Colorectal Cancer Treatment
, 1
[] Oral Prescription: Sunburn Astragalus, the Health and TGP, dangshen all 15 g, Chinese angelica, the Tetrahydropalmatine 12 g, Chuan Lianzi, Banxia the 9 g, Citrus, Zhigancao, costunolide the 6 g, Jiang-3 g.
External Application: frankincense, safflower all 6 g, TPG, Taoren, the Health Cyperus rotundus 12 g, ferulic 4.5 g. Ximo a total of inquiry.
[] Indication of colon cancer. Abdominal pain, to be poor, the quality dilute Bu Chengxing, Xing Shou-Wei; Tongue thin deflated, the clock string slip. Qizhixueyu is certified, drug-stasis condensate, evil hot-sheng, who upright failure.
[Use], medication Shui Jianfu, a daily one. External Yaomo tune into a paste with honey deposited it hurts, topical gauze fixed, the dressing was changed every 24 hours.
, 2
[Drugs] dangshen, Dendrobium, Ophiopogon japonicus, Bo Ziren, Fu Shen, Sang cuttlebone, Raspberry, dodder, the psoralen 9 g, astragalus, all night cross vine 15 g, Citrus, ginger Banxia the 6 g, Amomum villosum 1.5 g.
[Indications] after colon cancer metastasis. Blood in the stool, chest tightness Pan-evil, abdominal distention Nadai, Tang thin stool, night sweats, the more thirsty to drink, Houjian more present phlegm, weight loss fatigue, low heat.
[Use] Shui Jianfu, a daily one.
, 3
[Drugs] Pseudostellaria heterophylla, Dendrobium, cockroaches, Guya, malt all 12 g, Coke Baizhu, Fuling the 9 g, Zhigancao, even all-3 g, Wei costunolide 4.5 g, Hedyotis diffusa 30 g, Long Kwai 18 g, bergamot 6g.
[] Indications of colon cancer after surgery. Then, it Tang, Nadaishenpi, Moss Baini, the clock virtual fine.
[Use] Shui Jianfu, a daily one.
, 4
[Prescription: 1.80-gold, the Health and Hawthorn 12 g, see-through, Hill arrowhead, August Zarqawi, astragalus, all Caulis Spatholobi 30 g, Patrinia grass, dangshen, Salvia all 15 g, rhubarb 6 g, Fructus Aurantii 10 g .
[Indications] advanced rectal cancer.
[Use] Shui Jianfu, a daily, 30 days for a course of treatment.
Colorectal Cancer Treatment
2008-07-14
How early detection of colorectal cancer »
In order to early detection of colorectal cancer, colorectal cancer rather than the common symptoms of senile mistaken for a gastro-intestinal disorder, or mistakenly believe that enteritis caused by dysentery, and so on. The elderly, it is important to note the following symptoms:
(1) of unknown causes or the sustainability of the attack abdominal pain, abdominal distention and abdominal discomfort.
(2) the elderly often have a habit of constipation, fecal three to five days time, the recent significant increase constipation, chronic diarrhea or show, in particular, alternating constipation and diarrhea, more vigilance from the elderly.
(3) defecation poor, small bowel change, the feeling of not ranked, with mucus in the feces and Nong Xue.
(4) hit the lower abdomen stuck mass. When elderly patients with newly diagnosed abdominal mass to reach about 60 percent.
(5) of unknown causes of weight loss, fatigue, anorexia, chronic anemia, and so on.
In short, the elderly if one or more of the above symptoms, should be timely to the hospital for further checks to rule out the possibility of suffering from colorectal cancer. After rectal examination, fiber colonoscopy, barium enema X-ray imaging, pathological examination of tissue cells, about 90% to 100% of the patients can be diagnosed. If done early diagnosis and early treatment can greatly improve the elderly patients with colorectal cancer five years, the survival rate of 10.
(1) of unknown causes or the sustainability of the attack abdominal pain, abdominal distention and abdominal discomfort.
(2) the elderly often have a habit of constipation, fecal three to five days time, the recent significant increase constipation, chronic diarrhea or show, in particular, alternating constipation and diarrhea, more vigilance from the elderly.
(3) defecation poor, small bowel change, the feeling of not ranked, with mucus in the feces and Nong Xue.
(4) hit the lower abdomen stuck mass. When elderly patients with newly diagnosed abdominal mass to reach about 60 percent.
(5) of unknown causes of weight loss, fatigue, anorexia, chronic anemia, and so on.
