Surgery is the first choice for treating esophageal cancer!

Esophageal cancer, also known as esophageal cancer, is a malignant tumor that occurs in the esophageal epithelial tissue, accounting for 2% of all malignant tumors. About 220,000 people die from esophageal cancer every year in the world. my country is a high-incidence area for esophageal cancer, and the number of deaths from esophageal cancer ranks second only to gastric cancer. Most people are over 40 years old, and there are more men than women. However, in recent years, there has been an increasing trend in the number of people under 40 years old. So let's learn about the treatment methods of esophageal cancer.

The proliferation cycle of normal esophageal epithelial cells is the longest in the human digestive tract. It takes about 1 to 2 years for esophageal basal cells to change from severe hyperplasia to cancer. It usually takes 2 to 3 years, or even longer, for early esophageal cancer (cancer cells are found in cytological examination, but X-ray esophageal mucosal angiography is normal or only has mild lesions) to become advanced invasive cancer. Some cases can even "live with cancer" for more than 6 years. Therefore, the early treatment of esophageal cancer is effective. Even if you fall ill in the late stage, if you treat it properly, you can turn for the better. Generally, surgical treatment is suitable for earlier lesions; for later lesions, and those who are located in the middle and upper segments and are young and tall or have contraindications to surgery, radiotherapy is preferred.

Surgical treatment: Surgery is the first choice for the treatment of esophageal cancer. The surgical resection rate of lower segment cancer is 90%, that of middle segment cancer is 50%, and that of upper segment cancer is 56.3% to 92.9% on average.

Contraindications for surgery are: ① Clinical X-ray and other examinations confirm that the esophageal lesions are extensive and involve adjacent organs, such as the trachea, lungs, mediastinum, aorta, etc. ② Patients with severe cardiopulmonary or liver and kidney dysfunction or cachexia who cannot tolerate surgery. Except for the above situations, once the diagnosis is confirmed and the physical condition allows, surgical treatment should be taken. In addition, according to the condition, it can be divided into palliative surgery and radical surgery. Palliative surgery is mainly for patients in the late stage who cannot be cured or after radiotherapy. In order to solve the problem of eating difficulties, esophagogastric diversion, gastrostomy, esophageal catheterization, etc. are used. Radical surgery depends on the site of the lesion and the specific situation of the patient. In principle, most of the esophagus should be removed, and the range of esophageal resection should be at least 5 cm away from the tumor.

The above is the surgical treatment method for esophageal cancer. Expert Tips: If you have symptoms of disease, do not delay diagnosis and go to a regular hospital for treatment in time to avoid delaying the disease and causing serious consequences. If you have other questions, please consult our online experts or call for consultation. I wish you health and happiness!

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