Esophageal cancer treatmen

Treatment of early esophageal cancer should be using surgery, radiotherapy and chemotherapy, a combination of Chinese medicine treatment of combined modality therapy, we should use traditional Chinese medicine in the late conservative treatment.
First, the surgical treatment
1. Major surgery: Surgery is the preferred method of treatment of early esophageal cancer. Once diagnosed patients with esophageal cancer, physical conditions that should be taken to allow surgery. According to the disease can be divided into two kinds of palliative surgery and radical surgery. Mainly to the late palliative surgery or radiotherapy can not cure patients, to address the use of esophageal and gastric feeding difficulties bypass, gastrostomy, esophageal lumen catheter technique and so on. Radical surgery and patients according to lesion specific circumstances. Most of the principles of the esophagus should be removed, esophageal resection should be at least 5cm away from the tumor or more. Lower cancer resection rate of 90%, middle 50% of cancer in the previous paragraph the average rate of cancer surgery in 56.3% to 92.9%.
Contraindication to surgery ① examination confirmed the clinical x lines and involving a wide range of esophageal lesions adjacent organs, such as the trachea, lung, mediastinum, aorta and so on. ② with severe heart and lung or liver and kidney dysfunction or cachexia can not tolerate surgery.
2. Small surgery: general clinical recommendations for patients with advanced (almost can not swallow the patients) were placed stents, this a small operation to a small bracket into the lesion site, expanding the expansion of the esophagus (ps: instant distraction will pain) in order to allow patients to eat to achieve, but this can only be a short-term continuation of life for patients who can no longer be surgery to remove the price probably about 1W, local prices are not the same as if the family economic conditions permit, This approach can extend the life of a certain period.
Second, radiation therapy
Radiotherapy indication wide, in addition to the formation of esophageal perforation esophageal fistula, distant metastasis, cachexia obvious, severe heart, lung, liver and other diseases, radiation therapy may be OK.
1) Indications:
(1) the patient usually in the middle above;
(2) lesion length of not more than 8cm appropriate;
(3) No supraclavicular lymph node metastasis, silent with paralysis, no distant metastasis;
(4) to enter semi-liquid food or general food;
(5) no signs of perforation before ※, no significant thoracodorsal pain;
(6) should cytology or pathology diagnosis, especially the superficial type of esophageal cancer.
※ Note: The signs of esophageal perforation ago: ① spikes stand out: the lesion-like spines prominent, small in size as burr, and the larger, such as wedge-shaped; ② Kanying form: a large ulcer; ③ diverticulum degeneration: the formation and general similar to esophageal diverticulum, occurs in radiotherapy; ④ twisted angle: take the line loss of normal esophageal wall, it seems like the long bone fracture dislocation; ⑤ mediastinitis: mediastinal shadow widening, increased body temperature, pulse accelerated, thoracodorsal pain. Perforation prognosis is poor, most patients die within a few months.
2) radiation dose and time: Usually irradiated tumor volume 60Gy ~ 70Gy / 6 ~ 7 weeks.
3) The reaction of external irradiation
(1) esophageal response: exposure to the tumor volume of 10 ~ 20Gy / 1 ~ 2 weeks, the esophageal mucosal edema, can aggravate dysphagia, generally may not be handled, exposure amounted to 30 ~ 40Gy / 3 ~ 4 weeks, can produce swallow pain and chest pain, symptomatic treatment should be.
(2) airway reaction: cough, mostly dry cough, sputum less.
4) complications
(1) hemorrhage: incidence of about 1%. Should be in the choice of patients, those with significant ulcers, especially those with burr-like prominent deep ulcer, should be particularly careful to reduce the radiation dose each time, extending the total treatment time, the radiation process, should always observe the X-ray barium meal .
(2) perforation: incidence rate of about 3%, can penetrate the trachea to form a fistula or go into the mediastinum, causing mediastinal inflammation.
(3) radioactive myelopathy: radiological spinal cord disease is the head, neck, breast cancer radiation therapy of serious complications. Incubation period after irradiation more than 1 to 2 years.
