You must understand the treatment guidelines for gastric cancer

The incidence of gastric cancer has always been high in China, and it is also the most common malignant tumor. Since the early symptoms of gastric cancer are not particularly obvious, patients often do not receive timely treatment. Therefore, it is very important to understand the relevant knowledge of gastric cancer, especially the gastric cancer treatment guidelines .

Gastric cancer treatment guidelines include:

1. What examinations do patients with gastric cancer need to undergo before treatment? Before treatment, clinical staging and physical condition evaluation must be performed, and then the doctor will determine a complete treatment plan. Staging examinations include the following examinations: gastrointestinal tract radiography; chest anteroposterior and lateral radiographs, abdominal B-ultrasound; complete blood cell count, liver and kidney function tests, tumor marker tests; gastroscopy + pathological examination (or review of local pathological sections); abdominal CT, abdominal MRI or endoscopic ultrasound (at least one of the three must be selected).

2. Which patients can only undergo simple surgery? Pathology after surgery showed very early gastric cancer (T1N0M0). The effect of surgical treatment is very good, with a 5-year survival rate of 78%. No other treatment is needed after surgery.

3. What kind of treatment should patients who cannot undergo surgery receive? Patients who have lost the chance of surgery (the tumor is too large and closely related to adjacent organs, cannot be removed, or the tumor has metastasized to distant sites) need systemic chemotherapy or concurrent chemoradiotherapy to relieve symptoms and prolong survival. Some patients have their tumors shrunk through the above treatments, becoming surgically resectable and prolonging their survival.

4. What kind of patients need comprehensive treatment? For patients with stage II or above, including more than 6 lymph node metastases (N2); tumors penetrating the serosa (T3 or T4), postoperative concurrent chemoradiotherapy or chemotherapy may reduce postoperative recurrence and improve survival rate. For patients who have difficulty in surgical resection or cannot undergo surgical resection, preoperative chemotherapy or concurrent chemo/radiotherapy can be performed first to maximize the resection rate.

The above is the gastric cancer treatment guideline. I hope it is helpful to you. If you have any questions about the gastric cancer treatment guideline, please consult our online experts.

For more information, please visit the gastric cancer disease special topic at http://www..com.cn/zhongliu/wa/ or consult an expert for free. The expert will then give a detailed answer based on the patient's specific situation.