the patient undergoing breast-conserving surgery?

3) Due to the negative ER, PR, the patient is unable to receive endocrine**.

In this case, the most important means for patients after surgery is chemotherapy.

I recommend chemotherapy with a regular regimen. Generally, it is 6 courses of treatment.

The key depends on the patient's physique, and whether the chemotherapy is toxic or not.

If chemotherapy goes well, try to do enough to achieve maximum results.

4) The patient has completed chemotherapy and radiotherapy. All ** is done.

Other, complex, non-scientific** is not recommended.

Disclaimer] Oncologists must make accurate and complete diagnoses and opinions on cancer patients, and must face the patients for consultation and physical examination. It is necessary to have a comprehensive understanding of the patient's medical history and various auxiliary examination materials.

At the time of the aforemention, I was unable to obtain the above information. Therefore, all my diagnoses and opinions may be inaccurate or incomplete.

All my opinions are for the appropriate reference of netizens. It should not be used directly to guide the patient's diagnosis and behavior.

At the same time, I strongly recommend that all diagnoses and ** for cancer patients must be carried out under the guidance of local physicians.

If the diagnosis and behavior are carried out only according to the opinions of the person in the network, the patient and his family will be responsible for all the consequences. I am not responsible.

Indeed, as Renxin said, a high degree of malignancy does not mean that the prognosis is not good, and every individual is different, so congratulations on relaxing your mind, which is very conducive to future recovery!

The advice is to eat a healthy diet, exercise moderately, and have a relaxed mind! I believe you will be better!

Oncology You say it's too scary, you want to make people insomnia?

The degree of undifferentiated malignancy is the highest.

However, the comprehensive condition of a specific tumor patient is only one of the aspects, and it is also necessary to analyze the specific situation in combination with the size of the tumor, whether there is lymph node metastasis and other aspects.

It's like if you only scored 50 points in math in the final exam, but the final total score needs to be determined by looking at the total scores of several other subjects.

The higher the differentiation, the closer it is to normal cells. Undifferentiated is the most abnormal.

Addendum: I was very touched by your supplementary speech. I think people who help others are the happiest, use your current ability to help others! Those who help others live forever.

The degree of undifferentiated malignancy is the highest, and the lower the differentiation, the higher the degree of malignancy.

I think that the stage 2 of infiltrated intestinal muscle, but there is no lymphatic metastasis, I don't think the prognosis will be too good, as for the ** chance, about 50%, 55% chance of 5-year survival. "Cancer tissue infiltrates the whole muscular layer of the intestinal wall" means that it has infiltrated the entire intestinal wall muscle, but there is still some distance from the serous layer, it should be t3nomo, don't worry, relax your mind and do a good job**, I wish you soon**! (*

The intestinal tract is divided into mucosa, submucosa, muscle, and serous layers. Full-thickness invasion means that the tumor has invaded the entire intestinal tract. (Not good.) The prognosis is poor. )

No tumor involvement was found at the anastomosis margin; This indicates that the surgery is relatively thorough. Seven lymph nodes were found next to the mass, and no cancer metastases were found. OK.

Moderately differentiated adenocarcinoma, cancer tissue infiltrates the whole muscle layer of the intestinal wall, which can be considered as an intermediate-advanced bowel cancer, fortunately, no metastases were found in the lymph nodes.

It belongs to Duke's Phase B.

The 5-year survival rate is around 50%-70%.

Good luck! t3nomo, however, this staging is only a medical theory, and there is no necessary connection between staging and the duration of the patient's survival.

Now this situation belongs to T3N0M0, T3 means that the mass has penetrated the muscularis propria to the subserosa, or when the primary lesion is located in the colon or rectum without peritoneum covering, the mass has invaded the paracolon or rectum.

The notion that rectal cancer is a systemic disease has been accepted. With improved surgical methods, many tumors can be removed. However, 30 to 40 patients still died due to metastasis.

It shows that sexual surgery cannot remove small lesions, which is the main reason for metastasis and the main basis for adjuvant chemotherapy after surgery. The principle of comprehensive treatment of rectal cancer is: according to the patient's system, the location of the tumor, the pathological type, the depth of invasion and the metastasis of the tumor, the reasonable and comprehensive application of various existing methods, so as to maximize the rate of tumor and improve the quality of life of patients.

The diagnosis probability of colon cancer at the time of presentation is about 25%, the 5-year survival rate after surgery is about 70%, and about 25% of colon cancer occurs within 5 years after surgery**.

According to the information currently known, the WAKE stage is stage B, and the TNM stage should be T3N0M0, because the cancer tissue infiltrates the whole muscle layer of the intestinal wall; No lymph node metastases were found, but unfortunately the number of lymph nodes was only 7, and if 12 were reached, it might have a better prognosis.

It should be said that the patient is still relatively lucky, the tumor was completely resected, and no lymphatic metastasis was seen, so if the postoperative standard chemotherapy is completed (the efficacy of radiotherapy is relatively limited, not recommended), the prognosis is still very good.

Invasion of the whole muscularis of the intestinal wall by cancerous tissue does not mean that the serous membrane has accumulated or penetrated the serosa, and the general description at the beginning of the case report should not have broken through the serous layer.

Good luck and pay attention to follow-up!