The surgical operation of bile duct cancer cures

1)can cut off the choice of department bile duct cancer surgical operation in liver door method:
The ① liver department bile duct in the door, Dan manager and gall bladder cut off, the Dan bowel fit together.Being applicable to didn't invade and liver substantial liver manager cancer.
② Liver square, leaf, or add the part excision of right ex- leaf and department bile duct in the liver door, the liver outside bile duct excision, Dan bowel to fit together.Be applicable to liver manager cancer or remit to match a bile duct cancer.
③ Liver square, leaf, or left half liver cut off and department bile duct in the liver door, the liver outside bile duct cuts off, the Dan bowel fit together.Be applicable to left liver tube and liver manager cancer.
④ Liver square, leaf, or right half liver cut off and the department bile duct in the liver door, the liver outside bile duct excision, Dan bowel fit together.Be applicable to right liver tube and liver manager cancer.
The ⑤ super half liver or three livers cut off and department bile duct, bile duct outside the liver, parts of excisions of tail-like in shape leaf and Dan bowel in the liver door fit together.Be applicable to a left or right liver tube cancer to invade and second class above liver tube and tail-like in shape leaf liver tube.
The ⑥ appeasement cuts off.Liver square, leaf, and the department bile duct in the liver door, the liver outside bile duct excision, Dan bowel fit together, and remain parts of cancer organizations such as tail-like in shape leaf liver tube or vein ex- wall in door.
Vein lord in the ⑦ door stem, remit to match a department or or so dry the ex- wall is subjected to infringe upon cut off it implicates parts of vein walls then to afferent repair rebuild, Shu behind assist with the chamber inside put to treat.
(2)department bile duct cancer in liver door past interest surgical operation:
It is an appeasement surgical operation for choosing method to lead to flow Shu inside the Dan bowel.The principle is a Dan bowel to fit together should as far as possible keep off a focus.The bile duct circumstance that shows to extend according to PTC chooses that the Dan bowel fits together part.Parts of cases infringe upon a liver door because of focus, or atrophy because of the liver-fatty greatly reunite to advertise for existence, atrophy leaf's bile duct to fit together, lead to don't greatly flow value.Fatty big leaf's bile duct rears a difficulty, not a few cases that can not cut off only can place a tube to lead to flow.The in common use method is to extend a cancer narrow behind place the thick but harder T form tube, U form possibly tube or inside prop up pipe.The T form takes care of through the Dan manager or through liver derivation all can.For prevent°froming slippery take off, should will lead to flow a tube to sew up is more fixed than bile duct wall and surroundings organization up, and do a last jejunum loses the gall at returning after building the Lou provide Shu and takes care of Si nourishment when it's necessary.The non- surgical operation places a tube to lead to flow the in common use method as PTCD, can also through PTCD Dou way the extension place behind inside prop up a tube.Once wore a narrow segment.
(3)medium, the lower part bile duct cancer resection:
Medium, lower part bile duct the cancer is more seldom seen than department in the liver door and nipple department cancer.Currently majority of scholars is its surgical operation methods are Yi head, 12 bowel resections.Medium the lower part cancer can not cut off, can use the above-mentioned appeasement a method.

The diagnosis important point of bile duct cancer

1.Quickly carry on the jaundice of Geng Zu that sex aggravates, abdominal distension pain of companion, disgusted, vomit, the weight ease etc..
2.The liver is swollen big, the quality is hard.
3.The later period can appear a vein high pressure symptom.
The 4. CTs and B is super to make sure a that the bile duct extends and swollen thing inside the bile duct outside the liver.
5.PTC and ERCP have diagnosis meaning.
Cure a principle:
1.In early days cut off tumor is a main treatment means.The medium last bile duct cancer can go tumor excision, the bile duct jejunum Roux-en-y fits together.The next bile duct cancer can implement Yi 12 kick resection.
2.When the later period can not cut off, can go inside lead to flow or outside lead to flow Shu.

The laboratory of bile duct cancer checks

1.The laboratory checks:The main performance is the liver function of the jaundice of Geng Zu abnormality, such as increasing of the Dan red and plain and alkaline phosphoric acid Mao Gao Deng.
The 2. Bs super check:The again and again careful B super check can show to extend of bile duct, the part of Geng Zu, even tumor.Bile duct cancer of, the super voice be like to present a lump type, Suo-like in shape, Tu the type and blood bolt a form, the bile duct cancer inside the liver often presents lump or Suo-like in shape, department cancer in the liver door is Suo-like in shape for one, lower part bile duct cancer often is Tu type, department blood in the liver door bolts a form voice to be like to be a cancer in the liver door, gall bladder cancer or transfers a cancer.Because the bile duct extends occurrence before jaundice, the B is super to have diagnosis earlier period the value of the bile duct cancer.
3. PTCs:Is the main method that diagnoses a bile duct cancer, it can show the position and scope of bile duct cancer, confirming the rate can reach to 94%~100%.
4. CTs:The CT basic performance of bile duct cancer shows for the ⑦ for the near bile duct cancer to carry bile duct to obviously extend.The bile duct wall that approaches tumor increases thick, the bile duct is clearer to be enhanced while scanning at the to build up and take care of a chamber to present shrinking of programming not Be narrow to transform.Generally can discover that the tumor of soft organization density copies, its CT is worth for the 50 Hus, the to build up was enhanced CT to be worth to 60~80 Hus while scanning.②Tumor majority follow bile duct wall gradually sex grow.The bile duct wall increases thick, the edge owes clear, the to build up canned be enhanced but easily show while scanning.The minority assume polyp-like in shape or the knot Be stanza-like in shape to grow inside the chamber to the tube, knot stanza is soft organization density.③The tumor gradually expands to the chamber and take care of a wall edge misty.Often- infringed upon gall bladder liver, adjacent afferent and lymphoid organization.But present not and all the density soft organization to copy, appearance not the rules is whole and organize structure misty, the boundary isn't pure.
5. ERCPs:Can directly observe 12 bowel nipples, building the shadow can show the Geng Zu distant bile duct.
6.The blood vessel builds a shadow:The blood vessel builds to copy Shu to a little bit well judge a bile duct cancer to be cut off.
7.The cytology checks:At PTCD extension Dou of foundation the way insert fiber Dan way mirror, can directly observe combine the pliers take a lump to live check.Can sample gall to go a cytology check while going PTC or PTCD.

The clinical performance of bile duct cancer

The main symptom that carries on the sex Geng Zu's jaundice as bile duct cancer, often the companion has the skin Sao the Yang.Invite half patient the companion have medium last abdominal distension pain with have fever, but the degree is generally lighter.Minority of patients can appear the performance that the bile duct blazes, invite half the patient have anorexia to ease with the weight.Whether gall bladder is greatly swollen or not with the part but difference of bile duct cancer.The liver is greatly often swollen, can under the rib or under the sword Tu 捫 and, its quality is stronger and tough and press a pain not to show, can appear Pi after expecting swollen big and stomach water etc. door vein high pressure performance.
1.Continuously carry on sex Geng Zu yellow Ju.Wet a strong tea color, the excrement is grey.
2.The last stomach secret pain companion has impaired digestion performance to descend with the weight.
3.Bled tendency, throw up blood or black then.
4.Can have been already felt chill, have fever.
5.Check-up, skin, sclerotic coat Huang Ran, can touch swollen gall bladder, the liver big quality is hard, the later period has a vein high pressure disease performance.

The pathologic change of bile duct cancer

1.The occurrence part of the liver outside bile duct cancer.On the anatomy, part take place according to the cancer, the bile duct cancer outside the liver can is divided into:①The or so liver takes care of a cancer;②Liver manager cancer;③The gall bladder takes care of a cancer;④The liver manager, gall bladder tube and Dan manager remit to match a cancer;⑤Dan manager cancer.
2.The big body appearance of the liver outside bile duct cancer:The bile duct cancer outside the liver can is divided into 3 on the big body appearance:①Take care of wall gradually type:It is thus clear that at any part of bile duct, most for much see.Because the tube wall implicating increases thick, can to tube the chamber diminish or narrow, then can take place to jam a phenomenon.②Knot a stanza type:More take care of wall gradually the type is seldom seen, it is thus clear that in compare the bile duct cancer in later period, the diameter of cancer knot stanza can 1.5~5.0 cms.③Nipple-like in shape type inside the chamber:At least see, it is thus clear that at any part of bile duct, but remit to match a department more seldom seen.This type of can jam a bile duct chamber completely.In addition to mainly growing inside the chamber to the tube, cancer organization may also further to take care of to gradually grow inside the wall.
3.The histology type of the liver outside bile duct cancer:According to the type of cancer cell, divide a degree and cancer organization growth way.The bile duct cancer outside the liver can is divided into following 6:⑦Nipple-like in shape gland cancer:In addition to separately is take care of wall gradually type, almost and all is a nipple-like in shape type inside the chamber.②The high mark turns a gland cancer:In the bile duct cancer can have above 2/3 at most, it is thus clear that at any part.The cancer organization all is taking care of to gradually grow inside the wall and surround the whole tube wall.Gradually of the cancer organization present size etc. not, shape irregular gland body structure, have of can extend to present a bag chamber.③The low mark turns a gland cancer:Namely divide a bad gland cancer, the cancer organizes part to present gland body structure, the part is irregular of solid sex slice piece, as well at take care of inside the wall fill the air gradually growth.④Don't divide a cancer:Less see.Some cellules didn't divide a cancer, with gall bladder of don't divide a cancer homology, the cancer cell is in the bile duct wall fill the air gradually, quality less.The cancer organization hits a little bit greatly, often can invade and the bile duct surrounding organ of fat organization or close by.⑤Print to quit a cell cancer:Less see.It prints with gall bladder or stomach and intestines way to quit a cell cancer similar, from divide degree don't wait of imply the cancer cell that glue the liquid composing.Cancer cell the none settle structure, fill the air gradually.⑥Scale-like in shape cell cancer:Rare.It organizes the homology that appearance and other organs sees.
4.The bile duct cancer outside the liver spreads and transfers:In early days, occurrence assignor less, mainly is follow the bile duct wall gradually and directly spread upward and downward.As above segment liver tube the cancer can directly invade and liver, compare a medium and next cancer to much see.The lymphoid liver door department knot is most familiar to transfer, can also go to the lymphoid knot of the belly cavity other parts.The blood road transfers, unless is a later period cancer, generally and less.The bile duct cancer of each part, the liver transfers to at most see, particularly high bile duct cancer, the cancer organizes easy vein in the invasion door, the formation cancer blood bolts, can cause liver's transfering.Can also transfer to the close by organ pancreas, gall bladder.

