OVERVIEW
OVERVIEW
Peritoneal tumors are divided into two categories: primary and secondary. Primary tumors are less common; secondary tumors are more common and mainly originate from malignant tumors of stomach, intestines, liver, uterus and other abdominal and pelvic organs. Clinical manifestations are abdominal pain, abdominal distension, loss of appetite, abdominal mass, ascites, etc. Surgery, radiotherapy, chemotherapy and other treatments are chosen according to the type of tumor.
Whether medical insurance
Yes
Department
General Surgery, Gynecology, Surgical Oncology, Medical Oncology, Radiation Oncology
Clinical Symptoms
Abdominal pain, abdominal distension, loss of appetite, abdominal mass, ascites, etc.
Harms
It mainly affects the function of digestive system and can be life-threatening in serious cases.
Examination
Physical examination, ultrasound, CT, magnetic resonance imaging, histopathologic examination, etc.
Diagnosis
Symptoms are non-specific, relying on imaging and histopathologic examination for diagnosis.
Treatment principle
Surgery, radiotherapy, chemotherapy, etc. are selected according to the type of tumor.
Curability
The aim of treatment is to relieve symptoms and prolong patient survival.
Dietary advice
Light, easy to digest, balanced diet and supplemental nutrition are appropriate.
Etiology
Etiology
The cause of the disease is unknown.
Symptoms and Diagnosis
Typical symptoms
Clinical manifestations mainly include abdominal pain, abdominal distension, loss of appetite, etc. Dyspnea may occur when the tumor is large, and patients with malignant tumors may have fever, progressive emaciation, fatigue, anemia and other symptoms. Physical examination may find ascites, abdominal mass. Secondary tumors are often preceded by symptoms of the primary site.
Diagnostic basis
1. Patients have symptoms such as abdominal pain, abdominal distension, loss of appetite, etc. Physical examination reveals abdominal fluid and abdominal mass, and those with history of asbestos exposure have significance for abdominal mesothelioma. 2. Imaging examination can detect primary tumor, secondary tumor and its primary foci, and clarify the tumor location, size, relationship with the surrounding tissues, and the presence of metastasis, etc. Ultrasound is a very good initial screening test, which can detect thickening of peritoneum and initially determine the nature of the tumor according to the echo. 3. X-ray film can find peritoneal fluid, widening of intestinal space, displacement of some organs under pressure, abdominal soft tissue density mass and abnormal calcified spots, CT, magnetic resonance imaging can see nodular, flat soft tissue mass or irregular diffuse thickening of peritoneum, which can differentiate between ascites and tumors, and clarify the relationship between the tumor and the surrounding tissues, and the presence of metastasis, etc. 3. Histopathological examination can be performed based on the histomorphological and cytomorphological manifestation of the tumor. Histopathological examination can make a clear diagnosis according to the morphology and cytomorphology of the tumor.4. Laparoscopy can observe the abdominal wall and peritoneum, which is more intuitive and can be used to take biopsy.5. Serum tumor marker test can help to diagnose the tumor and assess the treatment situation.
Treatment
Treatment guidelines
Surgery, radiotherapy and chemotherapy are selected according to tumor type and stage.
Radiotherapy
Radiotherapy is selected according to the type of tumor.
Surgery
Mostly used for patients with confined tumors.
Prognosis
Related to tumor type, stage, etc.
Nursing care
Daily care
1. Keep the living environment quiet and comfortable, pay attention to rest, avoid exertion and adverse stimulation.2. Pay attention to hygiene, prevent secondary infection.3. Patients with better general condition can carry out appropriate activities, which can help to improve their physical fitness and improve their mental outlook.4. Maintain a good state of mind, positively cooperate with the treatment, and avoid adverse emotions such as fear and anxiety.5. Give terminal patients hospice care to alleviate their pain and improve their quality of life.
Dietary management
1. Balanced diet and supplemental nutrition. Choose foods rich in protein, vitamins and high calories, which are light and easy to digest, and conducive to postoperative recovery. 2. For terminal patients, food can be prepared according to their preferences.