Accidental radical gallbladder cancer has not metastasized, how to prevent recurrence and metastasis

Pathological diagnostic microscopic examination: no atypic cells were found in multiple samples. Diagnosis: inflammatory macroscopic tissue of the liver square lobe, no tumor cell growth was seen.

Yao Xuequan, Department of Digestive Oncology, Jiangsu Provincial Hospital of Traditional Chinese Medicine: The second ** operation has been completed, and no cancer cells have been found in the pathological results.

Gallbladder cancer is not sensitive to various chemotherapy drugs, and commonly used drugs are ADM, 5-FU, and MMC.

Chemotherapy or radiotherapy is selected depending on the patient's condition.

If it is not accepted, it will be rechecked regularly, B-ultrasound or CT, tumor indicators.

You said that regular re-examination of B-ultrasound and CT, tumor indicators, you can see the relevant information that the cancer cells are relatively high and cannot be detected by the detection instrument, and they have reached the invasive stage when they are detected, so I am really worried, Dr. Yao, since chemotherapy is of little significance, in addition to improving self-immunity and enhancing resistance, can traditional Chinese medicine prevent metastasis and kill cancer cells? Is there such a statement? I'm really worried, can I just keep re-checking and waiting for the cancer cells to appear**?

Is there any way to stop cancer cells from appearing in advance?

Yao Xuequan, Department of Digestive Oncology, Jiangsu Provincial Hospital of Traditional Chinese Medicine.

For gallbladder cancer, surgical dissection and excision are the best methods. There is no better option than chemotherapy and radiotherapy.

For those that may be remnant, chemotherapy is the choice, which has some efficacy, but is not as sensitive as other tumors. There are also some patients who benefit from radiotherapy and traditional Chinese medicine**. Regular follow-up is recommended to allow for early detection of metastases and**. FYI.

Can I choose TCM for esophageal cancer**? Of course, Chinese medicine can carry out a whole treatment of esophageal cancer on the body, completely eradicate the lesion on the basis of strengthening the root cause, clear away heat and detoxification, reduce swelling, help correct and dispel evil, improve the patient's immunity and anti-cancer ability, and achieve the best effect of treating both the symptoms and the root cause. Esophageal Cancer TCM** is suitable for all stages of cancer and will play a good role in patients.

Traditional Chinese medicine believes that the root of the pathogenesis of esophageal cancer is the weakness of yang qi and the decline of body function.

Although gallbladder cancer patients are resected, the diseased tissue is removed, or the disease is temporarily suppressed, but after a period of time, the same tumor grows back in the primary lesion, which is gallbladder cancer, there are many reasons, but the most important reason is that the primary gallbladder cancer is not thorough enough, the surgical resection is not complete, and the radiotherapy and chemotherapy are not thorough, on the surface, the tumor seems to have disappeared, but in fact there are still residual cancer cells. In order to effectively prevent gallbladder cancer after surgery, it is recommended that patients cooperate with the triple balance of traditional Chinese medicine to consolidate ** after surgery, so as to enhance the patient's immunity and resistance and prolong the survival time of the patient.

In short, middle-aged and elderly people over 60 years old, with full gallstones, or gallbladder polyps of more than 1 cm or porcelain gallbladder, emphasize regular close reexamination, and even perform preventive gallbladder removal.

02How to detect gallbladder cancer early?

In the early stage of gallbladder cancer, there are generally no symptoms, or only some atypical abdominal pain, bloating, anorexia, and anorexia. When there is obvious emaciation, jaundice and pain, most of the gallbladder cancer is already at an advanced stage and the opportunity for surgery is lost. Therefore, gallbladder cancer focuses on prevention and early diagnosis and treatment.

Routine physical examination and regular follow-up can detect gallbladder lesions in time and screen high-risk gallbladder cancer patients. Ultrasonography can effectively detect most gallbladder lesions, such as gallstones, gallbladder polyps, cholecystadenomyosis, cholecystitis, etc., and blood is drawn to detect tumor markers, among which the elevation of carcinoembryonic antigen (CEA) and CA199 is closely related to gallbladder cancer.

Gallbladder resection surgery is required for symptomatic gallstones and gallbladder polyps with a diameter greater than 1cm, and sometimes "accidental gallbladder cancer" is found during the operation, at which time the cancer is often early, and the surgical effect is very good, with a 5-year survival rate of more than 99% after surgery.

03 How is cholangiocarcinoma**?

Early gallbladder cancer, such as carcinoma in situ and stage T1A gallbladder cancer, is intramucosal or submucosal gallbladder cancer, and simple gallbladder resection can achieve the best effect.

For T1B gallbladder cancer, that is, gallbladder cancer that has reached the muscular layer, it may invade the tissues in the liver and metastasize to the lymph nodes, so it is necessary to resect the adjacent liver and do lymphatic dissection at the same time. In this way, a relatively good effect can be achieved.