The type of cancer in the Ben door

Big body cent type
1.Enter defer stomach and intestines way the cent type generally follow to use a Borrman cent type, it the mushroom form of basic classification, ulcerate Ⅰ type, ulcerate Ⅱ type with gradually type.The our country author on these grounds is divided into 4 to cancer in the Ben door.
The ① swells up a type:The tumor is a little bit clearly an edge to the swollen lump inside the chamber and present condy-loma accuminata and knot stanza huge piece of or polyp-like in shape, can have shallow ulcer;
The ② limits an ulcer type:The tumor is deep to ulcerate, if the edge organization rounds dike-like in shape swell up, slice noodles is as clear as normal organization state;
The ③ gradually ulcerates a type:The edge of ulcer is lack definition and slice noodles and around organize boundary not pure;
④ Gradually type:The tumor gradually grows in wall in the Ben door and implicate one even increase thick, with surroundings organization have no boundary, around glue a film to often present emanation form constringency.
The big body cent type has something to do with histology type, the ① and ② is two to turn a gland cancer by high mark and glue liquid gland the cancer is more.Gradually the low mark in the ulcer type turns a gland cancer and glues the comparison of liquid gland cancer to increase.Gradually type majority is the gland cancer that the low mark turns to fill the air a type or glue liquid gland cancer.The surgery treatment prepares behind with swelling up a type had better, limit ulcer type the second, gradually ulcerate a type worse, gradually the type is the worst.
The histology type of gland cancer in the Ben door mainly has 2 types:Gland cancer with obviously glue a liquid to secrete of glue liquid gland cancer.This 2 types and then according to dividing degree to respectively is divided into a high mark to turn, the low mark turn and fill the air three second types of types.Divide height and surgical operation of degree after preparing and relate to closely.In addition to gland cancer with glue the liquid gland cancer in the cancer, Ben door has some a seldom seen histology type, like gland scale cancer, have never divided a cancer, type cancer(love silver cell cancer) and cancer tumor etc..
2.Cancer big body appearance in Ben door and the stomach other parts were similar to the earlier period cancer of the oesophagus earlier period earlier period.
Canning in brief is divided into is three, the ① hollow type:The cancer lump department glues a film to present irregular of the light degree is hollow and have minority for shallow ulcerate, with around don't definitely glue film boundary as usual, the mirror bottom divides often worse;
The ② swells up a type:The cancer changes the department glue a film to increase thick coarseness and have a little bit to swell up, parts of performances is spot piece, knot stanza or polyp-like in shape, turn a gland cancer to share with the high mark majority;
The ③ lies low a type:The pathological changes department glues a film color slightly deep, the quality is slightly thick, in addition big body have no obvious change, Be started to confirm by histology check, is theer earliest appearance in 3

The cause of disease of oesophagus and cancer in the Ben door

The survey research and laboratory observation that has many concerning oesophagus cancer outbreak factors in recent years generally thinks that the following factor is main:
1.Second nitric An compound in the last years experiment proves to induct second nitric An of oesophagus cancer to have 20 varieties, these materials are existed to some foods, vegetable and drinking in.Can also in the body and the body shape become.Such as Lin Xuan2 in Henan etc. ground the sour pickled cabbage that the residents often eat in, the content of second nitric salt is very high.
2.The cancer-causing function of fungi is changed with the mildewed the food can induct big rat or small rat oesophagus and ex- stomach of before the cancer pathological changes or scale cancer, can separate from these mildeweds change the food mildewed, yellow mildewed and root whitely the fungi and bud mildewed etc. all can induct animal tumor, this fungi has with second nitric An to urge cancer of be in conjunction with a function.The data proof that investigates parts of oesophagus cancers from the our country, the Gao Fa Qu residents compare low hair area edible ferment is as more as the food that the mildewed changes, if the tide Shan region residents of Guangdong often eat of fish dew.
3.Trace element according to survey our country the content of Mu, zinc, copper and Nie is all low in the middle of the oesophagus cancer environment outside Gao Fa Qu's human body.
4.Food be used to food of physical sex stimulate such as hot, thick, hard, smoke cigarette, alcohol, and the nourishment lacks etc. have a certain relation with the occurrence of the oesophagus cancer.
5.Inherit easy sensitive faculty regardless Gao Fa Qu or low hair area all can find out the high hair household of oesophagus cancer at the oesophagus cancer.The elucidation includes obvious household to come together a phenomenon.But this kind of household comes together a phenomenon is proceed from inheritting a factor to or proceed from household member at very long of accept same environment in a period of time cancer-causing factor to, currently still without the hard conclusion.
6.The cancer of oesophagus changes the pathological changes oesophagus chronic burning disease, Ben door lose the Chi slow disease, lack iron to swallow a difficulty comprehensive advertise for, the narrow scar formation and white spot is far-gone to cause cancer's changing.

The oesophagus Ben cancer surgical operation front and back nursing in door

The Ben door is an oesophagus the bottom carry with stomach of connect part, the surgical operation of this part generally adoption open chest surgical operation, should combine oesophagus, stomach and close to the special of organ to carry on a nursing.
In order to adapt to the demand of surgical operation anaesthesia, should make the patient have more healthy breath way before the Shu.Want to in advance tell a doctor the patient of chronic bronchitis, chronic relax throat, in order to blaze a disease with the medicine control before Shu, then go surgical operation;The smoker namely advises its no smoking after hospitalizing, because the smoking has to the breath way bigger stimulate, will influence after the Shu a breath way of lucid.
Enters liquid substance for a week before the Shu;The oesophagus narrow heavy should forbid to eat for 2-4 days(the general patient forbids to eat for 1-2 days) and make the oesophagus got a full rest before Shu, benefit in burning the disease dropsy fade away.Forbid a period of food if need to take a medicine, generally apply water or powder medicine, the slice wants to grind powder-like in shape with ease the incitement toward the oesophagus, also the benefit get into at the medicine in the meantime.
Nursing after the Shu, should understand the overall circumstance in patient Shu possibly, strictly observe and record a life body to advertise for, the chest lead discharge and get into of various amount of liquid;Strengthen a mental nursing, raise to cure towards winning paroxysm confidence and courage, benefit being after match Shu.
Keep a breath way lucid.Etc. that originally smokes cigarette and gets a bronchitis paroxysm patient, after the Shu often the phlegm is many and glue dense, should help a patient to overcome to fear mental state, encouragement and assistance, it effectively coughs particularly is importance.The Shu in fixed time makes super voice fog to turn behind or fume fog turn inhalation medicine.Excrete and ease a breath way symptom at the phlegm liquid by benefit.While coughing use hands lightly press slice before or after, make the chest expanded to be subjected to certain restriction, coughing the causable ache can ease.Ache a little bit very, can use small amount of to relieve pain medicine, many to phlegm and glue dense, year the old physically weak a cough has no dint, in fixed time give to absorb phlegm;Inflate to the lung department bad, give to absorb oxygen in time.
The shut type leads the nursing of flowing the tube:The every chest surgical operation all generally adopts a shut type to lead to flow a tube to lead to flow the liquid in the chest and usually make water bottle maintenance at-0.588~-the pressure of 784 Pas(-6~-8 Li rices water pillar), the benefit flows at the leading of chest liquid.Consequently in the nursing want to help a nurse to usually check to lead the closeness of flowing the device and circulate an etc. circumstance, in fixed time the observation leads the color and quantity of flowing the liquid, such as in an hour lead bleed when sex liquid is in 100-200 milliliters explain to have movable sex issue of blood of possibility, should report a doctor in time, make to correspond a processing, in order to prevent open sex guts chest.Short time in Shu opens sex guts chest, can produce Zong to separate a significant swing, with the result that the heart palpitates suddenly stops.
Food nursing:Forbid to eat for 3-5 days after the Shu, for year old physically weak and whole body the condition is worse, after the Shu oesophagus dropsy a little bit seriously, forbid food time to want extension.Strengthen whole body support, first time enter liquid substance, will change food category gradually hereafter, the principle is a much aer little amount meal, the high nourishment easily digests of food is lord.

Oesophagus cancer cancer nursing target in Ben door and measure

The ［ nursing target ］
1.Ease worry anxiously;
2.Strengthen nourishment;
3.Decrease or don't Shu happen after the complications;
4.The academic association effectively takes a meal a method.
[Nursing measure]
A, before the Shu nursing
1.The mental nursing patient has already carried on sex to swallow a difficulty, emaciated day by day, is differed by ability to the surgical operation's bearing, lack confidence to the treatment, exist fearing of certain degree to the surgical operation in the meantime mental state.Therefore, the mental appearance that should aim at a patient carries on explanation, consolation and encouragement and builds up protecting of full trust to suffer from a relation, it is exhaustive treatment method to make the patient know surgical operation and make it take pleasure in to have an operation.
2.Strengthening the nourishment can still take a meal, should give liquid substance or half liquid substance food of hot quantity, high egg white and high vitamin.Can not take a meal and drink humidity, electrolyte and calories in response to the vein.The patient of low egg white blood disease, should transfuse blood or the blood plasma egg white give to rectify.
3.The stomach and intestines way prepares
The ① notices an oral hygiene;
The ② settles stomach tube and 12 bowel drops before the Shu the liquid take care of;
The ③ forbids a food before the Shu and there is food accumulating, the Shu evening before last is oozed brine to flush oesophagus with etc. and been advantageous to easing organization dropsy and be infected and fit together a people Lou's incidence rate after lowering Shu;
The ④ draws up to go a colon generation oesophagus, the beard presses the colon surgical operation to prepare a nursing and sees the large intestine cancer preparing before the Shu before the Shu.
4.Practice church patient's deep breathing before the Shu, effective a cough, row the phlegm, bed up has a bowel movement etc. activity.
Two, after the Shu nursing
In addition to observation the life body advertise for etc. normal regulations nursing and return should:
1.Keep stomach and intestines decompression to take care of after the lucid Shu the 24~48 hs lead the run off a little amount blood, should be regarded as normal, such as derivation a great deal of blood should immediately report doctor's processing.The stomach and intestines decompression tube should reserve for 3~5 days, fit together a people's tension by decrease and heal by benefit.Noticing a stomach tube to link is accurate and fix firm and reliable, prevent°from taking off, lead to flow lucid.
2.The close observation chest leads discharge and property chest to lead to flow a liquid if discover abnormality bleed, the turbid liquid, food remnant or milk Mi liquid eject and then hint to have movable sex issue of blood, oesophagus to fit together a people Lou or milk Mi inside the chest chest, should adopt to correspond measure, definitely diagnosis, give a processing.Such as just like stir for 1~3 days after the Shu often in addition to lead to flow a tube.
3.The strict control food oesophagus lacks syrup film layer, so fit together to heal a little bit slowly, Shu behind should strictly forbid a food and forbid water.Forbid a food period, is everyday repaired a liquid by vein.Put 12 bowel drops liquid tube, can in after operation the 2nd day bowel peristalsis instauration after, through pipe drop go into nourishment liquid, lose the amount of liquid at reducing.After operation the 5th days, have no such as the condition special variety, can be taken a meal milk by, each time 60 mls, each time 2 hl time, partition period can give with same quantity boiled water, such as all good reaction, can day by day increase quantity.The Shu changes to have no the residue half liquid substance food the 10~12th days behind, but should notice to prevent°from once taking a meal quick and too many.
4.The observation fits together the clinical performance that a people Lou's symptom oesophagus fits together a people Lou for hot, quick vein, dyspnea, chest acute pain, can not bear with;Suffer from side breath the sound is low, the Kou diagnoses a muddy sound, and the white cell goes up to even take place shock.Handle a principle:
The ① chest film chamber leads to flow and urges a lung inflation;
The ② choice effectively antibiotic anti- is infected;
The ③ adds enough nourishment and calories.Currently choose complete nourishment(TEN) inside the stomach and intestines more Be built to infuse a food treatment by stomach, the effect is accurate and satisfied.

