Can esophageal cancer lesions with a length of 10 5cm still be operable?

If you only know the length is not able to know whether it can be removed, but also depends on the surrounding invasion, which means that the tumor cells have invaded where it is, if it is only confined to the esophagus, it should be possible, if it has invaded the tissues around the esophagus or other places, such as mediastinum, lymph nodes, etc., then it cannot be removed, this is what the doctor said, if you open it and find that the invasion is strong, it can not be cut, only on the suture, But now, in general, a CT CT in a larger hospital can clarify the surrounding violations, so why not do it? It is necessary to do a good job of the corresponding examination, and then determine whether to operate or not, otherwise the damage will be too great and the injury will be too great, and the patient's immunity will decrease after the operation, and the tumor will grow faster and faster, so we must be cautious.

Of course, surgery can be cut is the best, after the operation is cut is also good for chemotherapy and radiotherapy, if you can't cut, you can only chemoradiotherapy, in the late stage is unable to eat anything can be inserted into the esophageal stent to relieve the symptoms of dysphagia, because if the patient's condition will deteriorate quickly, the stent can be selected domestically, no need to import, the general vascular stent is only imported, the domestic of the digestive tract can be, our esophageal stent is all domestic, relatively cheap, a few thousand pieces are enough.

There are 20-30% of people who will be stenotic after the stent is done, and then you can use a balloon to bracket it, if it is in the late stage, it can only be like this**, don't hold it, the sooner the treatment effect, the better.

If it is too long, radiation therapy can be used.

Depending on the specific condition, it is recommended to go to the thoracic surgery department of a major cancer hospital.

This cannot be judged from the appearance, and it is necessary to determine whether it is suitable for surgery according to the specific degree of malignancy and the extent of the invasion.

Stent placement can also be used to alleviate symptoms, but this is not recommended in the early stages**. Previously, the degree of esophageal coarctation was evident, and stent placement could already be considered. There is a big difference between domestic and imported brackets**, please choose according to your strength.

Cancer generally can't be cured, and the gods can't help it.

The symptoms of esophageal cancer can be divided into three stages:

Early symptoms: Early symptoms of esophageal cancer are mainly pain, burning sensation or discomfort behind the sternum when swallowing food, and a feeling of rubbing, stagnation or choking of food. These symptoms are often mild, appear and appear, and can last for months or even 1 to 3 years, and then gradually worsen and become recurrent.

2.Medium-term symptoms: dysphagia is a typical symptom of mid-to-advanced esophageal cancer.

At first, it is only noticeable when eating hard foods, but gradually becomes persistent and progressively worse. It develops rapidly, and some patients can not get a drop of water in a short period of time. However, some patients can be quite slow, and even in advanced stages, it is not very severe.

This is due to the elasticity and dilation of the normal esophageal wall, and severe dysphagia occurs only when the cancer involves the entire circumference of the esophagus and narrows the lumen to a certain extent. Dysphagia is sometimes worsened by inflammation, swelling, or blockage of food from the cancer. Since dysphagia is an intermediate or advanced manifestation of esophageal cancer, it is inappropriate to take the onset of dysphagia as the onset of esophageal cancer, or simply use the severity of dysphagia to indicate the early or late stage of the disease.

Medium-stage esophageal cancer also often causes foamy mucus to be vomited, especially in the case of obstruction, because the obstruction of the esophagus prevents saliva and esophageal secretions from flowing down into the stomach. Persistent vague pain in the chest and back is also a common symptom of advanced esophageal cancer.

3.Late symptoms: With the development of the course of the disease and the aggravation of symptoms, advanced patients often experience emaciation, dehydration, constipation, weakness, etc.

Distant metastases and other complications sometimes occur. Some patients have cachexia and general failure. When there is metastasis of liver, lung, brain and other organs, symptoms such as jaundice, ascites, liver failure, coma, and dyspnea may occur.

This is up to the doctor, and if it is determined to be esophageal cancer, of course surgery should be done.

The early symptoms of esophageal BAI cancer, DU are not particularly typical. Esophageal cancer reaches a certain period of time, and DAO will appear within the typical.

Some of the symptoms, mainly manifested as progressive and capacitive dysphagia, appear first when eating dry and hard foods, and as the disease progresses, obstruction can also be felt when eating soft foods, and continue to develop, eating semi-liquid foods, or even liquid foods. Eventually, the esophagus becomes blocked by a tumor, and it becomes difficult to drink water. In addition, when esophageal cancer reaches an advanced stage, the tumor invades adjacent organs and metastasizes to lesions, and some corresponding symptoms will appear, such as hoarseness, back pain, pleural effusion, bone pain, etc.

