(A)the earlier period symptom of oesophagus cancer
1.Swallowed Geng to choke feeling to at most see, can from choose disappearance and relapse, not the influence take a meal.Often take place when patient's emotion undulates, past is easily mistaken for function symptom.
2.Breastbone the empress and sword Tu descend ache more see.Swallowed food empress having breastbone or the pain in sword Tu, its property can present to burn bright kind, pinprick kind or lead long to pull kind, with swallow rough, scorching hot or have stimulating food for Zhao.Beginning present by fits and starts, when the cancer is swollen to invade and when the neighborhood organize or have been already deeply worn can be violent but keep on of ache.Ache part often incompletely in accordance with the pathological changes part inside the oesophagus.The ache much can be solved a Jing to temporarily alleviate.
3.When food was detained infection and foreign body to swallow food or drinking, have food the bottom goes slow-moving and be detained of felling, and breastbone behind tighten feeling or food to glue be attached to oesophagus wall to wait a felling, the food finishes disappearance.The part of symptom occurrence much in accordance with the pathological changes part inside the oesophagus.
4.The throat department is dry and tightenned feeling to swallow dry and rough food particularly is obvious, the occurrence of this symptom also often has something to do with the patient's emotion motion.
5.Other symptomses minority of patients can have after the breastbone the stuffy bulge unwell and ex- pain and the 喛 to annoy etc. the symptom.
(Two)the empress of the oesophagus cancer expect symptom
1.Swallow the difficulty carry on sex to swallow bottom the difficulty is the great majority main symptom for sufferer to seek medical advice, but is a later period of comparing of this disease to express.Because the oesophagus wall is full of flexibility and extend ability, only have be about 2 when 3 oesophagus week paths be gradually been swollen by the cancer just appear to swallow bottom a difficulty.Therefore, at above-mentioned in early days symptom after appearing, within few months the condition aggravated gradually, from can not swallow solid food to develop to liquid food to can not swallow, either under.If the cancer swollen companion has oesophagus wall burning disease, dropsy, convulse etc., can aggravate to swallow difficulty.The position that jams feeling usually matches the hand cancer swollen part.
2.The food reaction often appears while swallowing to aggravate under the difficulty, the anti- discharge isn't big and contain food and glue a liquid, can also contain blood and Nong liquid.
3.Other symptoms are the cancer swollen oppression larynx to return nerve can to voice hoarse;Infringing upon the Ge nerve can cause E to go against or the Ge nerve paralyze;Oppressing windpipe or bronchus can appear to annoy nasty and stem cough;Erode aorta then can produce fatal sex issue of blood.Erupt oesophagus-windpipe or oesophagus-bronchus Lou or cancer swollen Be located on oesophagus last, swallowing liquid often can produce neck sympathetic nerves to paralyze to advertise for cluster.
(Three)the body advertise for
The body advertises for and lacked in early days such as.The later period then can appear emaciated, anemic, malnutrition, lose the quality of water or bad disease etc. body to advertise for.When the cancer is swollen to transfer, can touch swollen big and strong and tough shallow form lymph knot, or swollen big but the liver of nodosity.
(Four)the clinical cent expect
The international anti-cancer alliance(UICC) made emendation to clear TNM of oesophagus cancer in 1987.
1.The original hair tumor(T) cent expects Tx at first delivered tumor can not evaluate;The To delivered tumor size, part not known at first;Tis home position cancer;T1 tumor gradually the oesophagus glue a film layer or glue film bottom layer;T2 tumors gradually oesophagus muscle layer;T3 tumors gradually film outside the oesophagus;The T4 tumor infringes upon the oesophagus close by structure(organ).
2.The cent of knot(N) of district lymph expects lymph in the Nx district to knot to evaluate;Lymphoid knot in the No district didn't transfer;The N1 lymphoid knot in the district has been already transfered.
3.The distance transfers(M) a cent to expect the Mx distance transfers circumstance not known;The Mo has no distance to transfer;The M1 has distance to transfer.
4. TNM cent expects
The clinical performance contents of oesophagus cancer
3.11.2009
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