Stomach Сancer

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About a disease

Description

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

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.

Diagnostics

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:

– Radiography

– Ultrasound examination (ultrasound)

– Multispiral computed tomography (computed tomography, CT, SCT, MSCT)

– Diagnostic laparoscopy

Treatment

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.

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