Clinical symptoms of esophageal cancer: swelling of the whole body, what is the cause of enlarged st

Clinical symptoms of esophageal cancer: generalized edema and enlarged stomach are manifestations of cachexia of tumors. An enlarged belly is actually ascites. The tumor itself can consume a lot of nutrients in the body, such as protein.

Whereas, protein mainly affects plasma colloidal osmolality. Plasma colloidal osmotic pressure can maintain the balance of water inside and outside the blood vessels, simply put, plasma colloidal osmotic pressure can make the water not too much to run outside the blood vessels and cause tissue edema. Cancer patients consume a large amount of proteins, especially albumin, because of the tumor, or the tumor invades the liver, causing liver function to be impaired (most of the proteins in the blood are synthesized in the liver).

All of these factors can cause hypoproteinemia, which leads to a decrease in plasma colloidal osmotic pressure and the formation of edema.

It's not that esophageal cancer is like this, in fact, many people will do it when it comes to the advanced stage of cancer

If your father's edema is due to malnutrition (liver function shows low albumin), albumin can be injected to eliminate the edema.

If it is caused by decreased liver function and enlarged liver, there is no good solution.

Chemotherapy is not currently recommended for your father who cannot tolerate chemotherapy.

Human life has always been very strong, can not be simple **, if your father insisted, can eat well, then life can be maintained for a strong time, otherwise it will take a sharp turn.

As long as you do your best as a son and other family members, your father will definitely feel happy.

It's all the surgery and chemotherapy that are to blame.

The ** of esophageal cancer is very simple, and the surgery ** is not surgery when cancer is seen.

Chemotherapy is also not necessary for cancer.

The current swelling and enlargement of the lower limbs are the result of cancer and chemotherapy-induced protein reductions.

**Solution: -- Water delivery solves protein compensation and inflammation problems.

--Traditional Chinese Medicine** The problem of cancer. (No chemotherapy is allowed.)

**Ascites can be handled in that hospital. The main thing is to get Chinese medicine as soon as possible**.

Chemotherapy kills cancer cells as well as normal cells.

Generalized edema in the advanced stage of esophageal cancer should be cachexia, hypoproteinemia, or combined with total heart failure. Surgery**, radiation**, and chemistry can't be done, and the combination of plasma, human blood albumin, and traditional Chinese medicine can sometimes improve the efficacy, or relieve the symptoms of esophageal cancer patients, and prolong the survival period.

a. Early symptoms of esophageal cancer.

There is no obvious dysphagia in the early stage of esophageal cancer, and the degree of symptoms is often mild and short, and its intermittent period is longer or shorter, often recurring, sometimes mild and sometimes severe, and there can be no symptoms during the intermittent period, which can last for 1-2 years, or even longer. The main symptoms are:

1) Mild choking sensation when eating, especially when eating hard food; (2) Retrosternal tingling, fullness, and discomfort when eating; (3) A feeling of a foreign body in the esophagus when the food is swallowed; (4) Stagnation after eating food; (5) Epigastric discomfort, hiccups, belching, etc. when eating.

b Symptoms of mid-to-late stage esophageal cancer.

1) Difficulty swallowing. Dysphagia is a typical symptom of esophageal cancer, and it is more pronounced when eating dry rice or solid foods, and it is also difficult to feel good when eating semi-liquid foods such as noodles and porridge. Due to the good elasticity of the esophageal wall, when dysphagia occurs, the tumor has often invaded the periphery of the esophagus2 3 or more, and is often accompanied by infiltration of surrounding tissues and lymphatic metastasis.

Dysphagia often progressively worsens, develops rapidly, and can lead to death within 1 year of the onset of obstructive symptoms** if not promptly**.

2) Obstruction. It refers to the complete inability to enter solid or semi-liquid food, and can only enter the liquid and is difficult to enter with severe water. Patients may have persistent mucus spitting due to the infiltration and inflammation of esophageal cancer that reflexively increases the secretion of esophageal and salivary glands.

3) Pain. There may be persistent pain in the retrosternal or dorsal interscapular region. Suggests severe invasion of cancer into surrounding tissues, mediastinum. It can also be caused by esophageal ulcers caused by cancer. Lower esophageal cancer can also cause epigastric pain.

4) Bleeding. The cancer may cause esophageal ulcers or invade blood vessels, and eventually rupture may cause massive bleeding, often with massive hemoptysis.

5) Hoarseness. It is caused by tumor invasion or metastasis of lymph compression of the recurrent laryngeal nerve.

