How should I face advanced tumors?

Because the early symptoms of tumors are not obvious, or some tumors are found early but recur later, or the tumors themselves are of high malignancy, there are many patients with late stage tumors, accounting for about 70% of malignant tumor patients. Therefore, in addition to the three early stages (early detection, early diagnosis and early treatment) and the three hurdles (etiology, diagnosis and treatment), it is very necessary to study the treatment strategies and methods of advanced tumors. So what kind of tumor we call advanced stage tumor? People always talk about advanced stage and take the effective indication of treatment as the standard for estimating the prognosis of malignant tumor, and think that all tumors that cannot be cured by existing treatment methods are advanced stage tumors. The meaning of advanced tumor is not only judged by the possibility of curative treatment, but also by the development pattern of the tumor itself, its biological characteristics, the extent of invasion and the condition of the body. In addition to the tumor itself, there are many complications, comorbidities and sequelae, such as the existence of extensive metastatic lesions or extensive adhesions with surrounding organs that lead to the failure of normal organ functions; the inability to withstand high-intensity radiotherapy and chemotherapy that cause the decline of body functions, low immunity and even cachexia, or the pathological types of some tumors that are not suitable for radiotherapy and surgery, etc. Therefore, the condition of advanced tumors is complicated and the treatment is not curable. Therefore, advanced stage tumor is complicated and difficult to treat. However, advanced stage tumor is not equal to death. If doctors take active and effective treatment, it can still improve the quality of life and prolong the survival period of patients, and even some patients can still get the chance of radical treatment. In the face of advanced tumor, patients should not “sit and wait for death”, but should establish the confidence to overcome the disease and cooperate with doctors to make the treatment achieve the best effect. We believe that the treatment of advanced tumor should be based on the principle of “treating the symptoms if it is urgent, and treating the root cause if it is slow”, and the main purpose is to relieve the greatest pain and symptoms of patients, and to improve the quality of life, that is, to provide symptomatic support treatment for patients. For example, for superior vena cava syndrome, drugs, radiotherapy or stents placed in the superior vena cava are used to relieve the symptoms, and there is no need to rush to treat the primary foci; and for example, cancerous bone metastasis pain can be treated with drugs, radiotherapy and three-step therapy to relieve the pain, and there is no need to demand anti-cancerous tumor to relieve the pain. If the general condition of the patient is still acceptable, although there are extensive metastases, anti-cancer treatment can also be carried out, but try to carry out certain anti-cancer treatment that the patient can bear without increasing the patient’s pain and further damaging the immune function and anti-disease ability of the body, in order to control the tumor development, stabilize the disease and improve the quality of life. 2.To formulate reasonable and scientific comprehensive treatment plan for advanced tumor The main methods of tumor treatment include surgery, radiotherapy, chemotherapy, biological, targeted and Chinese medicine treatment, and each therapy has its own indications and limitations. Tumor is a disease that manifests locally and affects the whole body, so single treatment cannot solve all the problems, and comprehensive treatment is needed. As a matter of fact, numerous cases have proved that the combination therapy can significantly improve the near-term and long-term efficacy and the quality of patient’s survival compared with the single therapy. Comprehensive treatment is not a random combination of various therapies, nor is it a change of one therapy after the failure of another. Rather, it is a reasonable, planned and scientific comprehensive treatment plan that takes into account the biological characteristics of tumors, the early and late stages of the disease, the patient’s ability to live, and the strength and weakness of the body. This includes: the order of various therapies, the size of radiotherapy dose and duration of radiation, the choice of chemotherapy regimen and the amount of drugs, the possibility of surgery and the best time for surgery, the application of targeted and biological therapies, and the change of Chinese medicine with the prescription of radiotherapy, chemotherapy and surgery. Reasonable comprehensive treatment is based on the principle of not damaging the patient’s immunity and resistance to disease and not leaving sequelae as far as possible, and on the principle of reducing or not increasing the patient’s pain, preventing recurrence and metastasis, and improving the quality of life. Chinese and Western medicine have their own advantages and shortcomings in the treatment of advanced tumors. Chinese medicine is good at helping the righteousness, improving the immune function of the body, improving symptoms and life quality, and some data show that it can inhibit tumor recurrence and metastasis, and inhibit radiotherapy from inducing new tumors. Western medicine is good at fighting and attacking cancer, but in many cases, it significantly reduces the quality of life and damages the immune function. The organic combination of the two, complementing each other’s strengths, is better than single treatment. For advanced tumors, TCM is relatively more advantageous than Western medicine. TCM emphasizes on evidence-based treatment, which can significantly reduce the toxic side effects of radiotherapy, alleviate the symptoms of advanced tumor patients, improve the immune function, improve the quality of life, and partially prolong the survival period, etc.