Early esophageal cancer can be resected under gastroscopy, which can achieve the effect, and if it is advanced esophageal cancer, the methods include surgery, radiotherapy, chemotherapy and endoscopy.

First, surgery, the surgical resection rate of the esophagus can reach 80% to 90%, and early resection can often achieve the first effect, but most patients have entered the middle and advanced stages at the time of diagnosis, and even if the surgical resection rate is improved, the recovery effect is still not satisfactory.

Second, radiotherapy is mainly suitable for upper esophageal cancer, which is difficult to operate, and middle and lower esophageal cancer, which cannot be resected.

Third, chemotherapy, which is mainly administered within two to four weeks after esophageal cancer resection, is often used in combination with chemotherapy regimens.

Fourth, endoscopy is the preferred method for early esophageal cancer, including endoscopic mucosal resection and endoscopic ablation.

Chinese medicine can be considered**. According to the different symptoms of esophageal cancer, Chinese medicine has different prescriptions and different treatment methods.

Phlegm-gas obstruction. Syndrome characteristics]: swallowing obstruction, chest and diaphragm fullness or pain, belching or hiccups, or vomiting phlegm saliva and food, dry mouth and throat, difficult stool, increasingly thin body, reddish tongue, yellow greasy, thin and slippery pulse.

Treatment]: Open depression and dissolve phlegm, moisten dryness and reduce qi.

Deficit and hot knot. Syndrome characteristics】 Swallowing infarction and pain, solid food is difficult to enter, soup can be lowered, increasing emaciation, dry mouth and throat, dry stool, five heart irritability, red and dry tongue, or cracked, and fine pulse.

Treatment] nourishes the fluid, dissipates heat and dissipates knots.

Congestion and internal knots. Syndrome characteristics] swallowing obstruction, pain behind the sternum or under the picture, spitting sticky sputum, dull complexion, emaciation, skin and muscle nails, dark tongue with ecchymosis, greasy, and dull pulse.

Treatment] Break knots and dissolve stasis, nourish yin and nourish blood.

Qi deficiency and yang are subtle. Syndrome characteristics] swallowing obstruction, inability to eat and drink, paleness, mental exhaustion, shortness of breath, spitting and saliva, swollen face, abdominal distention, pale tongue, weak pulse.

Treatment] Nourish qi and nourish blood, warm and yang knots.

Generally, cervical esophageal cancer is not operated on for two reasons.

1) If the position is too high, gastroesophageal anastomosis cannot be performed after esophageal cancer resection.

2) Radiotherapy for residual and cervical esophageal cancer has a good effect, so surgery is generally not possible**.

Of course, if the esophageal cancer is not very large, it is relatively early, and there is still normal tissue above the esophageal cancer that can be treated with Kee's gastroesophageal anastomosis, or can it be operated, so can you pass the gastroscopy, esophageal barium swallow and CT film for consultation. Strive to have a good ** plan.

Dr. Zhuang Congwen of Fuzhou General Hospital solemnly reminded that the above suggestions are for reference only, and the specific diagnosis and treatment must be carried out in the hospital under the guidance of the doctor! ）

To be sure, after esophageal cancer resection, the area that was removed will not regenerate. Generally, the length of resection should be more than 5-8cm above and below the cancerous tumor, and the breadth should include the removal of fibrous tissue around the tumor and all lymph nodes.

Lower esophageal carcinoma, anastomosis with esophageal organs, mostly on the aortic arch; For mid- or upper-esophageal cancer, the neck should be anastomosed. A commonly used esophageal substitute organ is the stomach and sometimes the colon or jejunum.

Common complications after esophageal cancer surgery include anastomotic leakage and anastomotic stenosis.

In addition, radiotherapy and chemotherapy should be used after surgery to control the metastasis of cancer cells and improve the survival rate, but it is important to note that it is necessary to check the blood picture regularly and pay attention to the drug reaction.

It will not grow any longer, and the place where it was removed should be removed because of the lesion.

However, local functions are replaced by surrounding or residual tissues.

Functionality is also affected.

Upper esophageal cancer is dominated by radiotherapy combined with chemotherapy. At present, I have received radiotherapy and chemotherapy, and local tissue fibrosis will be more obvious, which will increase the difficulty and risk of surgery, so it is not recommended to undergo grinding surgery. I don't know what you mean by "intervening"**.

Patients with sore throat can only be treated symptomatically, with oral solutions of lidocaine, gentamicin, VITB, or analgesics.

Jiang Tao, Shanghai Zhongshan Hospital.

Regardless of whether the cancer is operated on or not, chemotherapy or not, medicine (Chinese medicine) should be taken and traditional Chinese medicine and Western medicine should be combined. This one is certain (it can be operated on in the early stage, but it is not helpful in the late stage).