In short, the elderly if one or more of the above symptoms, should be timely to the hospital for further checks to rule out the possibility of suffering from colorectal cancer. After rectal examination, fiber colonoscopy, barium enema X-ray imaging, pathological examination of tissue cells, about 90% to 100% of the patients can be diagnosed. If done early diagnosis and early treatment can greatly improve the elderly patients with colorectal cancer five years, the survival rate of 10.
The precancerous colon cancer prevention
Should actively colorectal cancer prevention and treatment of precancerous lesions of the colon adenomatous polyposis, in particular the family of multiple polyposis colon should be removed early lesions, and to control schistosomiasis, dysentery, chronic ulcerative colitis and other intestinal inflammation. Attention to diet structure, to avoid高脂肪饮食, eating more fiber-rich foods, pay attention to maintaining open defecation. High-risk population of middle-aged and above regular fecal occult blood test, digital rectal and colon endoscopy attending the census, may be early detection of colorectal and colon cancer effective way.
Internal reports, confirmed by the Organization of the patients with colorectal cancer, without effective treatment, the natural course of an average of 9.5 months. The prognosis of the disease depends on early diagnosis and radical surgery. As early colorectal cancer and more asymptomatic, the majority of patients diagnosed, the session has been advanced, colorectal cancer after radical five-year survival rate was only 50.21 percent. Prognostic factors:
(1) of the cancer cell differentiation levels: low degree of differentiation, poor prognosis.
(2) age of onset: young patients poor prognosis than older patients.
(3) wall depth of invasion and lymph node metastasis: Early colorectal cancer who have lymph node metastasis, and poor prognosis.
(4): Colorectal week Drive extensive involvement, have had
Should actively colorectal cancer prevention and treatment of precancerous lesions of the colon adenomatous polyposis, in particular the family of multiple polyposis colon should be removed early lesions, and to control schistosomiasis, dysentery, chronic ulcerative colitis and other intestinal inflammation. Attention to diet structure, to avoid高脂肪饮食, eating more fiber-rich foods, pay attention to maintaining open defecation. High-risk population of middle-aged and above regular fecal occult blood test, digital rectal and colon endoscopy attending the census, may be early detection of colorectal and colon cancer effective way. Internal reports, confirmed by the Organization of the patients with colorectal cancer, without effective treatment, the natural course of an average of 9.5 months. The prognosis of the disease depends on early diagnosis and radical surgery. As early colorectal cancer and more asymptomatic, the majority of patients diagnosed, the session has been advanced, colorectal cancer after radical five-year survival rate was only 50.21 percent.
Prognostic factors:
(1) of the cancer cell differentiation levels: low degree of differentiation, poor prognosis.
(2) age of onset: young patients poor prognosis than older patients.
(3) wall depth of invasion and lymph node metastasis: Early colorectal cancer who have lymph node metastasis, and poor prognosis.
(4): Colorectal week Drive extensive involvement, have had
Obstruction, 5-year survival rate generally only half of those without obstruction. There intestinal bleeding, perforation, purulent peritonitis, and other complications, poor prognosis.
Internal reports, confirmed by the Organization of the patients with colorectal cancer, without effective treatment, the natural course of an average of 9.5 months. The prognosis of the disease depends on early diagnosis and radical surgery. As early colorectal cancer and more asymptomatic, the majority of patients diagnosed, the session has been advanced, colorectal cancer after radical five-year survival rate was only 50.21 percent. Prognostic factors:
(1) of the cancer cell differentiation levels: low degree of differentiation, poor prognosis.
(2) age of onset: young patients poor prognosis than older patients.
(3) wall depth of invasion and lymph node metastasis: Early colorectal cancer who have lymph node metastasis, and poor prognosis.
(4): Colorectal week Drive extensive involvement, have had
Should actively colorectal cancer prevention and treatment of precancerous lesions of the colon adenomatous polyposis, in particular the family of multiple polyposis colon should be removed early lesions, and to control schistosomiasis, dysentery, chronic ulcerative colitis and other intestinal inflammation. Attention to diet structure, to avoid高脂肪饮食, eating more fiber-rich foods, pay attention to maintaining open defecation. High-risk population of middle-aged and above regular fecal occult blood test, digital rectal and colon endoscopy attending the census, may be early detection of colorectal and colon cancer effective way. Internal reports, confirmed by the Organization of the patients with colorectal cancer, without effective treatment, the natural course of an average of 9.5 months. The prognosis of the disease depends on early diagnosis and radical surgery. As early colorectal cancer and more asymptomatic, the majority of patients diagnosed, the session has been advanced, colorectal cancer after radical five-year survival rate was only 50.21 percent.
Prognostic factors:
(1) of the cancer cell differentiation levels: low degree of differentiation, poor prognosis.