Cancer in the Ben door puts the nursing of chemotherapy

Chemotherapy and put to treat is the main means that cures tumor, the clinical application is extremely extensive.But cure means because of these, will produce certain poisonous side effect to the body and bring sufferer bad reaction.Consequently is putting to treat or chemotherapy period, in addition to the professional nursing personnel will give according to the circumstance certain special nursing, the family members, and friends and relatives...etc. still need to notice following few aspectses:
1, general nursing:Some chemotherapy medicine have the nerve poisonous pair reaction and make the patient appear brothers benumbed, the arms and legs shiver an etc. phenomenon, can carry on some partial massage.Parts of the medicine can make sufferer of bone soft, under the patient bed activity or walk in more slippery ground north bound, the family members should give to remind or the Chan hand and keep nelson from causing bone fracture.
2, mental aspect:The family members should understand the patient's condition and mental state appearance and work well a mental nursing, control the patient's thought dynamic state in time and patiently explain to put, the chemotherapy may take place of reaction, get rid of the sufferer's nervous feeling and otiose worry, make the patient be full of confidence to the treatment.
3, food:Choose hot quantity, the food of high egg white, high vitamin, low fat, easy digest is good, encourage a little food of patient many meals.The food wants a diversification and as far as possible use an alimental color, joss-stick and flavor inducement the patient take a meal.Aim at to project the hot poison that the line causes, harm Yin and consume the symptom of spirit moreover, can eat some foods that the benefit spirits keep Yin more during the period of putting to treat, like watermelon, pear, peach, black plum, and reed rhizome...etc..
4, partial nursing:Keeps chemotherapy medicine from leaking outside the blood vessel, if meet this circumstance, in addition to from the personnel of specialty nursing carry on processing, family members can ice-packing part, slice to hate heat to spread, spread etc. external application with the gold after 24 hours.The sufferer who puts to treat should notice the nursing of projecting light upon the skin and keep the partial skin sweeps aridity and forbids to stick plastic cloth and paints stimulating medicine and avoids projecting light upon a skin to be subjected to machine material incentive and avoids sunlight irradiation, if the ulcer has already knotted Jia, the Jia skin can not be by hand dug in addition to.
5, whole body nursing:Put a chemotherapy,such as the white cell or the blood platelets, is lower than normal value, as far as possible reduce a visit number, room or in home of disease are used ultraviolet ray disinfection and be infected by decrease of opportunity.For there is the sufferer of blood platelets decrease, should as far as possible avoid partial collision, bleed by decrease of opportunity.

After the Shu of cancer in the Ben door food nursing

Cancer patient in the Ben door because of having a poor appetite, the nourishment absorbs shortage, in the meantime surgical operation to the harm of machine body, sufferer physical endowment condition more descend, strengthen to round a surgical operation period food management to contribute to raising a machine body resistibility, contribute to raising curative effect.Reasonable food should for the high egg white, hot measure, high vitamin, rich liquid substance with the trace element or half liquid substance food.
(1)the high egg white meal much eats rich contain protein food, such as lean meat end, egg, bean and milk and the bacterium mushroom(like mushroom, and tree mushroom...etc.) with add various essential amino acids.
(2)the hot quantity meal takes a meal the fat, sweetmeat of easy digest absorption.(like the honey, cicada Wang Jiang and cane sugar and the plant oil, butter, and butter...etc.)
(3)the high vitamin meal much eat rich contain the food of gaining a living the Wen A, C, E, K, and folic acid...etc., like fresh vegetable fruit, and animal liver...etc..
(4)the rich meal with the trace element enrich food with the trace element, like the internal organs, ginseng, matrimony vine, mountain medicine, and mythic fungus...etc. of mushroom, sea tangle, laver, egg yolk, pumpkin, great cabbage etc. and animal.

The diagnosis method of rectum cancer

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.
A, rectum ass pick up
The anus points a check to in brief and easily go, the rectum points checks to is still the rectum cancer surgical operation ex- series of check currently in the most basic with the most important check method.
Two, the laboratory check
1)move bowels concealed blood to experiment:This method is simple to easily go, is early large intestine cancer census Shai method and colon paroxysm of normal regulations check.The one who have condition can also apply an immunology method to raise a correctness.
2)the hemoglobin check:Any reason is unidentified and anemic, the hemoglobin is lower than a 100 gsthe L should suggest to make a barium to infuse bowel check or the fiber colon mirror check.
3)the serum cancer Pei antigen(CEA) check:The CEA check doesn't have the diagnosis value of particularity, therefore isn't suitable for is a census or diagnose in early days, but prepare behind and inspect curative effect and relapse a square mask to contain certain help to the estimate.
Three, inside the mirror check
Any has then blood or the bowels to be used to a change, through the rectum point check just like often finder, carry on B-like in shape colon mirror or the fiber colon mirror check in response to the normal regulations.Inside mirror check can at orthoptic under observation focus circumstance, and can take to live check to make pathology diagnosis.
Fiber colon mirror check currently but speech is to the pathological changes inside the large intestine diagnose most effectively, the most safe and the most dependable check method, overwhelming majority in early days large intestine cancer can from inside mirror check detection.
Four, the dual contrast build a shadow
Traditional barium cancer and large intestine gland lump that infuse the bowel X line's check to the earlier period show to often have a difficulty, but annoy the barium dual contrast to build a shadow technique and have already consumedly raised the detection rate of the earlier period large intestine cancer and small gland lump and diagnosed an accurate soldier and have become the emanation section normal regulations check currently.
Five, the CT diagnose
The CT doesn't can do the method that diagnoses for the earlier period, but the CT has important meaning to the cent period of colon cancer, particularly for estimate ability not direct surgical operation, but at apply an outside emanation or put to treat inside the partial chamber after probably drive surgical operation cut off of the patient is of great value.CT to the rectum cancer in later period and relapse the surgical operation estimate of sex rectum cancer has already compared the gist righteousness, can directly observe the tumor infringes upon a pelvis muscle(lift an anus muscle and shut a muscle inside the bore, the tail bone muscle, pear-like in shape muscle and hip muscle) urine bladder and prostate gland.
After operation 3 can make a chamber CT check in month, as a foundation slice, in order to in with check against to use while visiting.After operation the 2~3 years internal help separates to make a CT check once in 6~8 months each time, or when CEA goes up reexamination CT.In addition, the CT provide a correct fixed position towards relapsing sex rectum cancer application to put to treat canning, and the Ba physical volume of assurance adequacy.
Six, the super voice show an elephant check
Super voice inside the rectum showing the elephant check is with probe into a rectum cancer to outside invade and tumor to rectum wall of gradually degree for a kind of new diagnosis method of purpose, in 1983 since start being more applied than clinical.Super voice inside the rectum show an elephant check can with accuracy diagnose a tumor infringe upon of part and size.
Seven, the Ci resonance check
The outside that the researcher calls to the rectum cancer invades, Ci resonance check(MRI) more the CT is more meaningful.But the Ci resonance still hasn't a few technique problem demands currently perfect, also need to deepen further to the portrait understanding that the Ci resonance provides, shows elephant with super voice inside the chamber to compare in the meantime, the Ci resonance check expenses is expensive to is also the obstacle that it extensively applies.

The clinical symptom of rectum cancer

1, sufferer mostly above in the middle age, but the youth also has an outbreak, the men and women's ratio is about 2:1.
2, earlier period symptom mainly is move bowels a habitual change, then be constipated, diarrhea, or diarrhea constipation alternation.The excrement surface often has a little amount blood and glues a liquid to adhere to.With the condition development, then the blood increase gradually, also inside nasty behind weigh feeling.The weight eases, the anemic etc. symptom present to carry on sex to aggravate.The later period can appear jaundice, stomach water and liver swollen big, the quality, Mao end of the tail of stomach piece, the bowel Geng Zu, bad disease keep on sex ache and move bowels an incontinence etc. symptom.Colon cancer generally grows a little bit slowly and transfers a little bit late.
3, in addition to above-mentioned symptom, according to the cancer swollen part different, the clinical performance is as well different.Colon cancer is at most taken place to the rectum and the B-like in shape colon, secondly is appendices and rise colon, horizontal colon and Pi song and liver song.
(1)left side colon cancer the B-like in shape colon chamber is the most narrow and small, and the excrement of the left half colon has already become solid, therefore left side colon cancer mainly the performance carry on sex bowel Geng for the chronic Zu or unprogressive sex constipation.The abdominal distension, stomachache and stomach blares a little bit obviously.The cancer swollen Kui breaks to make to move bowels surface to glue to attach blood and glues a liquid, sometimes then blood.The often easy misdiagnosis wased constipated for simplicity in early days.
(2)right half colon cancer mainly the performance be unwell for impaired digestion and right top stomach and move bowels anomaly, stomachache and belly lump, condition gradually develop, appear to carry on sex anemic, emaciated, have fever etc., the often easy misdiagnosis blazes for colon, bowel tubercle, chronic appendicitis and gram Luo the boon disease and gall bladder blaze etc..
(3)keep a bowel cancer the performance mainly increase for the bowels number of times and there is the not pure felling of having a bowel movement.The excrement becomes thin, and take blood and glue a liquid.Such as cancer swollen invasion Mao cluster nerve, can appear acute pain, the later period can appear bowel Geng Zu.The cancer is repeatedly swollen to involve in urine bladder, prostate gland and vagina but appear blood in urine, urine and the row wet Chang not.
(4)ass cancer mainly the performance is then a blood and have a bowel movement ache.Cancer swollen invasion ass Gua invite muscle, can cause to move bowels an incontinence.

