Rectum cancer, the motherland medical science calls it is "lock anus hemorrhoid" and refer to rectum dentation the line above hand over the lump of boundary department to the rectum and the B-like in shape colon.The lump surface is uneven, the quality is strong and tough, just like the rock, from glue a film and glue film bottom layer occurrence, the growth is quick and easily transfer, the Shu easily relapses behind, is a kind of more familiar bowel way malignant tumor.
The rectum cancer is often a gland cancer, its outbreak rate is very high and have whole body 15% of the malignant tumor, male only next to stomach cancer, female and next to womb cancer;In the malignant tumor of digest way, it only next to stomach cancer but occupy the second, the malignant tumor in the bowel way has 75~80% occurrence to have 70~80% occurrence to hand over boundary in the anus tube, rectum, rectum and B-like in shape colon among them in the rectum and the colon, the rectum cancer has 80~90% occurrence in the rectum of under 2 is 3, 10 Li rices apart from the anus good luck in.
Be taken bad age much at 40 years old above.But 40 years old as follows of outbreak also nothing new, the male is more than a female, preparing of this disease behind as well worse.Be showed from this, the rectum cancer will become a kind of main cancer that threatens people's health day by day swollen.Should cause people's vigilance, attained to discover in early days and cured in early days, raised a clinical cure rate, for prolonged the patient's life span to much contribute.
The rectum cancer means to hand over the cancer of of boundary from Chi line to the rectum B-like in shape colon, is one of the most familiar malignant tumors of digest way.Rectum cancer the position is low, is easily diagnosed by the rectum and B-like in shape colon mirror diagnosis.But because of its position thorough basin chamber, the dissection relates to complicated, surgical operation not easily and thoroughly, Shu behind relapse to lead Gao.
Medium next rectum cancer and anus take care of Gua to invite a muscle to approach, surgical operation very difficult reservation ass and its function are a hard nut to crack of surgical operation, is also surgical operation method to up dispute a kind of most diseases.The our country rectum cancer outbreak age median at about 45 years old.Youth person the outbreak rate has the trend to go up.
General at clinical up should give a high vigilance to the patient who move bowels the issue of blood, don't imprudently diagnose for"dysentery", and"internal hemorrhoid"...etc., have to check further to expel a cancer a swollen possibility.To rectum cancer of the earlier period diagnose, have to value the application that the rectum points check, rectum mirror or B-like in shape colon mirror etc. check method.
(A)the rectum point to check about 90% rectum cancers, particularly is a next rectum cancer, only depend to point check and can immediately discover.But still there are some doctors doing not make this normal regulations check to the suspicious rectum cancer sufferer currently, with the result that delay diagnosis and treatment.Actually this diagnosis method in brief can go, after rectum point check can also judge Men and the size of lump with gradually degree, whether fix, have have no the bowel wall outside and basin plant sex lump etc. inside the chamber.
(Two)rectum mirror or B-like in shape colon mirror check the rectum after pointing the check should make a rectum mirror check again, at orthoptic under help diagnosis, observation lump of appearance, top and bottom good luck and be apart from the distance of ass good luck, and adopt lump organization to make a pathologic slice check to make sure a lump property and it divides degree.Be located on rectum in, the last cancer is swollen, the finger can not touch, and adopting the B-like in shape colon mirror check is a kind of better method.
(Three)barium diagnosis help that infuse bowel, fiber colon mirror check to the rectum cancer isn't big, past don't list as normal regulations of check, only for apply while expeling colon rectum to deliver sex tumor more.
The treatment of rectum cancer still regards surgical operation as principle currently, chemotherapy in order to assist, the emanation treatment contains certain function.
The position that projects a treatment in the rectum cancer under medical treatment has already been valued day by day and have combine together with surgical operation of comprehensive treatment and simplicity project to cure 2 kinds.
