Yes, although I'm not an oncologist, I'm a patient's family member, so I'll briefly talk about my own intuitive feelings. My father was diagnosed with gastric cancer in February last year. Although I was psychologically prepared, it really happened and it was still hard to accept. It's really difficult to be hospitalized for surgery and chemotherapy. Fortunately, my father recovered quite well. Now you need to review every three months.
Cancer has a great relationship with staging, and there is a great chance of recovery in the early and middle stages, so don't be too pessimistic when you get cancer, and you must actively treat it.
Yes, as an experienced person, you can definitely say that. Three-stage (T3Nm) gastric cancer was treated with chemotherapy six times after operation, and now it has recovered well for four and a half years. Correct thinking, reasonable diet, moderate exercise and TCM conditioning are all important.
If it is gastric cancer, as long as there is an opportunity for surgery, it is necessary to listen to the doctor's arrangement. Never listen to those rumors that demonize chemotherapy.
In recent years, although anticancer drugs are constantly updated and medical progress is rapid, it is not very significant in the field of gastric cancer. Surgery is still the most important treatment method, which has a great influence on the survival time and quality of life of patients.
Early patients are expected to recover after surgery, while advanced patients need other treatments before or after surgery to improve their survival time. Advanced patients are generally not suitable for surgery, otherwise it may not be worth the loss!
The number of new patients with gastric cancer in China is about half that of lung cancer every year, but the amount of gastric cancer surgery is much larger than that of lung cancer. Many primary hospitals can also carry out gastric cancer surgery. It can be said that gastric cancer surgery is very common, and the overall treatment is getting better and better.
Many hospitals in China are using gastroscopes made in Japan, and advanced equipment provides conditions for high-level medical care. Many early gastric cancers can get the same survival time as endoscopic open surgery. To this end, the Japanese Endoscopy Association also put forward the concept of early gastric cancer. The tumor is confined to submucosa or submucosa, and whether there is lymph node metastasis is early. In fact, about 10% patients have lymph node metastasis, which is not too early.
In addition to endoscopic surgery for early gastric cancer, abdominal surgery is a relatively "old" operation. At first, only partial or total gastrectomy was performed. As the tumor is considered as lymph node metastasis, the standard operation of gastric cancer, from lymph node enlargement operation to lymph node dissection to the second stop, is also called D2 operation.
More than ten years ago, laparoscopic radical gastrectomy was widely carried out in many hospitals. At present, the technology is quite mature and has its surgical indications. There is basically no difference between the scope of lymph node dissection and open surgery, and laparoscopy is superior to open surgery in clearing lymph nodes near the spleen. The degree of lymph node dissection is related to the prognosis.
According to the location and infiltration range of the tumor, there are three surgical methods for gastric cancer. The tumor is located at the fundus of stomach, close to cardia. Proximal gastrectomy is feasible, and the remnant stomach is anastomosed with esophagus. If the tumor has a large infiltration range or the tumor is in the body of the stomach, total gastrectomy is needed and the jejunum is directly anastomosed with the esophagus. More than 50% of gastric cancer in China occurs in pylorus and gastric antrum. Many patients can undergo distal gastrectomy, proximal remnant stomach anastomoses with duodenum, and there are also surgical methods to preserve pylorus.
If gastric cancer is not intervened in the early stage, it will generally progress to the advanced stage after 2 years. If stage ⅱ and ⅲ gastric cancer is allowed to develop, it may enter the advanced stage around 1 year! The survival time of advanced gastric cancer is mostly in months.
Tumor invasion range T and lymph node metastasis N are the most important factors affecting the prognosis of gastric cancer! Under the premise of standardized treatment, the 5-year survival rate of stage I gastric cancer is about 90%, stage II gastric cancer is about 50%, stage III gastric cancer is about 10%-30%, and stage IV gastric cancer is generally not evaluated by the 5-year survival rate. The data of Japanese is a little higher than ours, about the same.
What are the standardized treatment methods for gastric cancer? Surgery is the most important thing! Scientific anti-cancer, I'm Dr. @ Liu Yongyi, thank you for reading!