Patient’s question: After the surgery of stomach cancer 2 years ago, last year, there was a lymph node enlargement between stomach and pancreas by CT, and after 25 times of radiotherapy, 11 times of chemotherapy have been done, averaging once a month. The pain in that area has increased compared to the previous one, and the pain was basically not there when I had chemotherapy, but now the size is not bigger, but the pain has increased and there is a burning pain in the back, what is going on? What can I do to treat and reduce the pain? Is it an aggravation of the disease? Reply from Ye Yingjiang, General Surgery Department, Peking University People’s Hospital: Hello, I have understood your condition. If your lump is smaller than before after radiotherapy, it means that the treatment is still effective and the pain should be relieved. If the pain is aggravated instead, it means that the pain is not closely related to the lump, but may be caused by local retroperitoneal fibrosis due to radiation. It is not necessarily an aggravation of the disease, so don’t worry too much. Treatment can be applied pain cream or oral painkillers Hope this can help you, wish you good health! Patient Question: Thanks for your reply. It has been one year since the end of radiotherapy, and I am doing chemotherapy for the eleventh time. Sometimes it hurts when I press the tumor in the tail part of the pancreas, sometimes it doesn’t hurt when I press it, sometimes it hurts in another place around it, and sometimes it feels like the gas in my body is pushing against the pain, what is going on? Ye Yingjiang, General Surgery Department, Peking University People’s Hospital: Hello, since there is no sign of recurrence or progress in the review, it means that overall it is still good. Regarding the cause of the pain, we can only say that it may be caused by radiotherapy. There may also be other causes, such as abdominal adhesions caused by surgery, which can lead to the pain like gas overhead that you mentioned, which is actually a manifestation of incomplete intestinal obstruction and can be relieved without treatment. In any case, this pain is an unavoidable condition after surgery and treatment and is experienced by many patients. As long as it does not seriously affect life, no special treatment is needed. Continue to complete your treatment, and victory is ahead! Patient Question: When I saw the last sentence, it was like seeing light in my heart. It’s been more than a year since my mom had chemotherapy, and the nagging emotions in my heart are so overwhelming that I can’t breathe. I’m afraid that this will continue to do a lot of harm to the body, do not do it, but also afraid that the thing has become larger, like this situation can only keep doing chemotherapy, as required is to do once in 22 days, oxaliplatin plus oral cialis, these two or three months we have been delayed to 40 days to do a chemotherapy, although the mother can withstand the effects of chemotherapy spokes, but the body also eliminated a lot of C, the original more than 90 pounds, 1.55 The first time I saw her, I was able to see her, and now she is just 80 pounds. Our doctor here said that chemotherapy does not stop for life, is that right? Is it true that you say that victory is ahead? The last chance for consultation, here to express my loyal thanks for your good help! Reply from Ye Yingjiang, General Surgery Department, Peking University People’s Hospital: Hello, tumor is strictly speaking an incurable disease, therefore, a reasonable treatment strategy is to create a balance between the body and the tumor. The ideal chemotherapy strategy is generally like this: the patient receives one stage of complete chemotherapy, for example, if you adopt XELOX regimen, then after 6-8 consecutive cycles, suspend chemotherapy to let the body recuperate, and at the same time, review regularly on time; if there is no sign of recurrence, keep the status quo, and if the disease is found to have an upward expression, continue chemotherapy for one stage, then continue to evaluate, and if the tumor is found to be insensitive to chemotherapy, adjust the drugs evenly. If you find that the tumor is not sensitive to chemotherapy, you should adjust the drug even if you find that the tumor is sensitive to chemotherapy. Therefore, we should always be prepared physically, psychologically, and of course financially, and believe in the guidance of doctors, not to blindly turn to some social so-called “cure for all diseases, no surgery, no chemotherapy” and so on. Finally, I would like to say that tumor is a disease that cannot be cured, and the final outcome may be disappointing. If you have a little bit of good luck, victory will be ahead. Hope this can help you!