Keep the earlier period of colon cancer clinical performance

The colon cancer, rectum cancer is a familiar middle age and old people cancer swollen of a, because of the special of outbreak characteristics, clinical up result in a misdiagnosis very easily.Now will it the performance was introduced as follows in early days:
The absorption of food mainly completes in the small intestines and wait until food to arrive colon is to rectum, have already become an excretive discard.People after swallowing chew food pass small intestines to arrive right half colon first, then arrive left half colon, finally arrive rectum.When food remnant arrived right half colon, still have parts of liquids to have no quilt complete absorb, the bowel contents at this time assumed liquid-like in shape, because of right half colon compare breadth, generally hardly Geng Zu happen.But the this kind tumor often has the characteristics to absorb after the hair infection and chronic toxin, so, suffer from the patient of right half colon cancer often is low to burn, perspire a lot, whole body tired and anemic etc. symptom.When food remnant arrived left half colon, then completely become the crud that can not absorb, then from original liquid-like in shape become half solid-like in shape.More narrow because of the bowel chamber of left half colon, urge smaller bowel chamber soon narrow, past easily appear an abdominal distension, stomachache and be constipated a low of etc. bowel Geng the symptom of the Zu.
Rectum's bitter end in digest way, the rectum cancer pathological changes glued a film just in the bowel in early days up, can have no obvious symptom.But the condition can have the partial incitement symptom of tumor after aggravating gradually, the performance increases for the bowels numbers of times and increases 3-4 times 1-2 times from normal everyday or more, the bowels doesn't take shape.The ass is unwell and have already crashed down feeling, sometimes belly secret pain, sometimes then blood, have already glued a liquid.
Colon, rectum cancer much occurrence at the middle age and old people, the incidence rate also obviously goes up in the middle of the person in the youth in recent years, so when you have already moved bowels a habit change, then the time increases or have no reason of glue liquid, bloody pus then, the reason is unidentified low burn, perspire a lot, anemic or chronic bowel Geng Zu, all want to watch out for whether suffer from a colon, rectum cancer.If appear concerning the symptom, should check at the hospital in time.At have no explicit diagnosis front, can not press the treatment of enteritis, dysentery over a long period of time, in order to prevent delay diagnosis.

The rectum cancer diagnoses and discriminates diagnosis

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 medium later period symptom of rectum cancer

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 generally and familiarly have a poor appetite, 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.
The rectum cancer often infringes upon surroundings organization organ till later period and closes to organization such as the urine bladder and prostate gland etc. and causes urine repeatedly and wet nasty wet a difficulty with row.Invade and before the Mao nerve cluster, appear Mao tail and loins ache.The rectum cancer can also transfer liver to the distance and cause liver swollen big, stomach water, jaundice, even the bad liquid quality wait a performance.
The rectum cancer is easy drive misdiagnosis.The bowels number of times that appeared in early days increased, when the bowels has already glued liquid and bloody pus the easy misdiagnosis is diseases such as dysentery, enteritis or piles etc., as a result lost an opportunity to cure in early days.Therefore, when the adult appears to have a bowel movement an abnormality should raise a vigilance, make rectum mirror or B-like in shape colon mirror when it's necessary check.

The clinical characteristic of rectum cancer

Rectum cancer is digest way familiar malignant tumor, the outbreak leads only next to stomach cancer.Be taken bad age much at 30~60 years old of, the male is more than a female, such as can discover to cure in time in early days, better after preparing.The cause of disease isn't explicit currently and relate to rectum polyp, chronic burning disease and heredity factor.Can is divided into a type, ulcer type according to the pathologic change fixed menu in restaurant flower gradually type.It transfers path for directly spread, the lymph transfer, the blood line transfer and the belly cavity plant.
[Clinical characteristic]
1, have a bowel movement to habitually change diarrhea or constipation, have a bowel movement not to exert feeling, the bowels carries on sex to become thin, the later period weighs after having the inside nasty.
2, then the blood is one of the rectum cancer familiar symptoms.Outbreak 50% cases had then blood in the early years and started bleeding quantity little, was seen to excrement surface, merge infection empress for the thick blood is then.
3, chronic bowel Geng Zu, belly inflation, the bowel blares sound Kang to enter to deliver sex acute pain with.
4, the quality cancer of the whole body bad disease swollen later period, the patient appears anorexia, emaciated, tired, anemic, jaundice, stomach water etc..
5, the rectum point check to touch a pack of piece, the gloves glue guts to glue a liquid.
6, the abdominal distension later period liver is big, stomach water, cause patient's abdominal distension.
7, the B-like in shape colon, rectum mirror check can observe the cancer swollen appearance, color and luster and part.

The diagnosis method of large intestine cancer and rectum cancer

A, rectum ass pick up
The anus points a check to in brief and easily go, the rectum points checks to is still the rectum cancer surgical operation ex- series of check currently in the most basic with the most important check method.
Two, the laboratory check
1)move bowels concealed blood to experiment:This method is simple to easily go, is early large intestine cancer census Shai method and colon paroxysm of normal regulations check.The one who have condition can also apply an immunology method to raise a correctness.
2)the hemoglobin check:Any reason is unidentified and anemic, the hemoglobin is lower than a 100 gsthe L should suggest to make a barium to infuse bowel check or the fiber colon mirror check.
3)the serum cancer Pei antigen(CEA) check:The CEA check doesn't have the diagnosis value of particularity, therefore isn't suitable for is a census or diagnose in early days, but prepare behind and inspect curative effect and relapse a square mask to contain certain help to the estimate.
Three, inside the mirror check
Any has then blood or the bowels to be used to a change, through the rectum point check just like often finder, carry on B-like in shape colon mirror or the fiber colon mirror check in response to the normal regulations.Inside mirror check can at orthoptic under observation focus circumstance, and can take to live check to make pathology diagnosis.
Fiber colon mirror check currently but speech is to the pathological changes inside the large intestine diagnose most effectively, the most safe and the most dependable check method, overwhelming majority in early days large intestine cancer can from inside mirror check detection.
Four, the dual contrast build a shadow
Traditional barium the detection rate of large intestine cancer and small gland lump that infuse the bowel X line's check to the earlier period and diagnose an accurate soldier, have become the emanation section normal regulations check currently.
Five, the CT diagnose
The CT doesn't can do the method that diagnoses for the earlier period, but the CT has important meaning to the cent period of colon cancer, particularly for estimate ability not direct surgical operation, but at apply an outside emanation or put to treat inside the partial chamber after probably drive surgical operation cut off of the patient is of great value.CT to the rectum cancer in later period and relapse the surgical operation estimate of sex rectum cancer has already compared the gist righteousness, can directly observe the tumor infringes upon a pelvis muscle(lift an anus muscle and shut a muscle inside the bore, the tail bone muscle, pear-like in shape muscle and hip muscle) urine bladder and prostate gland.
After operation 3 can make a chamber CT check in month, as a foundation slice, in order to in with check against to use while visiting.After operation the 2~3 years internal help separates to make a CT check once in 6~8 months each time, or when CEA goes up reexamination CT.In addition, the CT provide a correct fixed position towards relapsing sex rectum cancer application to put to treat canning, and the Ba physical volume of assurance adequacy.
Six, the super voice show an elephant check
Super voice inside the rectum showing the elephant check is with probe into a rectum cancer to outside invade and tumor to rectum wall of gradually degree for a kind of new diagnosis method of purpose, in 1983 since start being more applied than clinical.Super voice inside the rectum show an elephant check can with accuracy diagnose a tumor infringe upon of part and size.
Seven, the Ci resonance check
The outside that the researcher calls to the rectum cancer invades, Ci resonance check(MRI) more the CT is more meaningful.But the Ci resonance still hasn't a few technique problem demands currently perfect, also need to deepen further to the portrait understanding that the Ci resonance provides, shows elephant with super voice inside the chamber to compare in the meantime, the Ci resonance check expenses is expensive to is also the obstacle that it extensively applies.