6) Weight loss and anorexia. Due to obstruction, the patient has a decrease in diet, low nutritional status, emaciation, dehydration, etc., and the patient has a significant weight loss. End-stage symptoms and complications:

Cachexia, dehydration, and exhaustion are caused by esophageal obstruction and systemic depletion, often accompanied by water and electrolyte imbalances. The tumor invades and penetrates the esophagus and involves the trachea, mediastinum, bronchi, hila, pericardium, and large blood vessels, causing mediastinitis, abscess, pneumonia, tracheoesophageal fistula, and massive bleeding. Widespread systemic metastases cause symptoms such as jaundice, ascites, dyspnea due to tracheal compression, vocal cord paralysis, and coma.

Reference].

Esophageal cancer is a common malignant tumor of the digestive tract, and China is a high-incidence area of esophageal cancer. Zhang Wenpeng, a traditional Chinese medicine oncologist at Beijing Sihui West District Hospital, said that because esophageal cancer is directly related to eating, the early symptoms will still be obvious, but it is also easy to be ignored. What are the early symptoms of esophageal cancer?

Let's take a look.

What are the early symptoms of esophageal cancer?

1) Difficulty swallowing.

Dysphagia during meals is a relatively obvious symptom of esophageal cancer in the early stage, and it is also a sign that many people are the first to find esophageal cancer. Even if you chew carefully when eating, it is difficult to swallow, and even drinking porridge will be obstructive, and you will feel that you can't swallow it, and you feel that the food is blocked in your esophagus all the time. When this symptom appears, many people classify it as a throat disease such as laryngitis, so they ignore this and miss the best opportunity.

If you suddenly have difficulty swallowing while eating, and this symptom persists for a period of time, do not delay going to the hospital for examination.

2. Chest pain.

Chest pain is also an early symptom of esophageal cancer and can get worse when you eat or drink water. Esophageal cancer is a cancerous lesion in the esophagus, and when food flows through the cancerous lesion, it will cause pain and tightness in the chest due to peristalsis of the esophagus. Chest pain is also a symptom of many other diseases, so it is not typical and can be easily overlooked.

3. There is a foreign body sensation in swallowed food.

In addition to dysphagia, a foreign body sensation in swallowed food is actually an early symptom of esophageal cancer, especially when eating some dry and hard foods. Many people treat the foreign body sensation in the esophagus as a foreign body sensation in the throat, and treat esophageal cancer as a throat disease, which is naturally unruly and will not alleviate the symptoms. I hope that after understanding this, you will be able to think about esophageal cancer and be more purposeful when you go to the hospital for examination.

4. Discomfort in the upper abdomen.

When you have esophageal cancer, pain in the heart is also a major symptom, and at the same time, the upper abdomen feels very painful, and at the same time, there is a feeling of fullness whether you eat or not, in short, the symptoms are very obvious. Especially when eating dry and hard food, the discomfort in the upper abdomen can be unbearable.

Although esophageal cancer can also bring a lot of uncomfortable symptoms to people, most of these uncomfortable symptoms are not typical, that is to say, it will not make people think that they have esophageal cancer, so it is easy to be ignored and delay the best time. Here, Zhang Wenpeng, a traditional Chinese medicine oncologist from Beijing Sihui West District Hospital, said that after reading this article, everyone can have a preliminary understanding and understanding in their hearts, and when this symptom appears, they can consider the direction of esophageal cancer in time and be foolproof.

"Originally, the early detection method of esophageal cancer was esophageal dragnet examination, but now it is rarely used, and the first choice for early detection of esophageal cancer is gastroscopy. For lesions that do not invade the submucosa, gastroscopic esophagectomy can be done, and the effect is very good; Early esophageal cancer can also be examined by upper gastrointestinal angiography, that is, drinking white barium to observe whether there are filling defects and mucosal changes; Chest CT is also one of the early esophageal cancer screening methods, which can observe whether the esophagus is thickened, whether the blood vessel wall is thickened, and whether it invades the surrounding tissues. If esophageal cancer is suspected, you should go to the hospital in time, early esophageal cancer can be completely **, so patients do not need to worry too much, do it early, as soon as possible**. "

The early symptoms of esophageal cancer are not particularly typical. Esophageal cancer will have some typical symptoms after a certain period of time, mainly manifested as gradual dysphagia, which first appears when eating dry and hard food, and as the disease progresses, it will also feel obstructed when eating soft food, and it will continue to develop, eating semi-liquid food, and even liquid food will also appear. 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.