(2) age of onset: young patients poor prognosis than older patients.
(3) wall depth of invasion and lymph node metastasis: Early colorectal cancer who have lymph node metastasis, and poor prognosis.
(4): Colorectal week Drive extensive involvement, have had
Obstruction, 5-year survival rate generally only half of those without obstruction. There intestinal bleeding, perforation, purulent peritonitis, and other complications, poor prognosis.
How to use diet to prevent colon cancer »
(1) Qingchao bitter gourd
[Materials] Banjin bitter gourd, a ginger, green onions 1.
[Law] system to wash-Qiesi bitter gourd, ginger washed Qiesi, onions washed segments. And then use lard Qiguo, Baoxiangjiangcong, and bitter gourd Luechao, Fang Yan seasonings, with the volume of consumption or Zuoshan.
(2) fungus Fuzhu rapid rabbit meat
[Materials] Auricularia 15 g, Fuzhu one, rabbit meat 350 g, ginger 2.
[Law] fungus-soaked washed Fuzhu soft foam segments; rabbit meat cuts, ginger slices. From Youguo, rabbit meat, Fasciolopsiasis slightly explosions, plus adequate water to keep fungus, Fuzhuwenhuo cooked rice, seasonings top, with the volume of consumption or Zuoshan.
(3) mushroom bean glutinous rice brewing Zhuchang
[Materials] pig colon about 50 cm, mung bean Banbei, Donggu 3, glutinous rice 1 / 4 cup (according to the size of pig colon quantitative)
[System] ① of mung bean, washed glutinous rice soaked for three hours, Donggu washed Baptist soft cut fine-grained, colorectal salt wash. ② will mung beans, rice, seasonings拌匀Donggu tablets, Zhu Chang into the meat (do not loaded too full) with colorectal Zhajin line at both ends. ③ the pig colon with good tile Add to pan, cook and clean water suitable two hours, took out Qiehou films, plus seasoning Euryale ferox to eat.
[Materials] Banjin bitter gourd, a ginger, green onions 1.
[Law] system to wash-Qiesi bitter gourd, ginger washed Qiesi, onions washed segments. And then use lard Qiguo, Baoxiangjiangcong, and bitter gourd Luechao, Fang Yan seasonings, with the volume of consumption or Zuoshan.
(2) fungus Fuzhu rapid rabbit meat
[Materials] Auricularia 15 g, Fuzhu one, rabbit meat 350 g, ginger 2.
[Law] fungus-soaked washed Fuzhu soft foam segments; rabbit meat cuts, ginger slices. From Youguo, rabbit meat, Fasciolopsiasis slightly explosions, plus adequate water to keep fungus, Fuzhuwenhuo cooked rice, seasonings top, with the volume of consumption or Zuoshan.
(3) mushroom bean glutinous rice brewing Zhuchang
[Materials] pig colon about 50 cm, mung bean Banbei, Donggu 3, glutinous rice 1 / 4 cup (according to the size of pig colon quantitative)
[System] ① of mung bean, washed glutinous rice soaked for three hours, Donggu washed Baptist soft cut fine-grained, colorectal salt wash. ② will mung beans, rice, seasonings拌匀Donggu tablets, Zhu Chang into the meat (do not loaded too full) with colorectal Zhajin line at both ends. ③ the pig colon with good tile Add to pan, cook and clean water suitable two hours, took out Qiehou films, plus seasoning Euryale ferox to eat.
Colorectal cancer complications
Perforation of the colon cancer
1. Pathological changes and clinical performance
(1) acute peritonitis-piercing: Its characteristics are a result of colon cancer and abdominal perforation of the same, the gap larger, a lot of logistics to the contents of the colon causing acute abdominal diffuse peritonitis, clinical, in patients with acute perforation of the former frequently have varying degrees Low of obstruction, abdominal pain, abdominal distention and stop defecation, such as the precursor symptoms of abdominal asymmetry that intestinal type, the entire abdominal tenderness, muscle tension.
(2) sub-acute abscess-piercing: pathology on the perforation often occurred in the primary tumor site, but no colonic obstruction there. Often due to the continuous growth of tumors, the Department of Nutrition obstacles Cancer Center, in necrosis, Po Kui, the same loss and abdominal cavity. Due to perforation of small tumor proximal lumen without obstruction, mesocaval pressure is not high, the colon into the abdominal cavity and less relief, the surrounding tissue adhesion formation of local parcels of abscess or inflammatory mass. Clinical patients early in the perforation of the acute abdomen often without clinical manifestations, such as abdominal abscess formation, there may be limitations in patients with abdominal pain, persistent high fever, elevated blood, abdominal tenderness obviously touched the masses.