Clinical performance and cent of colon cancer expect

The sufferer of colon cancer mostly already the middle age is above, its median age is 45 years old, there are less than 30 years old 5% suffererses around.The clinical performance of colon cancer therewith the focus size place part and pathologic type but have a dissimilarity.Not a few sufferers of earlier period colon cancer at clinical up can have no symptom, but along with the development and focus of course of illness of continuously aggrandizement, can produce the familiar symptom of a series of colon cancer, such as the bowels number of times increase, the bowels take blood and glue liquid, stomachache and diarrhea or constipation and bowel Geng the Zu and whole body is tired, the weight ease with anemic etc. symptom.The whole colon takes horizontal colon central part as boundary, being divided into the right half colon and left half colon is two parts, this two clinical performances with swollen cancer are indeed each to have it the characteristics, summarize as follows:
(A)right half colon cancer right half colon the chamber is bulky, the excrement inside the bowel is liquid-like in shape, the cancer of this bowel tube is much more swollen to is ulcer type or Tu to the form cancer of condy-loma accuminata of bowel chamber, few wreath-like in shape narrow, past hardly take place Geng Zu.But these cancers are swollen the Kui often breaks issue of blood, after hair infection, the companion poisonous vegetable absorb, therefore it is clinical up can have unwell stomachache, ambassador's change, stomach piece and anemic, emaciated or bad liquid quality performance.The Chinese medical science healthy net
1.Stomachache unwell about 75% patientses have unwell belly or secret pain, the beginning is a by fits and starts, behind turn into keep on sex, often Be located on a right abdomen department, very the elephant chronic appendicitis go into action.If the tumor is located on liver song and excrement drier knot again, can also appear acute pain, should notice with chronic gall bladder burning mutually discriminate.About 50% patients have food 慾 not to flap, the satisfied bulge Ai annoy, disgusted vomit etc. phenomenon.
2.The bowels' changing in early days excrement is thin and diluted, there is bloody pus, have a bowel movement the number of times increase and have relation with the cancer swollen ulcer formation.Need a tumor physical volume to enlarge, influence excrement to pass, can replace to appear diarrhea and constipation.Bleeding quantity is small, along with peristalsis and excrement of colon well mixture, naked eye's observing doesn't easily see, but the concealed blood is on trial often male.
3.Half above patients can discover a stomach piece when the stomach piece seeks medical advice.This kind of lump may be a cancer swollen oneself, be an also likely to be bowel outside and gradually and glue connect the conglomeration formed.The former appearance to compare with rule, , outline clear;The latter appearance not and very rule.The lump general quality is harder, once being infected after the hair the ambulation be subjected to a limit, and have already pressed a pain.
4.Anemic and bad liquid quality about 30% patients appearing because the cancer swollen Kui breaks to keep on bleed is anemic, also the weight ease, arms and legs have no dint, even all over bad liquid quality phenomenon.
(Two)the left half colon bowel chamber of left half colon cancer is thinner, the excrement inside the bowel becomes dry hard because of the humidity absorbability.Left half colon cancer majority is gradually that the types often cause wreath-like in shape narrow, past clinical performance main is nasty and chronic bowel Geng Zu.The lump physical volume is smaller, since the little Kui breaks issue of blood, and then the not poisonous vegetable absorb, past rare and anemic, emaciated and bad liquid quality etc. phenomenon, also not easy Men and lump.
1.The belly acute pain is cancer swollen companion hair bowel Geng the main performance Geng Zu of the Zu can burst and appear belly acute pain, the companion abdominal distension, bowel wriggles Kang into, constipation and row spirit is blocked;Chronic Geng Zu then the performance be unwell for abdominal distension, the hair stomachache, bowel blare sound Kang to enter, be constipated, the excrement take blood and glue a liquid, the parts of sex bowel Geng Zu sometimes keeps on for few months to change into the completeness bowel Geng Zu.
2.Have a bowel movement half difficult patients have this symptom, along with the progress of course of illness, be constipated a circumstance more and see seriously.Such as the cancer swollen position lower, can also have have a bowel movement the Chang don't weigh with inside after being nasty of felling.
3.The excrement takes blood or glues a liquid to gradually take shape because of the excrement in the left half colon, blood and glue a liquid not to mutually mix with excrement, the naked eye in the excrement of about 25% sufferers observation it is thus clear that blood with glue a liquid.

The clinical performance of large intestine cancer

(A)Symptom
1.Then the blood large intestine cancer earlier period pathological changes is limited by to glue a film, can have no symptom, or only have already habitually had a bowel movement change.When the tumor grows to certain extent, can immediately appear then blood, much more blood-red color thin dark, glue Be attached to move bowels surface.Tumor the time that physical volume is small, in order to gluing a film still complete, generally can't appear issue of blood, along with the aggrandizement of physical volume, because of burning disease, blood luck reasons, such as obstacle and machine incitement...etc., glue a film and take place debauched, ulcerate, even the tumor break Kui but issue of blood happen.When a little amount bleed, the naked eye doesn't easily realize, while the excrement mirror check can discover red cell and move bowels Qian blood experiment present masculine gender.Can appear naked eye blood then while bleeding quantity a little bit greatly.The issue of blood color of large intestine cancer is much a dark red, the position more near ass, the color is more fresh and red.Parts of patients because the cancer cooking stove is located on right half colon or closes to return to blind department, and the blood stop over time in the bowel way longer, can also appear similar in up the digest way bleed formative of the asphalt kind is then.Bleed quantity and the cancer swollen size not to become a direct proportion relation, can not make sure, either is a swollen cancer to, some not- malignant diseases suffer from such as the tubercle and chronic enteritis etc. of bowel way also have then the performance of blood, but large intestine cancer may also only have the muck Qian the blood masculine gender, there is no naked eye then blood.Because the malignant tumor differs after preparing, such as can in early days discover then can clearly improve to prepare behind.Past move bowels a Qian blood male patient towards there being a blood then or continuously, should first in consideration of have the possibility of large intestine tumor, and should have a further related check.
2.Glue a liquid then with bloody pus then
3.Have a bowel movement habitually change
4.The clinical performance that the stomachache and the abdominal distension large intestine ass cancer sufferer often appears still includes stomachache and abdominal distension.Among them to compare with incidence rate Gao of abdominal distension, the incidence rate of stomachache.The property of ache can is divided into secret pain, dull pain and acute pain.
(Two)the body advertise for
1.Anemic and emaciated make progress with the course of illness, the patient can appear chronic depletion symptom, such as anemic, emaciated, tired and have fever, even appear bad liquid quality.With then blood, absorb shortage and consume excessive relevant.
2.Belly's wrapping a piece of belly pack piece is one of the main performances of large intestine tumor.Its incidence rate is 47% is one 80%.Is the most familiar right half colon cancer symptom, share 80% of seeking medical advice the patient around or so;Left half colon cancer has 20%-40% around.
3.The rectum tumor can be not only slippery in the rectum Men inside the chamber and the surface, the quality frailty easily bleed of lump or ulcer, the fingerstall has dark brown blood to dye.
(Three)the special performance of different part tumor
1.Right half colon cancer of right half colon cancer often expresses a belly lump, anemic, stomachache, the whole body tired and emaciated etc. symptom.The stomachache is as well one of the main symptoms that the sufferer of right half colon cancer seeks medical advice.Then blood with anemic is right half colon cancer more familiar symptom.Anemic is right half colon cancer the third familiar symptom, together and then the Qian blood experiment also often male, be that the head deliver symptom to appear.
2.Left half colon cancer then the blood is the most familiar symptom in left half colon cancer and have 75% around.Often the performance takes dark red blood for excrement surfaces, is easily discovered by the sufferer but causes a value.Can also appear to glue a liquid then or glue liquid bloody pus then.
3.Keeping the bowel cancer rectum cancer mainly clinical performance is then a blood and has a bowel movement habitual change.Then the blood is the most familiar symptom of rectum cancer sufferer and present blood or dark red blood more and not and mutually confuse with the bowels, in great quantities bleed rare then.Sometimes then have in the blood thrombus and shed off of the bad dead organize.Have a bowel movement habitually the change is as well one of the main clinical symptoms of rectum cancer sufferer.The main performance increases for the bowels numbers of times and several times goes to 10 several times everyday, many even everyday several times, each time only line up a little amount blood and glue a liquid then, many companions keep on sex ass fall to bulge and have a bowel movement not exert feeling.The bowels often becomes thin and transform and even have already had a bowel movement difficulty and then shut.
4.The anus takes care of a cancer, ass cancer the issue of blood and ache is the main performance of the anus tube cancer, ass cancer.The lump body of ass cancer can immediately invade in the earlier period and the nerve cause ache, particularly while having a bowel movement, the ache obviously turns worse, the sufferer therefore fears to have a bowel movement and results in constipation.
(Four)familiar complications
1, the bowel Geng Zu tumor aggrandizement can with the result that the bowel chamber is narrow, the bowel contents pass an obstacle, but cause the machine bowel Geng Zu.
2, the bowel bores hole clinical have the nasty stomach disease of typical model to express, stomach muscle strain, press pain, anti- jump a pain, the X line is even slice of to see separate new moon-like in shape to visit to leave air etc., can make diagnosis of first step.
3, bleed acute to greatly bleed is the complications that the large intestine cancer less sees.