1.Surgical operation with put to treat to combine together of comprehensive treatment ① before the Shu put to treat can control original outbreak cooking stove, control the lymphoid knot transfers, raises an excision rate and reduces part to relapse and is applicable to the Ⅲ period(Dukes C class) rectum cancer.Adoption basin chamber front, empress two wild reach to a 40~45 Gies(4000~4500 rads) towards wearing irradiation, the emanation amount of canning, after putting to treat 3 week surgical operation;
② Shu puts to treat to be applicable to a pathologic check to confirm that the lymphoid knot transfers behind, the cancer is swollen already and obviously and gradually goes to in addition to bowel wall and remain the focus that can not cut off inside the basin chamber.General need meeting Yin 1~2 months after the Shu of wound already completely recovered after beginning, adoption basin chamber front, after two wild project light upon, sometimes also add to use meeting the Yin is wild to project light upon, the emanation amount of can reach to a 45~50 Gies.(4500~5000 rads)
(Four)tumor part refrigeration, laser and burn bright treatment later period rectum cancer patient's companion's hasing the whole bowel Geng Zu doesn't advertise for elephant, can try out tumor part refrigeration or burn bright(include electricity Lao to burn bright with chemistry burn bright) treatment, make the tumor organization narrowed or shed off, temporarily alleviate the symptom of Geng Zu.Develop a laser treatment in recent years, apply Nd-YAG laser, the power 65 Ws, divide to order to project light upon partial tumor organization, meet issue of blood and change to diligently lead a 40 Ws at bleed to order the on all sides gathering irradiation stops bleeding, every 2~3 weeks repeated project light upon, separately the tumor of case it is thus clear that narrow, temporarily alleviate symptom, be a kind of appeasement treatment method.
(Five)transfer and relapse a curing of patient 1.If the treatment that the part relapses the part relapses focus scope to limit, and have no relapse, transfering of other parts, can fish for and fight for excision to the surgical operation.If relapsing cooking stove to limit at meeting Yin to slice a people is central, two sides haven't spread to the hucklebone knot stanza and there is the possibility of extensive excision.Such as meeting private parts knot the stanza or lump fasten a chamber to relapse cooking stove to stretch to meeting the bottom pole of the private parts, not proper surgical operation, because of can not completely cut off a focus, on the contrary cut open tumor organization, leave behind long don't heal of wound.
Relapse inside the basin chamber the focus adoption projects a treatment and treats the distance 20 Gies(2000 rds) each time, can postpone to solve ache symptom.
2.The treatment that the liver transfers not a few research confirmation rectum cancers transfer the surgical operation of cooking stove excision effect in recent years be not originally imagination of so pessimism.If can be cutting off original outbreak in the meantime cutting off of the cooking stove liver to transfer cooking stove, then can raise an existence rate.Any belongs to single to transfer cooking stove, can go liver segment or Xie form excision.If transfers cooking stove for several livers but not ability the surgical operation cuts off, use first the artery turns measure, then ligature liver artery, make liver lump bad to die, again insert pipe through the distant place of ligaturing the liver artery, from in infusion fluorine urine the Mi Ding and silk split mildewed vegetable;Can also adopt liver artery to bolt to fill Shu, make the tumor physical volume obviously narrowed.But the above-mentioned treatment is more forbidden than a companion to have obvious jaundice, serious liver function vein in the abnormality, door to obstruct and the age is over the 65-year-old sufferer.The emanation cures the symptom of ameliorable parts of patients.In recent years useful radio frequency heat to cure the report way that the liver transfers cooking stove, taking orally A nitric Da the Shi can even increase to suppress a cancer effect, curative effect still in the summary.
The clinical characteristic of rectum cancer was then a blood and had a bowel movement to habitually change in early days, when the swollen cancer limited at rectum to glue a film then the blood was unfortunatelythe only earlier period symptom have 85%, unfortunately usually isn't valued by the patient.Made an anus to point a check at that time, much can touch a lump, win, later period rectum cancer sufferer in addition to the generally familiar food 慾 doesn't flap, the weight ease, anemic etc. whole body symptom, still have already had a bowel movement the number of times increase and have a bowel movement not exert, then the idea is multifarious, inside nasty behind weigh etc. the cancer swollen part stimulate symptom.The cancer swollen aggrandizement can with the result that the bowel chamber is narrow and appear bowel Geng the Zu advertise for elephant.Cancer swollen invasion surroundings organization organ, can to row urine difficulty, urine repeatedly, urine pain etc. symptom;Invade and before the Mao nerve cluster, appear Mao tail and loins ache;Cause liver while transfering to liver swollen big, stomach water, jaundice, even the bad liquid quality wait a performance.
The concept of rectum cancer
3.12.2009
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