Symptoms of abdominal metastasis after resection of gastric cancer

summary

In the advanced stage of gastric cancer, due to the serious spread of cancer cells, there will be multiple metastatic symptoms. If not treated in time or improperly, the cancer cells can be transferred to the adjacent peritoneum, liver, pancreas, lung and ovary through lymph, blood channel or direct dissemination (planting). Ascites may appear in abdominal metastasis. Let's talk about the symptoms of abdominal metastasis after gastric cancer resection.

Symptoms of abdominal metastasis after resection of gastric cancer

The first symptom was ovarian metastasis. It mostly occurs in premenopausal or young women. The clinical manifestations were acute abdominal pain, irregular menstruation, lower abdominal mass and so on, but the gastrointestinal symptoms were not obvious. Most of them were involved in both ovaries at the same time, and were easily misdiagnosed as simple ovarian tumor.

The second symptom is liver metastasis. The incidence is high, manifested as liver discomfort, jaundice, diarrhea, etc., generally without gastrointestinal symptoms. Imaging examination is often multiple lesions, scattered distribution, round, clear boundary. AFP (alpha fetoprotein) test was negative, most of them were not accompanied by chronic hepatitis and liver cirrhosis.

The third symptom is abdominal mass. This part of gastric cancer mainly invades the outer surface of the stomach (serosa), showing abdominal mass and abdominal lymph node enlargement; Because the inner surface of the stomach (mucosa) is not invaded, it is not easy to be detected by gastroscopy. It is often misdiagnosed as pancreatic cancer.

matters needing attention

For patients with lung metastasis of gastric cancer, operation may prolong the survival time of some patients. If the primary gastric tumor is controlled, no metastasis is found outside the lung, and the patient's general condition and lung function can tolerate surgery, surgical treatment can be considered. The operation of lung metastases should be based on the principle of preserving healthy lung to the maximum extent, and local or wedge resection should be done as far as possible.