Diagnosis important point and treatment of large intestine cancer

The large intestine cancer includes colon cancer and rectum cancer, the occurrence goes to the cancer of that rectum and B-like in shape colon hand over boundary in the dentation line and calls a rectum cancer;The occurrence is rising colon, horizontal colon and decline colon and B-like in shape colon's calling colon cancer.It is one of digest way familiar malignant tumors.
(A)the rectum cancer(rectal carcinoma) fasten the outbreak in the large intestine cancer to lead the tallest part.
[Diagnose important point]
1, sufferer mostly above in the middle age, but the youth also has an outbreak, the men and women's ratio is about 2:1.
2, earlier period symptom mainly is move bowels a habitual change, then be constipated, diarrhea, or diarrhea constipation alternation.The excrement surface often has a little amount blood and glues a liquid to adhere to.With the condition development, then the blood increase gradually, also inside nasty behind weigh feeling.The weight eases, the anemic etc. symptom present to carry on sex to aggravate.The later period can appear jaundice, stomach water and liver swollen big, the quality, Mao end of the tail of stomach piece, the bowel Geng Zu, bad disease keep on sex ache and move bowels an incontinence etc. symptom.Colon cancer generally grows a little bit slowly and transfers a little bit late.
3, in addition to above-mentioned symptom, according to the cancer swollen part different, the clinical performance is as well different.Colon cancer is at most taken place to the rectum and the B-like in shape colon, secondly is appendices and rise colon, horizontal colon and Pi song and liver song.
(1)left side colon cancer the B-like in shape colon chamber is the most narrow and small, and the excrement of the left half colon has already become solid, therefore left side colon cancer mainly the performance carry on sex bowel Geng for the chronic Zu or unprogressive sex constipation.The abdominal distension, stomachache and stomach blares a little bit obviously.The cancer swollen Kui breaks to make to move bowels surface to glue to attach blood and glues a liquid, sometimes then blood.The often easy misdiagnosis wased constipated for simplicity in early days.
(2)right half colon cancer mainly the performance be unwell for impaired digestion and right top stomach and move bowels anomaly, stomachache and belly lump, condition gradually develop, appear to carry on sex anemic, emaciated, have fever etc., the often easy misdiagnosis blazes for colon, bowel tubercle, chronic appendicitis and gram Luo the boon disease and gall bladder blaze etc..
(3)keep a bowel cancer the performance mainly increase for the bowels number of times and there is the not pure felling of having a bowel movement.The excrement becomes thin, and take blood and glue a liquid.Such as cancer swollen invasion Mao cluster nerve, can appear acute pain, the later period can appear bowel Geng Zu.The cancer is repeatedly swollen to involve in urine bladder, prostate gland and vagina but appear blood in urine, urine and the row wet Chang not.
(4)ass cancer mainly the performance is then a blood and have a bowel movement ache.Cancer swollen invasion ass Gua invite muscle, can cause to move bowels an incontinence.
[Cure measure]
1, aggressive treatment bowel way chronic pathological changes, such as knot or rectum polyp, schistosome disease, germ dysentery and amoeba and the chronic ulcer colon burning etc. disease.
2, once the diagnosis is explicit, in addition to later period case, should early the surgical operation cure and fight for making a to expect to exterminate Shu.
3, colon, B-like in shape colon cancer of the complete Geng Zu, should make bowel decompression first Shu and near the song carrying bowel build Lou Shu and make again to cure for good surgical operation after 2~3 weeks.
4, be apart from the ass rectum cancer within 8 cms, need an all excision anus tube and surroundings organization, make the belly permanent sex colon to build Lou.
5, the chemotherapy can choose medicines, such as 5 Fus and MMC...etc..
6, the Chinese herbal medicine treatment can be one of the measure that synthesizes a treatment and be applicable to some isn't suitable for surgical operation and put, chemotherapy or after operation relapse of sufferer.The river north Fu mountain Chinese medicine tumor hospital makes use of the cell member that the high-tech result development develops to regulate to suppress the cancer Chinese herbal medicine"Fu spirit of mountain" series product(water pill, capsule, take orally a liquid etc.) and suppresses cancer medicine for injection and broke with "the traditional thinking settles power" of"poisonous cancer, kill a cancer, anti-cancer", the medicine has no a toxicity, don't produce direct positive incitement to the cancer lump as well, it is a cell gene therapy's application in clinical top.Its gram cancer principle BE:The formation that represses the cancer lump new-born and afferent net stops the nourishment supply of cancer cell and cuts off the metabolism outlet of cancer cell and makes the cancer lump canned not got nourishment source but withers away gradually, the discard can not eject but change gradually sex bad dead, and don't hurt normal cell.BE strengthening the immunity function of machine body oneself, help the machine body anti-cancer immunity to serve as guardian the rebirth of system, activate every variety to kill cancer cell of in the meantime, regulate the cell period- powered member and cell motive, make the cancer cell losing control recovered normal period stanza Lyu, let cancer cell the occurrence converse.The medicine's match puts, chemotherapy, can obviously ease to put, the poisonous side effect of the chemotherapy, raise the amount of leukocyte.Even if the later period sufferer who has already lost surgical operation and put a chemotherapy opportunity,can control to transfer, deduct a cancer pain and improve a certificate to wait, raise existence quality, extension to take cancer existence period.
(Two)colon cancer(carcinoma of colon)
[Diagnose important point]
1, sufferer mostly above in the middle age, but the youth also has an outbreak, the men and women's ratio is about 2:1.
2, earlier period symptom mainly is move bowels a habitual change, then be constipated, diarrhea, or diarrhea Yu Yu alternation.The excrement surface often has a little amount blood and glues a liquid to adhere to.With the condition development, then the blood increase gradually, also inside nasty behind weigh feeling.The weight eases, the anemic etc. symptom present to carry on sex to aggravate.The later period can appear jaundice, stomach water and liver swollen big, the quality, Mao end of the tail of stomach piece, the bowel Geng Zu, bad disease keep on sex ache and move bowels an incontinence etc. symptom.Colon cancer generally grows a little bit slowly and transfers a little bit late.
3, in addition to above-mentioned symptom, according to the cancer swollen part different, the clinical performance is as well different.Colon cancer is at most taken place to the rectum and the B-like in shape colon, secondly is appendices and rise colon, horizontal colon and Pi song and liver song.
(1)left side colon cancer the B-like in shape colon chamber is the most narrow and small, and the excrement of the left half colon has already become solid, therefore left side colon cancer mainly the performance carry on sex bowel Geng for the chronic Zu or unprogressive sex constipation.The abdominal distension, stomachache and stomach blares a little bit obviously.The cancer swollen Kui breaks to make to move bowels surface to glue to attach blood and glues a liquid, sometimes then blood.The often easy misdiagnosis wased constipated for simplicity in early days.
(2)right half colon cancer mainly the performance be unwell for impaired digestion and right top stomach and move bowels anomaly, stomachache and belly lump, condition gradually develop, appear to carry on sex anemic, emaciated, have fever etc., the often easy misdiagnosis blazes for colon, bowel tubercle, chronic appendicitis and gram Luo the boon disease and gall bladder blaze etc..
(3)keep a bowel cancer the performance mainly increase for the bowels number of times and there is the not pure felling of having a bowel movement.The excrement becomes thin, and take blood and glue a liquid.Such as cancer swollen invasion Mao cluster nerve, can appear acute pain, the later period can appear bowel Geng Zu.The cancer is repeatedly swollen to involve in urine bladder, prostate gland and vagina but appear blood in urine, urine and the row wet Chang not.
(4)ass cancer mainly the performance is then a blood and have a bowel movement ache.Cancer swollen invasion ass Gua invite muscle, can cause to move bowels an incontinence.
[Cure measure]
1, aggressive treatment bowel way chronic pathological changes, such as knot or rectum polyp, schistosome disease, germ dysentery and amoeba and the chronic ulcer colon burning etc. disease.
2, once the diagnosis is explicit, in addition to later period case, should early the surgical operation cure and fight for making a to expect to exterminate Shu.
3, colon, B-like in shape colon cancer of the complete Geng Zu, should make bowel decompression first Shu and near the song carrying bowel build Lou Shu and make again to cure for good surgical operation after 2~3 weeks.
4, be apart from the ass rectum cancer within 8 cms, need an all excision anus tube and surroundings organization, make the belly permanent sex colon to build Lou.
5, the chemotherapy can choose medicines, such as 5 Fus and MMC...etc..
6, the Chinese herbal medicine treatment can be one of the measure that synthesizes a treatment and be applicable to some isn't suitable for surgical operation and put, chemotherapy or after operation relapse of sufferer.The river north Fu mountain Chinese medicine tumor hospital makes use of the cell member that the high-tech result development develops to regulate to suppress the cancer Chinese herbal medicine"Fu spirit of mountain" series product(water pill, capsule, take orally a liquid etc.) and suppresses cancer medicine for injection and broke with "the traditional thinking settles power" of"poisonous cancer, kill a cancer, anti-cancer", the medicine has no a toxicity, don't produce direct positive incitement to the cancer lump as well, it is a cell gene therapy's application in clinical top.Its gram cancer principle BE:The formation that represses the cancer lump new-born and afferent net stops the nourishment supply of cancer cell and cuts off the metabolism outlet of cancer cell and makes the cancer lump canned not got nourishment source but withers away gradually, the discard can not eject but change gradually sex bad dead, and don't hurt normal cell.BE strengthening the immunity function of machine body oneself, help the machine body anti-cancer immunity to serve as guardian the rebirth of system, activate every variety to kill cancer cell of in the meantime, regulate the cell period- powered member and cell motive, make the cancer cell losing control recovered normal period stanza Lyu, let cancer cell the occurrence converse.The medicine's match puts, chemotherapy, can obviously ease to put, the poisonous side effect of the chemotherapy, raise the amount of leukocyte.Even if the later period sufferer who has already lost surgical operation and put a chemotherapy opportunity,can control to transfer, deduct a cancer pain and improve a certificate to wait, raise existence quality, extension to take cancer existence period.

Symptom and body of pancreas cancer advertise for

(A)The earlier period symptom of pancreas cancer
The pancreas cancer housebound cooking stove was smaller and limited at inside the pancreas in early days, can have no symptom.Make progress with the condition, tumor gradually enlarge, involve in gall bladder and Yi tube and Yi when week organize the square can appear symptom.At this time course of illness usually already half year or above.
(Two)the symptom in later period in the pancreas cancer
1, stomachacheUp the belly is unwell and the secret pain is the most familiar pancreas cancer head hair symptom.The stomachache part positions not pure, the scope is more wide.Typical model part is medium last stomach and left quarter rib department, can the front and back, ex- chest, right shoulder department project.The stomachache can express for the dull pain, heavy pressure pain, chew to bite a pain...etc., much present keep on sex, can aggravate in the after meal.
2, jaundiceIs the important symptom of pancreas cancer sufferer, but jam sex jaundice is the most outstanding performance of Yi head cancer, the incidence rate is in above 90%.But the Yi body, Yi tail could have no jaundice in early days.The jaundice usually presents to keep on sex and carries on sex to deepen.Complete Geng Zu, the bowels can present a potter's clay color, skin Huang Ran can present brown or ancient bronze work color, companion Sao Yang.
3, emaciatedThe weight descends obvious is the familiar symptom of pancreas cancer, 90% sufferers are emaciated, its characteristic is that the development is quick, consideration and Yi liquid gall lacks, digest absorb the function is bad, poor appetite, sleep, the mental stress weigh and the cancer cell direct function contains related etc..
4, digest way symptomInclude to have a poor appetite, impaired digestion and disgusted vomit, the diarrhea, constipation or digest way bleed etc. the disease often have occurrence, but don't have particularity.
5, have feverAt least 10% sufferers have already had fever to appear in the course of illness.Clinical can express for the low heat, hot, intermittent fever or irregular hot etc..Reason possibility and cancer cell release of to hot source or after the hair Dan way infection relevant.
6, nerve symptomParts of sufferers can have worry anxiously, suppress Yu, suffer from insomnia, personality change etc. express.
The body of pancreas cancer advertises for
1, last the belly press a painIs a pancreas cancer in early days the only body advertised for.Along with the condition progress, influence internal organs drive film to of leading long and pulling reaction, will make the ache aggravated day by day.
2, the gall bladder is swollen bigJaundice's combining a companion to have the swollen gall bladder to can touch is the main body of Yi head cancer to advertise for.
3, the liver Pi is swollen bigAbout 70% sufferers cause liver swollen because of the liver extravasated blood big.If the cancer bolts to jam Pi vein can Men and Pi are swollen big.
4, belly pack pieceBecause the pancreas embeds after belly cavity a department, don't generally and not easily touch a cancer swollen oneself, but deeply touch to diagnose in the pancreas cancer in later period can Men and fixed and strong and tough knot stanza kind pack piece.
5, the belly afferent miscellaneous soundThe pancreas cancer oppresses bowel to fasten artery, stomach aorta or Pi artery of film, the belly can appear to blow the breeze kind afferent miscellaneous sound.
6, stomach water advertise forPancreas cancer later period transfer because of the peritoneum, door the vein blood bolt formation or the cancer swollen vein in the oppression door, can have stomach water to advertise for a performance.
7, the blood bolt sex vein burningThe pancreas cancer sufferer can appear to rove around sex blood to bolt sex vein burning or the calf deep department vein blood bolt formation.
8, lymphoid knot swollen bigLater period pancreas cancer sufferer can in the Mens, such as neck and armpit...etc. and swollen lymphoid knot.

