Surgical treatment for esophageal cancer or conservative treatment, which is better?

Mondo Health Updated on 2024-02-02

Clinically, the decision to operate depends on the patient's condition.

The main choice is the stage of the tumor, the location of the lesion, and whether the surgery can be tolerated.

Can tolerate surgery:Systemic conditions such as age, nutritional status, and the presence of other comorbidities need to be considered.

Early esophageal cancer: Surgical resection is usually used, and all tumors can be removed by surgery to achieve clinical results.

Intermediate esophageal cancer:Surgical resection of the lesion as much as possible; Preoperative and postoperative treatment is also required to be supplemented with radiotherapy, chemotherapy, etc., which can greatly prolong the survival of patients.

Advanced esophageal cancer:Because the cancer cells have metastasized to surrounding tissues or distant organs, it is difficult to remove the lesions. Or the location of esophageal cancer is not good, and the risk of surgery is too great, so it is necessary to take conservative**.

Unfortunately, most patients are diagnosed with advanced esophageal cancer, and although the opportunity for surgery is lost, there is no need to be overly pessimistic.

With the application of new immune-targeted** methods, clinicians are becoming more and more experienced in the fight against esophageal cancer.

After receiving a combination of chemoradiotherapy, targeted therapy and traditional Chinese medicine, the lesion shrinks and has the opportunity to undergo surgery.

Even if surgery is not possible, the survival time is much longer than before

The main purpose of chemotherapy for esophageal cancer is to inhibit the growth and reproduction of cancer cells by directly killing cancer cells, which is suitable for preventing cancer lesions** or disease deterioration after surgery.

Although it can have the desired effect in the short term, it will be accompanied by theThe frequency of chemotherapy is more and more gradual resistance, which can also cause damage to the normal functioning of the human body.

Bone marrow suppressive platelet index is lowA series of chemotherapy complications make it difficult for patients with esophageal cancer to tolerate after surgery.

More patients with esophageal cancer after surgery prefer traditional Chinese medicine, which has a strong overall concept and does not have any toxicity to regulate the patient's body.

Straighten the vitality and restore the balance of qi and blood, yin and yang, and visceraRemove the environment in which tumors survive in the human body and reduce the chance of metastasis after surgery.

Traditional Chinese medicine conditioning mainly includes:

OnePost-operative recovery: Traditional Chinese medicine nourishes qi and nourishes blood, nourishes yin and moistens dryness, plus strengthens the spleen and stomach, so that patients can resume their diet and increase qi and blood;

IIManage complications: The operation will hurt the patient's qi and blood, viscera, organs, etc., so it is necessary to avoid complications;

IIIRestoration of the body's immunity: It mainly strengthens the spleen and stomach, regulates the qi machine, allows patients to restore metabolism, restore normal bowel and bowel movements, resume normal diet, and speed up qi, blood and energy.

When conservatively** chemoradiotherapy is used, it will bring greater adverse reactions, and Chinese medicine can be well relieved.

Traditional Chinese medicine can provide blood tonic for anemia and leukopenia caused by radiotherapy and chemotherapy.

It can increase white blood cells, reduce complications, improve patients' immunity, enhance efficacy, and allow patients to successfully complete the first course of treatment.

Due to the difficulty of eating, nutritional support is an important means for esophageal cancer patients, in order to strengthen nutrition and enhance immunity. Patients with esophageal cancer should chooseHigh protein, high calorie, high vitaminHighly effective nutritional supplements.

On the basis of ensuring nutritional balance, increase protein-richMeat, fish, eggs, milk, soybeansThe quantity of products should also be appropriately increasedRice and flour grainsand other caloric foods as wellFresh fruits and vegetables.

Also pay attention to the processing and preparation method of the foodGuaranteed to be soft and soft, as doneSmall meatballs, soft noodles, small wontons, various porridge with meat and vegetables, fruit puree, etc.

I am Professor Wu Xiaodong, chief physician of Guangzhou Public Tertiary Cancer Hospital, if you have any confusion about tumors that you need me to answer, please leave a message, I will reply one by one when I am busy! Cancer

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