Third, traditional Chinese medicine
Chinese medicine, the root of the pathogenesis of esophageal cancer is weak and yang, the body function decline, treatment should be the main strong yang Qi, support healthy practices, enhance the body function, so the treatment should reflect the main square principle of Chinese medicine treatment. On esophageal cancer in different sub-license, drug legislation has also come to another. But the rule of total separated from liver and gas law, Jiangni circulation, blood circulation, Endometriosis, righting the training, the Health and body fluid, heat and detoxifying, anti-cancer pain, yang qi and so on.
(A) the prescription: medical treatment in China has been relatively Western, dominant negative role of non-herbal, and more and more accepted in the West, Chinese herbal therapy for esophageal cancer or relative security and safety, regardless of scientific research results or Folk-known prescription.
Such as: Fujian Zhou Chinese family, Zhoushi Qing, Zhou Shixi, etc., governing the esophagus prescription to "eliminate choke casual": Sanjie eliminate disease, cancer Kai phrenic
(B) Chinese medicine treatment of esophageal cancer should be surgery, radiotherapy and chemotherapy combined therapy. TCM is a very important part of medicine which has a dose of composition and stability, easy to take advantage of effective and convenient.
(C) Differential Treatment of Chinese Medicine
1. Qi stagnation
Main symptoms: the performance of early esophageal cancer, no significant dysphagia, only a sense of the esophagus during swallowing stop choking, foreign body sensation or burning pain, chest discomfort and back of the sink tightly depressed feeling, when the sink when swallowing implicit negative sense. X-ray examination mainly for early esophageal cancer lesions. Pale dark, thin white fur, pulse string.
Governing Law: Liver qi, yang qi, Fuzhengyiliu.
2. Terrier choke type
Main symptoms: symptoms of simple, mild adverse stem choking or swallowing. X-rays are mostly early and mid-medullary, fungating esophageal cancer. Tongue is dark blue, yellow and white fur, pulse string.
Governing Law: Consumer choke San: cancer Sanjie Jiangni qi, yang righting.
3. Yin yang bad dry
Main symptoms: late stage of disease, dysphagia, near obstruction, Oue gas inverse, body weight loss, shortness of breath, fatigue, Fanre dry lips, dry stool, such as feces, dark purple-red tongue, thin, little or no moss moss lack chun , there are dry and cracked yellow and black moss those small weak pulse breakdown or sink.
Governing Law: Consumer choke San: prolong life, AIDS yin yang, nourishing Qi.
Chinese herbal medicine is currently treatable cancer, cardiac and gastric cancer caused by food choking down food, phlegm constantly, that is spit into the food, food regurgitation, dysphagia, weight loss, hoarseness, chest tightness, fatigue, pain and other lesions of different reflex Symptoms have good results.
IV esophageal cancer prescription medicine, books, famous
1, the prescription to "eliminate choke scattered" in the southern Fujian and Taiwan are in great risk of esophageal cancer related to oral spleen, due to the special nature of its system of law, and cited several drugs increasingly scarce natural flavor. Drugs by patients as the singular.
Part of the side solutions: eliminate choke scattered four times a day to take in January, and traditional Chinese medicine decoction of 30, symptoms improved after the service, smooth stool, increased appetite, and even served in March, the esophageal tube on the normal expansion of the lower well has been able to participate in the activities, operations support and supplement the diet.
2, old books <<difficult Sutra "> Abstract:
"Governance choke (esophageal cancer), their drugs, however offensive, consumption, casual, and fill method, the four only, where the firm Yege gas facts, then simmer disperse with the attack, such as the bear attack, the use of insurance in scattered, scattered elimination of edge protection, if the invisible gas together those scattered row of grinding, and Four of loose powder, if the potential volume swelling of the liver can not do it slowly and attack those who make, should be mainly spleen and stomach, if the spleen and kidney deficiency, gas transport loss of, the management should be warm frying, frying temperature and make up the mysterious, where the product of hard, will be in Ye Ge, the screen between the original, non-best to the drug, and so should be scattered A Shengwei
3, the famous: Fujian Zhoushi Xi, the magnitude Hailing Yao