The clinical characteristic of pancreas cancer

Often in disease later period then can confirm to the pancreas cancer.The familiar clinical characteristic has a weight to ease, stomachache and jaundice.Weight's easing is a kind of symptom of non- particularity, usually is gradually entering is sexual, namely start taking place before confirming a pancreas cancer for few months.65%~80% patients have stomachache, often during the nighttime more serious.Even lie and seat can make the ache aggravated.The ache is usually unclear, hard dictum, this circumstance usually delays diagnosis.
The jaundice is the most familiar symptom in the third, many patients appear a little bit late.The jaundice usually carries on sex to aggravate, but has already presented natural motion appearance as well.To the patient of the small pancreas cancer of close by total bile duct, the jaundice can be the only clinical performance.Therefore, should cautiously evaluate to the jaundice of this hard explanation.Usually this tumor is more easy to excision.Jaundice often the companion contain the vexed person's Sao Yang of upper arm, calf and belly and specially aggravate in the nighttime.The Sao Yang has something to do with skin Dan salt accumulating.Because Dan brine in the skin is even with the degree of Sao Yang compare the level of the serum Dan red vegetable Be getting closer.There is also another parlance, namely the Dan salt promoted the releasing of egg white Mao in the surrounding cell, but these egg white Maos can cause Sao Yang, however isn't all patients lords to tell Sao Yang.Occasionally may see the Sao Yang appearing before clinical top jaundice occurrence.Though have no painful sex jaundice be still declared by the mistake for the symptom of especially having of the pancreas cancer patient,actually have this kind of expressional patient only is a kind of exception.
The pancreas cancer non- particularity body advertises for to is disgusted with including a food with symptom, north bound the bile duct is burning, and have a bowel movement habitual change.(constipation, diarrhea, absorb badly, stomach flatulence, or bowel flatulence)The diabetes can accompany with to go into action.Because stomach, You door or 12 bowels are violated, or can erupt a stomach row to get empty stumbling symptom bedirectly cause of the mess of stomach function.Usually relatedly transfer sexual blood to bolt sex vein with lung cancer burning(the Trousseau body advertises for) be an also likely to be earlier period body of pancreas cancer to advertise for.The middle age can have hypochondria, worry in uncertainty disease and Mao disease and generally think to be caused by the pancreas cancer.At pancreas cancer patient in occasionally also it is thus clear that take suppressing Yu symptom as main spirit symptom.Patient the half the number above its spirit symptom specific weight of this kind of full of energy symptom advertises for than the physiology body with the emergence of the symptom for early 6 months.Is exactly in order to having many non- particularities of and the misty body advertise for with symptom, so pancreas cancer of the earlier period diagnose very difficult, the doctor has to keep a high vigilance.

The clinical diagnosis of pancreas many Mao lumps

1.The clinical diagnosis of this disease is more difficult, because Yi the clinical symptom of many Mao lumps is few, consequently not easily disheveled hair now;Being particularly other function endocrine tumors can sometimes also secrete a little amount Yi many Maos, and cause homologous symptom, easy confuse with this disease.When the patient exists the above-mentioned clinical performance, and serum Yi when many Maos can also show Zhao to increase Gao in response to the possibility of the Yi and this disease.
2.It is many Mao levels to apply to project the immunity method measurement blood plasma Yi, if foundation pp the level is normal, can with egg white meal or the vegetable of Yi Bi make to stir up experiment, the pp shows Zhao to increase Gao Zhe and also contribute to diagnosis this disease.
The 3. bs is super, the ct, mri and selectivity belly cavity artery build a shadow etc. check, contribute to the part, number that understands tumor and haven't transfered cooking stove, but not can do settle sex diagnosis.The super voice check in Shu can help and discover the lump body is small but position deep concealment sexually transmitted disease cooking stove.Applied immunity organization chemistry method measurement hormone within tumor, it is thus clear that the Yi in the tumor organization many Mao contents show Zhao to increase Gao, other pancreas endocrine hormone seldom or lack such as, is the importance of this disease basis of a.
The 4. fedorak report way adoption wears vein system in the sting door to place a tube to take through the skin liver blood(ptpc) and selectivity artery injects the United States blue(sambi) combine an usage, contribute to settling of this disease sex and fixed position of diagnosis.

The organization type of pancreas cancer

Under microscope, the pancreas cancer has a few following types
1, gland cancer:The cancer cell comes from skin of pipe, the alignment presents gland kind and there is chamber, this type of nipple-like in shape gland cancer or nipple-like in shape bag cancer that has 80%, has among them;Also have of come from a gland bubble to call a gland bubble type gland cancer.The afterbirth syrup contains to love acidity grain.Form gland bubble or small conglomeration, pole the normal pancreas gland steep.Sometimes the gland cancer cell creation glues a liquid, the afterbirth straches transparent.
2, don't divide a cancer:The cancer cell has no gland body structure, the cancer cell having forms Suo-like in shape thin cancer nest, drive quality knot the Di organization box off and present a hard cancer to reach a type.Some cancer cells are many, the quality is little and form a Sui kind cancer, the cancer organization like this easily takes place bad dead but forms a bag chamber.
3, scale-like in shape cell cancer:Seldom seen, come from pancreas to take care of epithelial scale-like in shape turn to living.Sometimes it is thus clear that scale-like in shape cell cancer and creation glue the gland cancer of liquid to merge to take place.(gland scale cancer)

The diagnosis method of pancreas cancer

The researcher thinks 40 years old or 40 years old above have any following clinical performance of the patient should doubt to have a pancreas cancer:
The ① Geng Zu jaundice;
The ② will appear in the near future of can not the explained weight descend more than 10%;
The ③ will appear in the near future not construable top stomach or low back department ache;
Unclear and not and construable indigestion but the barium meal check digest way that the ④ will appear in the near future is normal;
The ⑤ sudden diabetes but again don't make of the factor of the outbreak, like family history, or is fat;
The fat Xie that the ⑥ bursts to explain;
The pancreatitis of⑦ self-moving goes into action.If the patient is the one who love smoke should be double to doubt.
(1)at the beginning should the diagnosis check choosing is a CT to scan.This kind of scanner doesn't depend on surgical operation and is free from the restriction of patient's figure and stomach and intestines way air, can make sure that the liver transfers the cooking stove, lymphoid pathological changes and surroundings blood vessel invasion, but not dependable to the diagnosis of the less than 2 cms damages or the peritoneum sub-footing stanzas.The CT can judge a patient the disease period of place, and provide information to the case that can not carry on surgical operation.If discover to there is the invasion that the distance transfer, closes to organ, the blood vessel is wrapped up or infringes upon, and lymphoid pathological changes then not ability surgical operation cut off tumor.However, the CT is to the diagnosis but not enough precision of tumor that can cut off.Can guide in the CT under carry on Be worn a sting to live check by the skin thin needle, because need certain histology diagnosis, particularly to not the patient of ability surgical operation is more important.
(2)the super voice check is lower than CT expenses and be easy to get, and it is thus clear that get to liver, liver inside and the bile duct tumor outside the liver, its sensitivity and particularity are more than 90%.Super voice wave the accuracy of the diagnosis be subjected to restriction of the technique of operating, patient plump figure and stomach and intestines way air.Usually, the super voice check is a CT to add a check to make use of.
(3)the nuclear magnetic resonance(MRI) isn't more more useful than CT in the aspects of confirming a pancreas cancer, it can not express to even have advantage, but be used as the expertise of this realm than the CT and see from the standpoint of development and will may rise a function in the future.
(4)treacherous acts Yi bile duct's building a shadow(ERCP) is making sure bile duct stone calculus, carry on diagnosis and obtain the organization of 12 bowels and pot belly cancer to live prosecutor noodles to the bile duct damage all specially useful.If discover to have the circumstance to compress or block-be called a pair of tubes diseases, can diagnose a small Yi head damage.When the pancreas malignant tumor exists, the portrait of pancreas hardly has the normal, can not the pancreas cancer cutting off generally have bile duct to extend, ERCP provides a basis for the possibility of 12 bowel nipple resections, and for inside the repair Shu position, can avoid surgical operation decompression like this.Insert under the help of super voice inside peep a mirror, in order to diagnose pancreas tumor to provide a new method, this technique provideds a possibility for the diagnosis in earlier period.
(5)can reach to 76%~90% in the CT or the super voice accuracy that guides the next thin needle to take out to absorb(FNA) a cytology check to the pancreas cancer diagnosis, its particularity almost can reach to 100%.While having no surgical operation to advertise for or would not liking to have an operation, regardless injure or transfer a focus to the Yi tail, Yi body, FNAs are all probably specially useful.

The physics and chemistry of pancreas cancer checks

The X line checks
(1)the stomach and intestines X line barium meal check:Yi head the male X line of the cancer advertises for elephant to have stomach Dou the department or ex- area in the You door or 12 bowel ball departments have already pressed a vestige, 12 bowel segment 2 seamy sides or have already pressed vestige and dual edge on good luck of segment 3, the bowel wall is stiff and rigid, the bowel chamber is narrow, the circumstance of Chong Ying and outside the side is different and glue the film wrinkly wall to flatten and break off, is small teeth of a saw-like in shape or the knot stanza is hollow, 12 bowels decline a seamy side anti-"3" advertise for or 12 bowel frame aggrandizement.The Yi body tail cancer can have already pressed a vestige or make in the stomach body Houpi or left good luck because of lump of right move, at side slice it is thus clear that the department cleft increases breadth after the stomach, the stomach moves forward.
(2)the Chong spirit build a shadow check after the peritoneum:Can there is partial lump shadow.
1)selectivity belly cavity the artery build a shadow:Insert the pipe into the belly cavity artery through a stomach aorta, makes selectivity to build a shadow to the liver artery, Pi artery, it is thus clear that the relevant blood vessel suddenly breaks off, moves and flection or(in the cancer swollen place) sees without afferent area etc., can see a size of lump and position etc., but can not judge the property of lump in the meantime.
2)the mirror treacherous acts Yi bile duct inside the fiber builds a shadow(ERCP):This method success rate is 70%~96%, ability to pancreas inside share a diagnosis, the jaundice of Geng Zu outside the liver and the liquid pancreas bag that sexually transmitted disease becomes particularly to the pancreas cancerc to swollenly discriminate to provide an importance basis.The pancreas cancer can be press, narrowed down, broken off to the Yi tube, suddenly become thin, move or don't develop...etc..
3)the B super check:Can show an irregular super voice of cooking stove in the bureau the wave density greatly swollen thing sketch.The ability does thin needle to wear a sting under the super guide in the B cytology check, and have already confirmed value.
4)the CT check:Can clearly show the whole pancreas and it around organizes image and particularly shows the Yi tail tumor focus to is also a sensitive than the super voice.But the earlier period that hasn't solved a pancreas cancer of CT diagnoses a problem.
5)the isotope scan:Scan by sour the 75 Se egg ammonia, it is thus clear that the tumor part contains sparse cold area.Recently and someone makes pancreas to scan with the 67 Gas, the cancer swollen place it is thus clear that the radio is thick to gather.
6)the pancreas live an organization check:Make use of special the bottom wearing bodkin to put a tube in the fiber 12 bowel mirror Yi tubes is negative to press to absorb pancreas of organization, make a pathologic check.
7)the Ci resonance becomes to be like(MRI):To the property, position, appearance and size of pathological changes and have the judgment to don't transfer to contain high value.
8)the serum immunity bio-chemical examination(1) pancreas cancer related antigen(PCAA) and pancreas particularity antigen(PaA):In the pancreas cancer serum PCAA masculine gender have 53%, PaA has 66%, two consociation applied the intelligent degree raise to 90%.
(2)the pancreas cancer Pei antigen(POA):The masculine gender leads up to 71.8%.
(3)sugar antigen(CA19－9):Have high sensitivity and particularity to the pancreas cancer, even have a function towards serving as guardian a treatment also, in the meantime and is pancreas cancer and the discriminating of pancreatitis one of the meanses.
9)analyze a check:The blood total Dan red vegetable carries on sex to increase Gao, serum starch Mao and fat Mao the content is in the cancer swollen Geng Zu Yi tube or can increase Gao while erupting pancreatitis.When the cancer is swollen to break a Yi island of cell, often have high blood sugar and glycouria.Show the characteristic of jaming sex jaundice inside the urine.

