Esophageal cancer has progressive dysphagia and weight loss as its main symptoms. Traditional treatment method: In the past, upper middle section esophageal cancer mostly adopted three-incision radical treatment method, which is highly traumatic and has many complications. Our department now adopts the method of single incision in the right chest and freeing the stomach through the esophageal fissure for upper middle section esophageal cancer. The advantages of this treatment method include less trauma, faster recovery and fewer complications.
Esophageal cancer is a more common malignant tumor, mostly occurring above the age of 40, and the pathological type is mostly squamous carcinoma, and some of them are adenocarcinoma. Diagnostic points.
1. Early on, there is a sensation of choking on food in the throat and a pain like pinching or burning sensation behind the sternum. This is followed by progressive dysphagia.
2. Physical examination may show wasting, or enlarged left supraclavicular lymph node.
3.X-ray examination may show broken esophageal mucosal folds, limited stiffness, filling defect or constitutional shadow, and esophageal lumen narrowing or obstruction in advanced stage.
4.Esophageal exfoliative cytology with mesh balloon can detect cancer cells.
5.Esophagoscopy can detect lesions and biopsy can be taken. Treatment principle:Esophageal cancer should be detected, diagnosed and treated as early as possible.
Surgical treatment.
Radical esophageal cancer surgery is performed.
Indications for surgery.
(1) Early stage esophageal cancer.
(2) Middle and lower esophageal cancer lesions within 5cm and upper segment within 3cm, invading part of the muscular layer and in good general condition.
(3) In the middle stage, if the lesion is more than 5cm in extent, invades the muscular layer, has no obvious distant metastasis and the systemic condition allows, preoperative radiotherapy and surgery can be used as integrated treatment.
(4) Relapse after radiation therapy, the lesion is still small in extent, no distant metastasis, and the general condition is good.
Contraindications to surgery.
(1) Clinical and radiographic evidence of extensive involvement of esophageal cancer lesions in adjacent organs, such as trachea, lung and mediastinum.
(2) Those who have distant metastases such as left supraclavicular fossa lymph nodes.
(3) Those with severe cardiac, pulmonary or hepatic insufficiency.
(4) Severe cachexia.
2.Radiation therapy.
(1) Combined application with surgical therapy.
(2) Simple radiotherapy for those who are contraindicated to surgery.
(3) Radiation therapy is mostly used for complicated surgery of upper esophageal cancer.
3.Medication.
Apply traditional Chinese medicine and anti-cancer drugs to relieve the symptoms of advanced stage patients.