(3) chronic perforation of the colon fistula: the invasive growth of colon cancer to surrounding tissue and adjacent organ involvement with the adhesion of the primary cancer tumor necrosis, shedding. When penetrating perforation adjacent organ involvement, the formation of various types of colon fistula, a common clinical organ fistula for colon ileum fistula, colon jejunum fistula, colon and duodenum fistula guitar gastrointestinal fistula.
2. Treatment
(1) the treatment of acute peritonitis perforation: perforation of the colon cancer caused by peritonitis, piercing a short time, in three to four hours within the short period of time before the active preparations for the operation, should seek to focus the tumor resection and perforation. Such as patients with critical condition, abdominal perforation after serious pollution or with shock and can not tolerate more surgery, will stage Ⅰ stoma, peritoneal drainage, Ⅱ period tumor resection anastomosis suitable.
(2) perforation abscess formation of colon cancer treatment: right colon and proximal transverse colon perforation caused by the abscess to Phase I tumor resection anastomosis is feasible, remote transverse colon and left colon perforation caused by the abscess should be preferred Hartman's surgery, If the patient re-poisoning symptoms. Abscess drainage and then to first stage Ⅱ tumor resection anastomosis suitable.
(3) of colon cancer, fistula treatment: This type of colon cancer because of the non-perforated acute clinical process, in general do not have to deal with emergency surgery, should be fully prepared before the case of elective surgery for stage Ⅰ radical surgery or cancer Resection.
(C) anorectal cancer is bleeding under one of the major causes gastrointestinal bleeding, according to the rate of bleeding and clinical divided into three types, acute bleeding, bleeding dominant and recessive bleeding. Anorectal cancer of the lower gastrointestinal bleeding caused by the treatment of two aspects, one for the control of bleeding, and the other for their own causes cancer treatment. Shall, in accordance with the hemorrhagic type, tumor patients and the general situation in the areas of integrated consider, as appropriate, individually or two at the same time take into account the implementation.
1. Pathological changes and clinical performance
(1) acute peritonitis-piercing: Its characteristics are a result of colon cancer and abdominal perforation of the same, the gap larger, a lot of logistics to the contents of the colon causing acute abdominal diffuse peritonitis, clinical, in patients with acute perforation of the former frequently have varying degrees Low of obstruction, abdominal pain, abdominal distention and stop defecation, such as the precursor symptoms of abdominal asymmetry that intestinal type, the entire abdominal tenderness, muscle tension.
(2) sub-acute abscess-piercing: pathology on the perforation often occurred in the primary tumor site, but no colonic obstruction there. Often due to the continuous growth of tumors, the Department of Nutrition obstacles Cancer Center, in necrosis, Po Kui, the same loss and abdominal cavity. Due to perforation of small tumor proximal lumen without obstruction, mesocaval pressure is not high, the colon into the abdominal cavity and less relief, the surrounding tissue adhesion formation of local parcels of abscess or inflammatory mass. Clinical patients early in the perforation of the acute abdomen often without clinical manifestations, such as abdominal abscess formation, there may be limitations in patients with abdominal pain, persistent high fever, elevated blood, abdominal tenderness obviously touched the masses.
(3) chronic perforation of the colon fistula: the invasive growth of colon cancer to surrounding tissue and adjacent organ involvement with the adhesion of the primary cancer tumor necrosis, shedding. When penetrating perforation adjacent organ involvement, the formation of various types of colon fistula, a common clinical organ fistula for colon ileum fistula, colon jejunum fistula, colon and duodenum fistula guitar gastrointestinal fistula.
2. Treatment
(1) the treatment of acute peritonitis perforation: perforation of the colon cancer caused by peritonitis, piercing a short time, in three to four hours within the short period of time before the active preparations for the operation, should seek to focus the tumor resection and perforation. Such as patients with critical condition, abdominal perforation after serious pollution or with shock and can not tolerate more surgery, will stage Ⅰ stoma, peritoneal drainage, Ⅱ period tumor resection anastomosis suitable.
(2) perforation abscess formation of colon cancer treatment: right colon and proximal transverse colon perforation caused by the abscess to Phase I tumor resection anastomosis is feasible, remote transverse colon and left colon perforation caused by the abscess should be preferred Hartman's surgery, If the patient re-poisoning symptoms. Abscess drainage and then to first stage Ⅱ tumor resection anastomosis suitable.
