How to treat gastric cancer metastasis after surgery

If distant organ metastasis occurs after gastric cancer surgery, it is considered advanced gastric cancer. At this time, comprehensive treatment methods such as radiotherapy, chemotherapy or targeted drugs should be selected according to the patient's specific situation.

1. Internal irradiation with radionuclides: It can cause necrosis and apoptosis of tumor cells and inhibit their growth. It is suitable for small intestinal stromal tumors, pancreatic neuroendocrine tumors, etc.

2. Chemotherapy: Cisplatin injection combined with fluorouracil tablets is commonly used for systemic chemotherapy, which is effective for metastatic lesions in various parts of the body, such as the liver, lung, brain, bone marrow, and lymph nodes, but has significant adverse reactions and must be used under the guidance of a doctor;

3. Molecular targeted drug therapy: such as imatinib capsules, apatinib mesylate tablets, etc., can prolong the patient's survival and improve the quality of life to a certain extent;

4. Immune checkpoint inhibitors: They activate the body's anti-tumor immune system by blocking the PD-1/PD-L1 pathway, thereby killing tumors. Commonly used ones include nivolumab injection and pembrolizumab injection;

5. Auxiliary treatment with traditional Chinese medicine: According to different syndrome types, corresponding syndrome differentiation and symptomatic treatment can be given to alleviate symptoms and improve prognosis.

Palliative resection and biliary stent implantation can also be used to relieve clinical discomfort. The specific method needs to be formulated by a professional physician for an individualized plan. It is recommended that patients actively cooperate with the doctor's treatment and maintain a good attitude and lifestyle, which will help recovery.