Symptoms of liver metastasis of cholangiocarcinoma?
summary
Cholangiocarcinoma (cholangiocarcinoma) is a malignant tumor that occurs in the extrahepatic bile duct, including the hilar region to the lower end of the common bile duct. If hemoptysis occurs in patients with cholangiocarcinoma, it is very likely that the patient's condition is further deteriorated, and most of the cancer cells in the body have been transferred to the lung. If patients are not treated in time, it will not only increase the physical and mental pain of patients, but also endanger their lives. To avoid this, let's talk about the symptoms of liver metastasis of cholangiocarcinoma?
Symptoms of liver metastasis of cholangiocarcinoma?
1: Cough. Cough is the most common symptom of lung metastasis of cholangiocarcinoma. Cough caused by secondary lung cancer may be related to changes in bronchial mucus secretion, obstructive pneumonia, pleural invasion, atelectasis and other chest complications. When the tumor grows in the bronchial mucosa above the large diameter and sensitive to external stimulation, it can produce cough similar to that caused by foreign body like stimulation. The typical manifestation is paroxysmal irritative dry cough, which is often difficult to control by general antitussive drugs.
(2) The metastasis of malignant tumor mainly through lymphatic vessels, blood vessels and body cavity. Blood vessels pass mainly through veins, rarely through arteries first. The advanced symptoms of cholangiocarcinoma showed that the metastasis mostly started from the lymph nodes. Lymphatic metastasis: lymphatic metastasis is mainly according to the rule of lymphatic trunk, that is, left and right head and neck trunk, left and right subclavian trunk, left and right bronchomediastinal trunk, left and right lumbar trunk and intestinal trunk. Hematogenous metastases: hematogenous metastases were classified as systemic, pulmonary, portal, pyramidal and countercurrent. Implantation metastasis: diffuse growth of tumor cells in the cavity, such as thoracic cavity, abdominal cavity, pericardium, etc. Operation and puncture can also cause implant metastasis.
(3) In the treatment of metastasis, the treatment of cholangiocarcinoma metastasis advocates systemic comprehensive treatment. For the primary lesions of cholangiocarcinoma, if the patients can tolerate surgery, palliative resection can be performed first, followed by radiotherapy and chemotherapy and ginsenoside Rh2 treatment to improve the symptoms of advanced cholangiocarcinoma. The metastatic lesions can be resected simultaneously with the primary lesion of cholangiocarcinoma. For patients with cholangiocarcinoma metastasis whose physical function is weak and can not tolerate surgery, the combination of radiotherapy and chemotherapy + traditional Chinese medicine is often used in clinic.
matters needing attention
When cholangiocarcinoma develops to advanced stage, the spread and metastasis of cancer cells does not mean that they are sentenced to death. Patients actively choose the appropriate treatment, not only can reduce the pain of patients, but also can effectively prolong the good time of patients and their families.