Usually we always say "integration of traditional Chinese and Western medicine", when encountering this kind of serious disease, it is really the time to integrate traditional Chinese and Western medicine, should be comprehensive, not just one method.

In addition, cancer is a lifelong disease (cancer cells can be removed when they have not spread, but even if they are cut cleanly, there are always cancer cells in the body, and the ** rate is high with the accumulation of time.) Therefore, cancer is a lifelong disease), we must insist on taking medicine, and we can't think that everything will be fine after surgery and chemotherapy (after surgery and chemotherapy, there is still a long way to go, and the main task at this time is to prevent **). It's medical common sense.

Many patients think that they have been cured after surgery and the doctor clearly says that "the operation was successful". This is obviously a lack of medical knowledge, and as a result, it suffers from this loss). You should take the medicine after the operation, and if you don't stop taking the medicine, you can not **, thank God it is already a great achievement.

Not to mention not taking medicine.

Chinese medicine can be fully considered. It is treated with traditional Chinese medicine pills for dissolving stasis and dispersing knots, detoxifying and reducing swelling, and for pimples and tumors. As long as you find the right medicine, it is not difficult for you to know.

Due to my work, the author is well aware of the charm of traditional Chinese medicine, and has witnessed a large number of typical cases of malignant tumors being treated by traditional Chinese medicine, which verifies the uniqueness of traditional Chinese medicine in the motherland. In particular, it has a special effect on diseases in the digestive tract from top to bottom that can be directly in contact with medicine, such as esophageal cancer, colon cancer, stomach cancer, rectal cancer, and lymphoma. If you have undergone surgery or chemotherapy, one of the obvious effects of traditional Chinese medicine is that all kinds of uncomfortable symptoms of the patient will be significantly reduced and improved in the short term.

Usually pay attention not to eat spicy, fried, barbecued, these are hot and dry foods.

Any cancer is a local manifestation of a systemic disease, not just a locally manifested tumor. Cancer cells multiply indefinitely, and cancer cells also metastasize to all parts of the body to grow and multiply, resulting in emaciation, weakness, anemia, loss of appetite, fever and severe organ dysfunction. It can destroy the structure and function of tissues and organs, cause necrosis and hemorrhage, and infection, and eventually die due to organ failure.

If cancer is only treated with radiotherapy, chemotherapy, and surgery alone, it can only accelerate death, but cannot cure the disease.

Radiotherapy and chemotherapy are not the fundamental solution for cancer. On the contrary, it is the best method of "ending up together" for human tumors. Patients with various tumors in the invasive and disseminated stages of cancer, who are treated with single radiotherapy, chemotherapy or surgery, and whose tumors have minor changes, have a ** rate within 3 months.

Radiotherapy and chemotherapy can inhibit the bone marrow and cause pancytopenia; Anemia caused by erythrocytopenia, infection caused by leukopenia, and bleeding caused by thrombocytopenia will inhibit and reduce the immune function of patients, destroy or even destroy the immune function of patients, and will accelerate the death of patients in the middle and advanced stages. Either one could be life-threatening......."

He was powerless and could only try to reduce the patient's pain, mainly by paralyzing the nerves. In Tianjin, the cancer hospital is the most authoritative.

Surgery is a kind of traumatic medical treatment, which treats the symptoms but not the root cause, and it is easier to make people more energetic. Moreover, esophageal surgery has seriously affected a person's diet, and if the patient cannot eat, he will not live long. Therefore, the best method at this time is traditional Chinese medicine, if the method is appropriate, it can be effectively controlled and survive for a long time.

It seems that there are quite a lot of people who reply, and my suggestion is not to operate, which may be a little cruel, but it is an early esophageal cancer and our family's medicine can still be treated.

It is recommended to take traditional Chinese medicine, using traditional Chinese medicine dynamics, through traditional Chinese medicine, to kill cancer cells, liquefy tumors, and excrete them from the body, while adjusting the balance of yin and yang, improving the internal environment, improving immunity, and achieving the ideal effect. CCTV, People's Daily and China Education Network have all made special reports, and there are many patient cases.

First of all, let me tell you: 4 cm esophageal cancer is by no means an early stage. Please use international standard staging for staging.

Accurate staging is the key, and esophageal cancer is one of the most contraindications to surgery and one of the most controversial cancers.

Esophageal cancer surgery does not have any statistically significant benefits other than early stages.

Esophageal cancer is a systemic disease, and the metastasis rate of esophageal cancer (carcinoma in situ, early stage) in East Asians is almost 100%.

The median survival of 4 cm tumors is about 11 months, and conservatism**, intrinsic motility, gemcitabine, and avastin may be the best drugs.

There is no valid basis for any Chinese medicine.