Rare postoperative complications, pulmonary pneumonia, including infectious and aspiration pneumonia, atelectasis, pulmonary edema, respiratory failure, etc., cardiovascular vascular atrial or ventricular arrhythmias, hypertension, heart failure, myocardial infarction, pulmonary embolism caused by deep vein emboli, etc., and other hypoproteinemia, diabetes mellitus and other anastomosis, wound edema, poor healing, severe infection and multi-organ failure. The classic clinical manifestation of esophageal cancer, progressive dysphagia, is well known. Progressive dysphagia refers to difficulty eating, which is mild at first and is felt only when eating dry and hard foods; After that, it was also difficult to eat a normal diet, and it was also difficult to eat a semi-liquid diet in the future, and finally it was difficult to swallow water and saliva.

However, we would like to remind everyone that when we go to the hospital for examination ** when these manifestations appear, it is basically in the middle and late stages, because well-chewed food can normally pass through the lumen with the smallest diameter of centimeters (the inner diameter of the normal esophageal lumen is centimeters), once there is difficulty in hypophagia, it means that the esophageal lumen has been significantly narrowed due to the growth of tumors, and esophageal cancer has metastasized more in the late stage. Esophageal cancer metastasisIntraesophageal wall spread The underlying cells of the epithelium next to esophageal cancer become carcinoma or carcinoma in situ, which is one of the surface spread modes of cancer. Cancer cells are also often infiltrated by lymphatic vessels in the submucosa of the esophagus propria membrane.

Direct invasion of adjacent organs Upper esophageal carcinoma can invade the soft tissues of the larynx, trachea and neck, and even invade the bronchi, forming a broncho-esophageal fistula. It can also invade the thoracic duct, azygous vein, hilum and lung tissue, and some can invade the aorta to form an esophageal-aortic fistula, causing massive hemorrhage and distant. Lower esophageal cancer often affects the cardia and pericardium. Lymphatic metastases are common, accounting for about 2 to 3 cases.

Mid-esophageal cancer often metastasizes to paraesophageal or hilar lymph nodes, but can also metastasize to the neck, pericardia, and left gastric paraarterial lymph nodes. Lower esophageal cancer can often metastasize to lymph nodes such as paraesophageal, paracardia, left gastric artery, and abdominal cavity, and occasionally to the upper mediastinum and cervical lymph nodes. The intercalary of lymphatic metastases is septum, abdomen, trachea and paratrachea, hilum and parabronchi.

If you have symptoms of edema for radiotherapy, it is recommended to do symptomatic treatment first, and if you are conservative, you can also use anti-cancer pills, which are the first choice for digestive tract tumors.

Esophageal cancer is a cancer tumor that originates from the esophagus, mainly including squamous cell carcinoma, adenocarcinoma, undifferentiated small cell carcinoma, carcinosarcoma, etc. However, in actual diagnosis and treatment, any cancer that occurs in the esophagogastric mucosal junction is classified as esophageal cancer if it is squamous cell carcinoma, and cardia cancer if it is adenocarcinoma. China has the highest esophageal cancer mortality rate in the world, followed by Puerto Rico in the Americas, Singapore and Chile.

Romania has the lowest mortality rate.

This article describes the key points for diagnosing esophageal cancer.

1. Clinical manifestations.

1) Progressive dysphagia is the most typical symptom of this disease, manifested as poor eating or dysphagia, which is generally recurrent, but sometimes mild and sometimes severe. By the time the disease invades the entire periphery of the esophagus, it is often progressive dysphagia or even infallible.

2) Pain in swallowing, while dysphagia occurs after eating, there may be retrosternal burning pain, dull pain, especially after ingestion of excessive heat or acidic food, which is obvious and relieved after a while.

3) Esophageal reflux mostly occurs in the late stage.

4) Complications caused by weight loss, dehydration, cachexia, hoarseness and perforation of esophageal cancer are all advanced symptoms.

2. Experimental suffocation inspection.

1) X-ray esophageal barium swallow examination: esophageal mucosal disorder, rupture, local lumen narrowing or filling defect, esophageal wall stiffness, peristalsis disappearing, or soft tissue shadows.

2) Esophageal exfoliation cytology: patients with dysphagia should be listed as routine examination, which is of great significance for early diagnosis, and the positive rate can reach more than 90%.

3) Esophagoscopy and biopsy confirmed that esophagoscopy is always performed when it cannot be qualitatively or localized after X-ray barium swallow examination and esophageal exfoliation cytology.

4) Positive cervical lymph node biopsy.

In short, those who are over 40 years old and have a feeling of stagnation behind the chest or difficulty swallowing after eating, should have relevant examinations in time. A positive laboratory test is positive for the diagnosis.