How to treat recurrent colorectal cancer

Colorectal cancer is a type of cancer. Nowadays, many people suffer from cancer. Any type of cancer brings great misfortune to the family and great pain to the patient, especially colorectal cancer. If it is not treated in time, the cancer cells are likely to spread throughout the body, and the patient's life will be seriously threatened. Moreover, this disease is prone to recurrence. So how to treat colorectal cancer patients after repeated attacks?

1. Surgery

(1) The treatment plan for colon cancer is a comprehensive treatment plan with surgical resection as the main treatment. Radical resection + regional lymph node dissection is often used for patients in stages I, II and III. The scope of radical resection and the surgical method are determined according to the location of the tumor. If patients in stage IV have intestinal obstruction or severe intestinal bleeding, radical surgery is not performed for the time being. Palliative resection can be performed to relieve symptoms and improve the patient's quality of life.

(2) The basis of radical treatment of rectal cancer is surgery. Rectal surgery is more difficult than colon surgery. Common surgical methods include: transanal resection (very early stage near the anal verge), total mesorectal excision, low anterior resection, and transabdominal anal sphincter and abdominoperineal resection. For stage II and III rectal cancer, it is recommended to undergo radiation and chemotherapy before surgery to shrink the tumor and reduce the local tumor stage before radical surgery.

2. Comprehensive treatment

(1) Adjuvant chemotherapy: Oxaliplatin combined with fluorouracil (5-fluorouracil) is the current standard treatment for stage III colorectal cancer and some patients with high-risk colorectal cancer. The treatment duration is 6 months. It is suitable for patients with rectal cancer who have not received neoadjuvant radiotherapy before surgery and who need adjuvant radiotherapy after surgery.

(2) The treatment of IV colorectal cancer is mainly a comprehensive treatment plan with chemotherapy as the main treatment. Chemotherapy drugs include 5-fluorouracil, capecitabine, oxaliplatin, irinotecan, bevacizumab, cetuximab, panitumumab and other drugs. Commonly used chemotherapy regimens include: FOLFOX, XELOX, FOLFIRI, etc. On the basis of chemotherapy, targeted drug therapy (bevacizumab, cetuximab, panitumumab) can be combined as appropriate.

3. Radiation therapy

At present, the comprehensive treatment of surgery and radiotherapy has a better effect and is the most studied, including preoperative radiotherapy, intraoperative radiotherapy, postoperative radiotherapy, "sandwich" radiotherapy, etc., each with its own characteristics. Palliative radiotherapy is used for patients with advanced rectal cancer, local tumor infiltration, and those with surgical contraindications to relieve symptoms and reduce pain.

Dietary considerations for patients with colorectal cancer

(1) It is advisable to eat more foods that have anti-colorectal cancer effects, such as soft-shelled turtle, horseshoe crab, sheep's blood, quail, agar-agar, eucheuma, walnut, coix seed, arrowhead, taro, fig, water chestnut, asparagus, and carrot.

(2) For patients with tenesmus, it is advisable to eat hedgehog meat, wild boar meat, kohlrabi, taro, black plum, bayberry, fig, loofah, and bitter melon.

(3) Eat more foods that enhance immunity: tomatoes, honey, sweet almonds, carrots, asparagus, sword beans, lentils, yam, sturgeon, conger eel, pomfret, grass carp, yellow croaker, sea cucumber, shrimp, crab, lobster, shiitake mushrooms, and black fungus.

(4) It is advisable to eat more foods that have the function of expelling pus and detoxifying: loofah, wax gourd, sweet almonds, peach kernels, buckwheat, water shield, rapeseed, kohlrabi, houttuynia cordata, walnuts, thistles, snake meat, pork kidney, crow meat, crucian carp, clams, and snail meat.

The above article explains several treatment methods for colorectal cancer and dietary precautions for colorectal cancer patients. I believe it will be helpful to patients. In life, colorectal cancer patients should eat more foods that can remove pus and detoxify, and avoid smoking and drinking. In addition, they should have regular physical examinations and pay attention to their physical condition.