Pay attention to gastric carcinoma Internal and external general knowledge of giving consideration to
Gastric carcinoma is the human body most common malignant tumour. The statistics show, its morbidity accounts for 1/4 of all tumours in our country, occupy the first place, the patient who dies of gastric carcinoma has already exceeded 310,000 every year in the whole country.
Early gastric carcinoma does not have more obvious symptoms, the later period in the majority has already belonged to when the patient went to a doctor by oneself, it is really lucky if can or go to a doctor in middle period in early days. Survival rate is 8%- 11% in 5 when gastric carcinoma is total, the radical cure operation rate of the early gastric carcinoma is 90%- 100% at present, the survival rate of 5 years after the operation reaches 90%- 99%. But difficult to find because of early gastric carcinoma, it is very necessary to improve the discovery rate of the early gastric carcinoma by health education and general survey, in the hope of treating in early days. According to the experience of domestic and foreign expert and clinician, the great vigilance that should cause people when present the following clinical symptom:
Symptom that most gastric carcinoma patients have stomach to pain in initial stage of having illness coming on that stomach pains, begin to only feel the discomfort of upper abdomen or heavy sense of swelling, pit of the stomach department has a pain indistinctly sometimes, often considered by mistake to be gastritis or ulcer and treat, symptom may be relieved temporarily. If pathological change take place in the intersection of stomach and sinus portion, can take place duodenum function change, rhythm pain appears, similar to symptom of ulcer, was often ignored, was not paid attention to until it is black to even present pain of continuation or spitting blood in the development of condition, and often already got in the later period of cancer and lost and cured the chance at this moment. So people must watch out for the intersection of stomach and the intersection of pain and this, have the intersection of gastric carcinoma and early signal of particularity while being common, seek medical advice in time.
The appetite fails, becomes thin, weak this is that one group is common and lacking the specific early signal of gastric carcinoma too. It may be the early symptom of gastric carcinoma that the appetite fails, and does not accompany painful symptom of the stomach, should cause the attention particularly when appear and can get rid of hepatitis with stomachache symptom at the same time. Some patients limit the daily diet automatically because of presenting abdominal distension, belch after eating, cause the weight to drop and become thin, weak.
Sick vomiting early symptom of gastric carcinoma can present the glutted sense after eating and with slightly sick. Cardia portion tumour begin, can present, take food suitably, develop into, swallow difficulty progressively and food return to shed. Stomach sinus cancer further develops and can present vomiting because of pyloric stenosis.
This symptom can present at gastric carcinoma in early days to have blood in one's stool, the manifestation of a small amount of stomach internal haemorrhage is that stool occult blood is positive, the bleeding amount can present spittinging blood and black piss a long time. The elderly without stomach trouble and illnessing, the black possibility that should watch out for gastric carcinoma even more once appear.
In addition diarrhoea, constipation, the intersection of stomach and the intersection of underpart and discomfort, lay one's hand on, pigeonhole the upper abdomen, have dark tenderness and slight nervous skin, can also be regarded as the early signal of gastric carcinoma.
All these are " In the stomach " The question that pathological change causes, but not obvious to gastrointestinal symptom, " outside the stomach " Shown as gastric carcinoma of the main fact, vigilance is not high, it is insufficient to know, it is easy to be ignored and caused delay.
Gastric carcinoma " Outside the stomach " It issues to be as follows, mainly now for the first time Shift and headed by publishing the literature report now with the ovary, the ovary takes place to shift in gastric carcinoma and in order to shift the cooking stove and headed by issuing now person, accounts for 43.6% of gastric carcinoma patients of women. Clinical manifestation suffer from abdominal pain for being acute more, menoxenia, the lower abdomen charters piece,etc., but gastrointestinal symptom is not obvious. The gastric carcinoma ovary is shifted and shifted the cooking stove and headed by issuing now person with the ovary and taken place to menopause earlier stage or young women more. Both sides ovary many to give much trouble at the same time, ovary increase, make membrane to be intact, the tangent plane presents entity or mucus kind, can partly secrete estrogen, so have and often demonstrate all kinds of menoxenia clinically. It is apt to misdiagnose it for simple ovarian tumour.
Shift and headed by issuing the shifting rate of liver of gastric carcinoma now as 45.9% - 46.5% with the liver. The liver shifts and relates to type on the whole of gastric carcinoma, such as the liver of umbrella type gastric carcinoma of the gill fungus is shifted, the tubercle gill fungus umbrella type is 47.8%, the discal gill fungus umbrella type is 38%, higher than the soaking type. The liver has a relation to shift the histologic type with gastric carcinoma too, such as the cancer liver of gland of papilla is shifted most, it is 66.7%, India gives up the liver of cell cancer to shift minimumly. Liver shift image learn, check often for occur frequently the intersection of venereal disease and cooking stove, come loose, distribute, round in shape, know at the border. AFP checks for being too negative, much to behave with hepatopathy such as chronic hepatitis and liver cirrhosis.
Or gastric carcinoma can drive in the wrong direction, shift lymph node at clavicular Left deviation by the intersection of chest and conduit later period, or transfer to umbilicus week through the round ligament of liver. Can nest or umbilicus lay one's hand on and swelling, smooth, tough such as stone, and surrounding tissue adhesion and fixed cancer nature tubercle week at clavicular left when the physical examination Symptom or physical sign that it may be found at first for clinic too, and then just chase and find gastric carcinoma.
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