Questions regarding the treatment of ureteral cancer Emergency 10

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At present, surgery, radiotherapy, chemotherapy, traditional Chinese medicine and other methods are generally used for tumors, especially traditional Chinese medicine** tumors, which are more and more recognized by doctors and patients. Chinese medicine believes that the cause of cancer is caused by qi stagnation, blood stasis, heat poisoning and phlegm obstruction. From the perspective of the whole, TCM believes that tumor is a systemic disease, usually the whole body is virtual, the local is real, and the deficiency is the root of the disease, and the reality is the standard of the disease.

On the **, it is often used to invigorate blood and dispel blood stasis, soften and dissolve knots, clear heat and detoxify, and strengthen the foundation. Traditional Chinese Medicine ** Cancer has its own advantages:

1. The overall concept is strong, and it is often considered from the perspective of the patient's whole body, rather than being limited to the tumor lesion itself.

2. Traditional Chinese medicine has its own expertise in improving the patient's own symptoms.

3. Traditional Chinese medicine generally does not affect the patient's body because of the ** itself.

4. Less, according to the dialectical use of traditional Chinese medicine, there is generally no ***.

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Ureteral stones are severe when complications: local damage: small stones that can be used in the urine.

Free movement in the road, easy to grind the urinary tract mucosa to cause bleeding, renal colic, in Shanghai specialist can be solved.

Please go to the hospital for specific diagnosis and treatment under the guidance of a doctor.

In general, ureteral cancer and bladder cancer belong to the same pathological type, that is, uroepithelial carcinoma, and the most common cause is smoking (including passive smoking). Genetic factors also account for a large proportion.

In addition, ureteral stones and chronic inflammation are also common triggers.

Low-grade cancer means that the degree of malignancy is not high, and the probability is not very large, or it is rare.

Nearly full thickness of the tube wall is invaded, which means that the cancer has invaded almost all the thickness of the ureteral wall, and if the thickness of the tube wall is 1mm, then it has already invaded.

Therefore, it is likely that the cancerous tissue has been confined to the bladder along the wall of the penetrated tube, or the surrounding abdominal tissue has become contaminated.

So chemotherapy is necessary.

In addition to intravesical chemotherapy, intraperitoneal infusion is also required.

Abdominal distension is certain, and the proximity of the intestine to the ureteral bladder is affected and the peristalsis is slowed.

Abdominal CT with contrast is done again to rule out the possibility of **.

First of all, the surgical method is correct, postoperative intravesical chemotherapy, follow-up cystoscopy, is also necessary, please follow the doctor's instructions, do not stop the follow-up and ** at will.

Uroepithelial carcinoma is classified into low malignant potential, low grade, and high grade, with low grade being the grade of moderate malignancy and relatively common.

Near-full-thickness means that the tumor has not penetrated the serous layer, indicating that ureteral cancer is still in the early and middle stages.

The prognosis of ureteral cancer is generally worse than that of bladder cancer with the same degree of malignancy, and it is recommended to recheck the whole abdomen with enhanced CT for six months after surgery, and if there is a trend, intravenous chemotherapy or radiotherapy is recommended.

Upstairs is obviously copy-pasted, so I'll give you a brief explanation.

First of all, ureteral tumors are mostly malignant, but the possibility of some benign tumors is still not excluded, so ureteroscopic biopsy is usually performed before surgery, or frozen pathological examination is performed during surgery to preliminarily determine the nature of the tumor.

If malignancy is confirmed and the tumor has not invaded beyond the ureter, a full-length ureteral resection of the affected kidney, ureter, and sleeve bladder is indicated. Postoperative intravesical chemotherapy is required to prevent the tumor from being in the bladder**, and regular follow-up cystoscopy is required. Intravenous chemotherapy is usually not needed.

If the tumor has invaded beyond the ureter, for example, if it has invaded the entire thickness and affected the surrounding muscles or organs, it is necessary to undergo radiotherapy or intravenous chemotherapy after the above surgery, and the surgeon will place a silver clip as a marker in the affected area; If the implant is in the bladder, transurethral resection of the bladder tumor is also required.

In general, the prognosis of ureteral cancer is not as good as that of bladder cancer of the same grade and stage, but if it is detected in time, it can still be achieved through regular **.

Problem analysis: Hello, surgery is generally considered**, ureteral cancer needs to look at the location of the tumor, and the root of the tumor is determined according to the pathological judgment of tumor failure, whether it is necessary to remove the unilateral kidney and part of the bladder before examination.

Suggestions: It is recommended that you go to the hospital for treatment, check the enhanced CT, and treat the symptoms after a clear diagnosis.