The effect of stage 3 esophageal cancer surgery

summary

Now I can only swallow porridge, hard things like rice can not be swallowed. Then there was a significant weight loss. Let me talk about the effect of stage 3 esophageal cancer surgery.

The effect of stage 3 esophageal cancer surgery

First, surgical treatment. Surgery is the first choice for the treatment of esophageal cancer. If the general condition is good, the cardiopulmonary function reserve is good, and there is no obvious sign of distant metastasis, surgical treatment can be considered. In general, cervical cancer length < 3cm, upper thoracic cancer length < 4cm, lower thoracic cancer length < 5cm are more likely to be resected. However, some tumors are not too large but can not be resected because of their close adhesion to the main organs such as aorta and trachea. For larger squamous cell carcinoma, the possibility of resection is not estimated, but the patient's general condition is good, preoperative radiotherapy can be used first, and surgery can be performed after the tumor size is reduced.

Second: radiotherapy. Combined radiotherapy and surgery can increase the resection rate and long-term survival rate. After preoperative radiotherapy, it is more appropriate to rest for 3-4 weeks before operation. The residual cancer tissue that is not completely removed during the operation should be marked with metal, and the postoperative radiotherapy should be started 3-6 weeks after the operation. ② Radiotherapy alone is mostly used for cervical and upper thoracic esophageal cancer. The operation of this kind of patients is often difficult, with many complications and unsatisfactory curative effect. It can also be used for patients with contraindications for surgery but the lesion time is not long, and the patients can tolerate radiotherapy.

Third: chemotherapy. The combination of chemotherapy and surgery, radiotherapy and traditional Chinese medicine can sometimes improve the curative effect, or relieve the symptoms and prolong the survival period of patients with esophageal cancer. But we should check the blood picture and liver and kidney function regularly, and pay attention to the drug reaction.

matters needing attention

Because all cancer patients, the heart is very afraid, so psychological care is also very important. When the patients know that they are suffering from esophageal cancer, it will certainly cause a blow to their psychology. Their families and medical staff must adjust their emotions to help the patients enhance their confidence in overcoming the disease and establish a positive and optimistic attitude towards life. At the same time, the nursing measures for advanced esophageal cancer must help to avoid pessimistic, negative and other negative emotions, which is very helpful for the recovery of the disease.