Can adenocarcinoma be cured in the middle stage? Surgery is feasible

Pancreatic cancer, a malignant tumor disease, not only endangers our physical health, but also endangers our lives. We all know that in the early stages of pancreatic cancer, surgical treatment is necessary, which will be beneficial to the patient's early recovery. So many patients will ask, can patients with mid- and late-stage pancreatic cancer still be treated with surgery? Let's listen to the expert's explanation on this issue, hoping it will be helpful to everyone.

[Can pancreatic cancer be treated surgically in the middle stage?]

Mid-term surgical treatment of pancreatic cancer is feasible if the principles are adhered to. For pancreatic cancer that invades blood vessels, we should first clarify which blood vessel is invaded. Generally speaking, it is the portal vein. We can generally perform radical resection if the portal vein invasion range is within 7 cm. The premise is that the patient can generally tolerate the surgery.

Patients who are in good health and whose cancer cells have not metastasized should undergo pancreatic resection as soon as possible after diagnosis. For tumors located in the tail of the pancreas, the pancreatic body and tail can be simply removed; for pancreatic head cancer with a higher degree of malignancy, pancreaticoduodenectomy or total pancreatectomy can be performed according to the patient's specific situation. Invasion of the portal vein or superior mesenteric venous system is also a common condition of pancreatic cancer. In the past, it was believed that such patients could not undergo surgery; now with the development of medical technology, combined vascular resection is no longer a contraindication for pancreatic cancer surgery.

Although most pancreatic cancers cannot be radically removed when diagnosed, many patients can still reduce pain and prolong life through palliative surgery, such as biliary drainage, gastric drainage, etc., combined with chemotherapy, nutritional support and other comprehensive treatments. If the patient has no appetite, parenteral enteral nutrition support can be given first, which can be completed by placing a nasogastric tube or endoscopic gastrostomy. The effect is much better than simple oral nutritional supplementation. Chemotherapy can be performed after the nutritional status improves.

What are the best ways to prevent pancreatic cancer?

1. Start by adjusting your diet. Avoid eating burnt or charred foods, and eat less high-fat, high-oil, and high-salt foods, which can reduce the incidence of pancreatic cancer by more than 2/3. In your daily diet, you should also pay attention to keeping whole grains such as cereals, beans, and sweet potatoes as the main part of your diet. Fresh vegetables and fruits are essential every day. Add fiber, carotene, vitamin E, and necessary minerals to your diet.

2. The first step to prevent pancreatic cancer is to have a regular life. Some people are busy with work and are not very careful about their meals, but they overeat during holidays. The consequence is that mild cases may cause indigestion and abdominal distension, and severe cases may cause acute pancreatitis, which may even be life-threatening and lay the seeds for pancreatic cancer. Studies have shown that excessive eating in early life promotes development and maturation, while excessive eating after maturity can increase the incidence of certain degenerative diseases, thereby shortening life. Therefore, restricting diet moderately throughout life is the secret to longevity, and eating eight-tenths full at each meal is the fundamental way to prevent "cancer caused by eating."

3. Participate in appropriate physical activities, avoid being overweight and obese, and control the intake of animal foods such as meat and fats to prevent pancreatic cancer. Drink in moderation, control salt intake, reduce social activities, and resolutely put an end to overeating. Eat a light diet and don't eat too much.

The above are the methods to prevent pancreatic cancer. First of all, we must pay attention to our diet in daily life, make good adjustments, eat more fresh vegetables and fruits, don’t eat too much meat, develop good living habits, have a regular work and rest schedule, and proper physical exercise can enhance resistance and effectively stay away from pancreatic cancer.