Esophageal and cardia cancer is one of the most common diseases in China, commonly known as “esophageal cancer”, “choking”, etc. The annual incidence rate is about 30~300 per 100,000 people. The annual incidence rate is about 30~300 per 100,000 people. The incidence rate is higher in the mountainous areas of central and southwest Lu Province, and there are nearly tens of thousands of new patients every year.
Since the early 1960s, China has carried out research work on prevention and treatment of esophageal cardia cancer in the high incidence areas one after another, and has made great achievements, and has formed a set of relatively perfect methods for the prevention and treatment of esophageal cardia cancer. At present, the survival rate of early-stage patients can reach 90% in 5 years and 80% in 10 years, while the survival rate of mid-stage patients can reach 45%~60% in 3 years and 35% in 5 years, which is the leading level in the world. In recent years, with the continuous improvement of diagnosis and treatment technology, esophageal and cardia cancer is no longer a terminal disease that can only live for seven or eight months.
The most important factor affecting the treatment effect is the early and late stage of the disease at the time of treatment, early detection and early treatment is the first principle of all tumors.
There are many causative factors of esophageal cardia cancer, such as family genetic factors, content of trace substances in soil and water of high incidence area, irritating food, chemical substances, local chronic lesions, etc. Long-term psychological stimulation is also a triggering factor.
The high incidence of esophageal cardia cancer is in the age group of 45-70. The initial symptoms are usually pain in the chest when eating sour, spicy or hot food and foreign body sensation when swallowing; sometimes hiccups and pins and needles pain in the chest; sometimes it is a feeling of “indigestion”. Gastroscopic examination can detect this. In the middle stage, most of the symptoms are typical difficulty in swallowing, inability to eat hard food, and obvious loss of appetite and energy, which can be confirmed by barium meal fluoroscopy. Late stage manifestations usually include hoarseness, gastrointestinal bleeding, neck mass, extreme difficulty in eating and serious deterioration of physical condition.
Early stage esophageal cancer is always treated by surgery as long as the physical condition allows, and the effect is very good. For mid-stage esophageal cancer, surgery is recommended as much as possible, and radiation therapy can also be performed with satisfactory results; for mid-stage pancreatic cancer, radiation therapy is not recommended, and the effect of chemotherapy alone is also very poor, so surgery-based comprehensive therapy is the best approach. Advanced esophageal pancreatic cancer should be considered according to the patient’s condition and physical condition, and some patients have a better prognosis if the treatment is appropriate, but the possibility of cure is very small.
The most dangerous treatment phenomenon of esophageal cardia cancer is the use of antimicrobial and chemotherapeutic drugs without diagnosis in primary medical institutions, long time consultation everywhere, and long course of treatment with prescriptions or folk recommended drugs. This often delays the disease and misses the best treatment time, causing irreparable damage. It takes about ten to several decades for a healthy person to become a patient under the action of disease-causing factors, while a patient generally has only one year from the onset of the disease to natural death, and it is quite painful. Please cherish life, once the above symptoms appear, must be early examination, early treatment, must go to the regular hospital treatment!