Surgery for gallbladder cancer enlargement in the stage is to expand the scope of liver resection and lymph node dissection; Gallbladder cancer often cannot be operated on, and if debulking surgery is performed, it will also get relatively better results with radiotherapy and chemotherapy.

Problem analysis: Cancer is currently a worldwide problem, and gallbladder cancer is relatively malignant and needs to be actively improved. The main methods of cancer include surgery, chemoradiotherapy, intervention, conservative, etc.

Suggestion: The patient has undergone surgery** and has not spread, and chemotherapy and radiotherapy are required after surgery to delay the differentiation of cancer cells and reduce the possibility of spread. Moreover, it is necessary to ensure the adequacy of various nutrients**, and check on time to understand the changes in the condition.

How long can I live without surgery for advanced gallbladder cancer? It is a question that every gallbladder cancer patient and their family members will ask, and how long can you live to tell you carefully! How long can I live without surgery for advanced gallbladder cancer? Generally, it depends on whether gallbladder cancer is found in the early, middle or advanced stage, which is a big factor.

Disease introduction: Gallbladder cancer is a common tumor of the biliary system, which has a high degree of malignancy, is easy to metastasize early, is insensitive to chemotherapy drugs, and has a poor prognosis. Chronic atrophic cholecystitis, gallstones, gallbladder adenoma, and gallbladder adenomyosis are all risk factors for gallbladder cancer.

Clinical manifestations: more than 80% of patients with gallstones are overlooked because they often present with symptoms similar to those of gallstones and cholecystitis. In advanced stages, obstructive jaundice and even cholangitis can be caused by the invasion of bile ducts by cancerous tissues or the compression of bile ducts by metastatic and enlarged lymph nodes.

Diagnosis: The diagnosis of gallbladder cancer mainly relies on imaging examinations such as B-ultrasound, CT, and MRCP, and is generally confirmed by elevated serum tumor marker CA19-9. Enhanced CT is of great significance for determining the stage of gallbladder cancer and the resectability of surgery.

MRI is valuable in determining the extent to which tumors have invaded the bile ducts.

**: For gallbladder cancer, surgical resection is the preferred option, and gallbladder resection alone, gallbladder cancer criteria**, or gallbladder cancer enlargement are selected according to the TNM stage of the tumor. Extrahepatic bile duct resection should be performed when extrahepatic bile duct involvement is performed, and extended dissection should be performed when the lesion involves surrounding organs.

For patients with advanced gallbladder cancer who are unable to ** have biliary obstruction, metal stenting under ERCP or percutaneous transhepatic extrabiliary drainage can be performed. Chemoradiotherapy can be used as a postoperative adjuvant method. The current standard chemotherapy regimen is "gemcitabine plus cisplatin regimen".

**In terms of application, you can apply for free administration of the standard first-line regimen (gemcitabine + oxaliplatin) through AI help;

How long can I live without surgery for advanced gallbladder cancer? Generally, it depends on whether the gallbladder cancer is found in the early, intermediate, or advanced stages, and another key factor is the ** plan.

If you are diagnosed with gallbladder cancer, don't panic, stabilize your mentality, and understand how to choose the best plan at the first time? Maximize survival time and improve quality of life.

If the diagnosis is early, there is no doubt that surgery is possible. Some postoperative assistance can be provided based on the doctor's assessment**;

If obstructive jaundice is present, a physician should evaluate and consider drainage.

If multiple metastases are diagnosed and surgery is no longer possible, the current standard of care** is gemcitabine plus platinum-based chemotherapy, which prolongs survival by 9 to 11 months; In addition, it has been reported abroad that patients with anti-PD-1** advanced biliary tract cancer have continuous efficacy for 13 months, and the efficacy and safety may be better than chemotherapy.

In general, after surgery, it is general care and, **There is also some chemotherapy that is needed, and there are more things to pay attention to during chemotherapy, such as diet, such as life, and then some nursing.

NK immunization**.

Biological immune cells** can be used alone or in combination with other methods, and the combination is more effective.

Japan's cellular immunity** is effective in preventing the metastasis of cancer**. And cellular immunity has a lot of advantages, and it doesn't have any***. The harm to the human body is very low.

Adventist Health Survey found that cellular immunity** can effectively prevent the metastasis of cancer**. Cellular immunity** is the immature immune cells (blood collection) in the patient's body, which are activated and cultured in the laboratory to make them have the ability to efficiently recognize and kill tumor cells, and then infused back into the patient's body. Patients only need to cooperate with the two steps of blood collection and blood transfusion, and do not need to be hospitalized.

**The advantages are highlighted: through the collection of human autoimmune cells, the number of them is increased by thousands of times through in vitro culture, and then the targeted killing function of immune cells is enhanced, and then infused back into the human body to kill pathogens, cancer cells, and mutated cells in blood and tissues, break the body's immune tolerance, activate and enhance the body's immunity, and have the dual effect of prevention and treatment.