The treatment method of urine bladder cancer

The treatment method of urine bladder cancer is similar to other tumors and include standard therapy and clinical try out therapy.So-called clinical try out therapy to mean clinical research that adopt the old technique of new technique or improvement empress' carry on treatment.
Currently, the standard therapy of urine bladder cancer includes the surgical operation, emanation treatment and chemistry medicine treatment and immunity to cure 4 kinds.The sufferer cured by surgical operation in early days and go together with with the immunity in the urine bladder chamber treatment is lord.Medium later period sufferer then with surgical operation with turn to put to treat to combine of comprehensive treatment is lord.
Expect according to the cent of tumor, malignant degree, pathologic type and tumor size, part, haven't involved in close by organ etc. to synthesize analysis, there are following three kinds of surgical operation methods canning be provided as choice:
(1)urine bladder tumor the part cut off and the electricity burn Shu and pass urine bladder mirror more to carry on.Suitable tumor gradually glues a film or glues film bottom layer, the malignant degree is lower, the radicle Di thinner urine bladder nipple-like in shape lump.
(2)parts of urine bladder resections, be applicable to scope to more limit gradually sex nipple-like in shape cancer, Be located on the tumor of keeping off the urine bladder triangle area and neck district.Can reserve big parts of urine bladders, the sufferer after operation still can line up urine as usual.
(3)whole urine bladder resection, be applicable to tumor scope bigger, dispersion of deliver sex tumor more, should not make part to cut off;The tumor is located on the urine bladder triangle area neighborhood;Or Be located on an urine bladder neck gradually sex tumor.Surgical operation, the male's prostate gland and seminal vesicles are cut off, while the female's womb, ovary and parts of vaginas will be cleaned.The whole urine bladder carry on to wet road to change a way after being cut off, the doctor usually makes use of the bowel way path that creates a storage and excretion to wet a liquid.
Project a treatment to include an outside to project and inside project 2 kinds, but the urine bladder cancer uses emanation as single spreading of the tumor patient's appeasement treatment, or surgical operation, chemotherapy patient whom the treatment effect disregard thinks and mainly used for a later period currently helps a treatment.
In regard to urine bladder cancer, the chemotherapy mainly passes to infuse to note chemotherapy and stomach wall to descend artery to put a tube a chemotherapy inside the chamber, at the tumor cell, the medicine liquid direct function's pair reaction uses a medicine a little bit all over lightly a lot of.Medium later period the patient then may need the whole body use a medicine.
The living creature cures the immune system that it can pass to activate, strengthen, adjust patient's oneself to attain the effect of resisting the tumor.The bcg vaccine infuses to note in common use to prevent°from and cure an urine bladder cancer.
In addition to standard therapy have some just to can be provided as sufferer to choose in the new method of clinical trial stage.Familiarly have following few kinds:
Heat therapy:The cancer cell is afraid heat, the temperature(43 ℃ ) higher than body temperature can make the cancer cell growth been repressed, while the normal organization is free from damage.
The light quick therapy:Using up can stir up particular medicine to produce result and kill the therapy of putting out the cancer cell.

The treatment of urine bladder tumor

The treatment principle of urine bladder tumor is similar to other tumors and include surgical operation and project treatment and chemistry medicine treatment, immunity treatment and new technique etc., but still regard surgical operation treatment as principle.Scope and method of concrete surgical operation should expect according to the cent of tumor, malignant degree, pathologic type and tumor size, part, haven't involved in close by organ etc. synthesize analysis.
The surgical operation cures:
(1)urine bladder tumor the part cut off and the electricity burn Shu
The surgical operation applies a certificate:Tumor gradually glues a film or glues film bottom layer, the malignant degree is lower, the radicle Di thinner urine bladder nipple-like in shape lump.
(2)parts of urine bladder resections
The surgical operation applies a certificate:Be gradually applicable to scope to more limit sex nipple-like in shape cancer, Be located on the tumor of keeping off the urine bladder triangle area and neck district.
(3)whole urine bladder resection
The surgical operation adapts to a certificate:For tumor scope more big, dispersion of deliver sex tumor more, should not make a partial excision;The tumor is located on the urine bladder triangle area neighborhood;Or Be located on an urine bladder neck gradually sex tumor, all should adopt whole urine bladder resection.
Whole urine bladder resection of have to improve the patient's general circumstance before the Shu, use a bowel way to wet road to change a , need to make a bowel way to prepare, have blood and infuse bowel before the Shu, the female still needs to disinfect vagina.
Slice Shu through the urethra urine bladder tumor electricity
It isn't and gradually that the urine bladder watch is shallow to slice Shu(TURBT) through the urethra urine bladder tumor electricity the treatment method of sex tumor, has to hurt small, quick instauration, can again and again carry on, several have no surgical operation death rate, and can reserve the urine bladder row urine function etc. advantage.This method is again usually the method that diagnosis and treatment combine together, can avoid or reduce urine bladder to open sex surgical operation.
Laser and dynamics cure
Pass to duct the laser fiber optic into the human body cavity to cure disease inside the organ inside the mirror, is cure up of one big progress.For the laser treatment of urine bladder tumor, have the Chan the Nyu-Yi aluminum garnet laser treatment most in common usely currently(brief name Nd:The YAG laser cures)and light the dynamics cure.(photodynamic therapy, PDT)
(1)Nd:YAG laser treatment(2) PDT PDT of the urine bladder cure, because it responds it's intelligent, treatment effect more satisfaction but is caused an extensive attention,
Get involved a treatment
In recent years, getting involved the treatment has already been extensively used for curing tumor, the getting involved of urine bladder tumor therapy as well has a report way.It cures a method to mainly mean stomach wall next the artery put a tube chemotherapy.
Project a treatment
The emanation treatment effect disregard of urine bladder cancer thinks that spreading of the tumor patient's appeasement treatment, or surgical operation, chemotherapy patient who mainly useds for a later period currently helps a treatment.
Heat therapy
Make use of is higher than body temperature of the temperature(43 ℃ ) make the cancer cell growth been repressed, while the normal organization is free from the theories of damage.
The Shu handles behind and with visit
The urine bladder tumor pure surgical operation relapses to lead higher, and the watch shallow tumor after TURBT clinical[one] great problem for facing is also the problem that the tumor relapses, and tumor pathologic ratings and clinical cent after relapsing expect to aggravate.Consequently before surgical operation in addition to matching with other treatment methods, in bar of relapse, Shu after should immediately carry on the chemotherapy in the urine bladder chamber.A little bit often adopt of infuse to note inside the chemotherapy medicine urine bladder chamber.
Should do an urine bladder mirror every 3 months during the period of the treatment that the prevention relapses check.If at with visit a period to appear naked eye blood in urine, consider the possibility for relapsing, should make an urine bladder mirror in advance at any time reexamination.Can periodically wet normal regulations and urine to shed off cell to make a cell pathology check in the meantime as well, if should as well make an urine bladder mirror in advance when having already relapsed is suspicious reexamination.
Relapse and transfer the treatment of tumor
Relapsing tumor with other parts, dirty machine is different, the urine bladder tumor is sliced by partial electricity, the tumor part excision, parts of urine bladder resections after, still may relapse within the scope of urine bladder.At this time, should still according to the part, size of tumor and gradually depth, divide degree and pathology to categorize etc. synthesize consideration, ability surgical operation of should fight for again surgical operation, include through the urethra urine bladder tumor excision, it cures a principle together the urine bladder beginning hair tumor.The urine bladder cancer transfers with part gradually and the surrounding lymphoid knot transfer for many, but the distance transfer less, the main distance transfers part to have the lung, and liver...etc. the substantial dirty machine.If limit, stand alone and smaller distance transfer cooking stove, then can go partial excision;But have the urine bladder cancer that a chamber lymphoid knot transfers should consider making to cure for good sex urine bladder to cut off, the surgical operation scope includes the whole urine bladder, seminal vesicles, prostate gland and basin chamber lymph knot.At clinical up for can not the surgical operation cut off of part gradually sex later period tumor, then can adopt to put to treat to alleviate ache symptom, minority of patients probably prolong a survival period;Can also make to get involved treatment, PDT or heating therapy etc..For can not the surgical operation cuts off and has already had the later period patient whom the distance transfers, can try out chemotherapy medicine.If a few medicine associately apply then curative effect is better.
Count for much discovered to relapse tumor in early days in the clinical top, once discovering that the tumor relapsed, treatment measure should actively, Shu after of the prevention measure should also strengthen, together enter also want to watch out for the possibility that the distance transfers.
The Chinese medicine living creature cures
Qian radicle its inside is rather international top the first can go up a leukocyte nowadays of anti-cancer and kill the drugs of hepatitis virus, it to the cancer cell and the hepatitis virus very and strongly kills a wound function, can interference with stop cancer cell division to propagate, repress cancer cell DNA the replication and gene open and repress tumor blood vessel born, make the cancer cell lacked blood to adjust Wu.But didn't repress a function to the marrow cell, namely can take over a long period of time to the normal human body cell not poisonous side effect and have special effect to the urine bladder tumor.