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About the clinic: P.Herzen Moscow Oncology Research Institute was founded on February 12, 1898. It became the oldest scientific and practical institution in Europe and the first oncology institution in Russia, where the foundations were laid for the Russian science and oncology services. The Institute is a recognized leader in providing high-tech medical care to patients with various types of cancer. The Institute performs a unique surgery, uses modern high-tech methods of diagnostics, comprehensive treatment and rehabilitation of patients.
About the clinic: I.M. Sechenov First Moscow State Medical University (Sechenov University) is the top medical university in Russia. Its history begins in 1758 as the medical faculty at Imperial Moscow University. For over two centuries Sechenov University has been a pioneer in the Russian healthcare system. A lot of outstanding physicians and scientists, who contributed significantly to the progress in medicine, worked at the University. In 2018, Sechenov University celebrates its 260th Anniversary.
About the clinic: Yusupovskaya hospital is a continuity of traditions in the treatment of patients in combination with the latest achievements of modern scientific and evidence-based medicine and advanced expert experience. The Yusupov hospital carries out scientific activities — on the basis of the clinic there are scientific and practical centers aimed at solving patients' problems in a comprehensive manner.
About the clinic: Federal research and clinical center for specialized types of medical care and medical technologies of the FMBA of Russia (FSCC of the FMBA of Russia) is one of the largest multi — specialty medical institutions in Russia for providing specialized medical care, combining a consulting and diagnostic center and more than 40 departments.
About the clinic: Clinical hospital No. 1 (Volynskaya) of The Presidential administration of the Russian Federation is one of the oldest institutions of Kremlin medicine, which itself has more than 400 years of history. In may 1600, by Decree of Tsar Boris Godunov, a pharmacy order was created to "protect the health of the sovereign". The hospital began with a small reception House adapted for a medical institution Near the dacha of I. V. Stalin.
Stomach cancer is a malignant tumor that develops from cells in the inner lining of the stomach. By localization, there are tumors of the upper (proximal, close to the esophagus) parts of the stomach, middle (body) parts of the stomach and lower (distal, closer to the duodenum) parts, the tumor can spread to two or more departments and acquire a total spread.
Symptoms that reliably indicate a malignant tumor in stomach cancer are practically absent.
Cancer of any localization is characterized by certain General signs that indirectly signal the presence of a tumor-like formation in the body. The following early signs of stomach cancer and other oncopathologies should cause alertness:
– drastic weight loss;
– constant fatigue;
– anemic skin color;
– increased fatigue.
Primary diagnosis of stomach cancer includes:
– Examination by a doctor, identification of family history, risk factors for stomach cancer.
– Esophagogastroduodenoscopy (EGDS)
– Histological or cytological examination
Clarifying diagnostics is performed to clarify the prevalence of the tumor process, the presence of metastases, and, accordingly, to determine the stage of the tumor, includes:
– Ultrasound examination (ultrasound)
– Multispiral computed tomography (computed tomography, CT, SCT, MSCT)
– Diagnostic laparoscopy
When the tumor is located in the lower part of the stomach, bordering the duodenum, perform partial gastrectomy of the stomach with anastomosis – surgical intervention to remove part of the stomach and then restore the continuity of the digestive tract.
In gastric cancer, the degree of damage to the organ wall is detected in accordance with what determines the necessary amount of surgery. If indicated, perform a total gastrectomy (complete removal of the stomach) followed by plastic surgery of the intestinal tissue. Preference is given to low-trauma laparoscopic operations, which require a camera and specialized surgical instruments that are inserted into small punctures (from 5 to 10 mm) in the abdominal cavity. Laparoscopic surgery to remove the stomach in cancer is a very effective method that has certain advantages: postoperative pain is significantly reduced, rehabilitation and the return of patients to a full life occurs in a shorter time.
Chemotherapy for stomach cancer can be used as an independent method, or combined with surgical treatment and radiotherapy. Treatment consists in the introduction of toxic drugs into the body that stop the growth of cancer cells. The drug dose for each injection is calculated by the area of the skin or weight of a particular patient. For administration, a minimum toxic dosage is recommended, which gives the highest possible effect.
Spraying an aerosol of chemotherapy drugs under pressure during laparoscopic surgery PIPAC is a new method of intraperitoneal chemotherapy. Spraying the aerosol under pressure leads to a directed, deep penetration of drugs into the tumor tissue, which increases the damaging effect on the tumor. The results of this method were encouraging. The majority of patients with stomach tumors showed improvement or stabilization of the tumor process.