(3) of colon cancer, fistula treatment: This type of colon cancer because of the non-perforated acute clinical process, in general do not have to deal with emergency surgery, should be fully prepared before the case of elective surgery for stage Ⅰ radical surgery or cancer Resection.
(C) anorectal cancer is bleeding under one of the major causes gastrointestinal bleeding, according to the rate of bleeding and clinical divided into three types, acute bleeding, bleeding dominant and recessive bleeding. Anorectal cancer of the lower gastrointestinal bleeding caused by the treatment of two aspects, one for the control of bleeding, and the other for their own causes cancer treatment. Shall, in accordance with the hemorrhagic type, tumor patients and the general situation in the areas of integrated consider, as appropriate, individually or two at the same time take into account the implementation.
The differential diagnosis of colorectal cancer
(1) Hemorrhoid: rectal cancer is often mistaken for hemorrhoids, and more generally for hemorrhoids painless bleeding, fresh color is not mixed with feces and blood in the stool of patients with colorectal cancer is often accompanied mucus and rectum stimulate the symptoms, sigmoid colon and rectal examination - Examination can be identified.
(2) amebic colitis: When evolved into a chronic disease, ulcers at the bottom of granulation tissue proliferation and proliferation around the fibers so that the bowel wall thickening, mesocaval narrow, easily misdiagnosed as cancer, the biopsy should be made at this time.
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(3) intestinal tuberculosis: age of onset lighter, more than any other organ past history of tuberculosis, on the back to the good of the Blind. However, proliferative intestinal tuberculosis, because a large number of tuberculous granuloma and fibrous tissue proliferation, the intestinal wall thickening, hardening, easily confused with blind colorectal cancer, a biopsy must be a clear diagnosis, x-barium examination, the lesion can be found Jire phenomena or jumping phenomenon, in the diagnosis of help.
(4) limitations enteritis: occurs in young people, a common abdominal pain, diarrhea, fever, weight loss, anemia, anorexia, nausea, vomiting, abdominal mass and fistula formation, and other symptoms and signs, the x barium meal and fiber colon Mirror can be identified.
Mr Green in the letter of request
(5) chronic bacillary dysentery: The patient may be in the abdominal pain, diarrhea, it rarely Nongxue, mild Lijihouchong, the stool culture, barium enema and endoscopy, it is not difficult to make the diagnosis.
(6) ulcerative colitis: Posi symptoms of chronic bacillary dysentery, but there are recurrent history of negative stool culture, sigmoid colon examination that was fine granular mucosal changes, vascular texture disappeared, with red and oval-shaped congestive small ulcer, Regular review of its surface with the yellow and white exudation of serious cases of irregular large ulcers.
Nutritional diet diet
(7) Other: If Hua Liu of the lymphatic granuloma, rectal endometriosis, Yandeng colonic diverticulitis, with symptoms and signs, x-check and fiber colonoscopy form of Kam.
(2) amebic colitis: When evolved into a chronic disease, ulcers at the bottom of granulation tissue proliferation and proliferation around the fibers so that the bowel wall thickening, mesocaval narrow, easily misdiagnosed as cancer, the biopsy should be made at this time.
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(3) intestinal tuberculosis: age of onset lighter, more than any other organ past history of tuberculosis, on the back to the good of the Blind. However, proliferative intestinal tuberculosis, because a large number of tuberculous granuloma and fibrous tissue proliferation, the intestinal wall thickening, hardening, easily confused with blind colorectal cancer, a biopsy must be a clear diagnosis, x-barium examination, the lesion can be found Jire phenomena or jumping phenomenon, in the diagnosis of help.
(4) limitations enteritis: occurs in young people, a common abdominal pain, diarrhea, fever, weight loss, anemia, anorexia, nausea, vomiting, abdominal mass and fistula formation, and other symptoms and signs, the x barium meal and fiber colon Mirror can be identified.
Mr Green in the letter of request
(5) chronic bacillary dysentery: The patient may be in the abdominal pain, diarrhea, it rarely Nongxue, mild Lijihouchong, the stool culture, barium enema and endoscopy, it is not difficult to make the diagnosis.
(6) ulcerative colitis: Posi symptoms of chronic bacillary dysentery, but there are recurrent history of negative stool culture, sigmoid colon examination that was fine granular mucosal changes, vascular texture disappeared, with red and oval-shaped congestive small ulcer, Regular review of its surface with the yellow and white exudation of serious cases of irregular large ulcers.
Nutritional diet diet
(7) Other: If Hua Liu of the lymphatic granuloma, rectal endometriosis, Yandeng colonic diverticulitis, with symptoms and signs, x-check and fiber colonoscopy form of Kam.
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