Therapeutic _'s treatment forming the liver of rectal cancer and shifting

Therapeutic _'s treatment forming the liver of rectal cancer and shifting
Form the current situation that the liver of rectal cancer shifts
The liver is the transformation position to form main rectal cancer, the liver takes place to shift 50% high in the incidence. It is a very complicated biological process to form the liver of rectal cancer and shift, the mechanism is still not totally distinct, the little transformation is one of the possible reasons. From the viewpoint of anatomy, drainage forms the intravenous blood flow of the rectum and gathers together the ABC of intravenously and enters liver, the liver sinus is the position of the gastrointestinal blood reflux, the wide clear rate to the blood flow is high, it is the easiest internal organs of the bed of tumour cell; It is aptest to invade to form rectal cancer intravenously, the incidence can be up to 20%- 30%; Once cancer cell losses and enters blood circulation, it is very easy to form and shift the cooking stove in the liver. Liver the intersection of malignant tumour and most common the intersection of transformation and organ, become celestial materials report according to foreign countries: The malignant tumour patient 40% has liver to shift, and it is up to 60%- 71% to form the shifting rate of rectal cancer patient's liver. Form the liver of rectal cancer to shift, divide, shift, shift with the heterochronism liver for the liver of simultaneiry. The former mean find simultaneous the intersection of discovery and liver to form rectal cancer shift, send cooking stove and liver and shift the interval lt found in cooking stove originally; 6 months; The postoperative liver of cancer of colon is shifted, take place cooking stove and liver and shift and find the interval gt; Shift for the intersection of heterochronism and the intersection of sex and liver 6 month person, heterochronism the intersection of and liver shift, take place in so-called radical cure postoperative excision by about 30% - 40%, 80% happen within 2 years after the operation. It influences the main reason to form the prognosis of rectal cancer and survive for a long time that the liver is shifted.
Pay attention to forming the question that the liver of rectal cancer shifts
For forming a rectal cancer patient, doctors should consider the possibility that the liver shifts, carry on the relevant inspection. Should ascertain the liver in the skill conventionally, can consider Ultrasonography B inspection in the skill if necessary. The patient after treating examines at the same time, examine once at the same time every 3- 6 months in 1- 2 years after the operation; Examine once at the same time every 6- 12 months in 3- 5 years after the operation; Examine once at the same time every 1- 2 year 5 years later. Examine project, include the intersection of tumour and detection, Ultrasonography B, CT, the intersection of chest and block,etc. of mark at the same time. The operation patient should be fixed the competent colon mirror is checked, in order to find whether the identical mouth and colon other positions recur. The measure of preventing from forming the liver of rectal cancer and shifting: Should pay attention to not having tumour principle in the skill, holding the movements while doing softly, avoid pushing tumour, can cut both sides of reason to tighten at tumour with the cloth tape; Excise the intestines and clean the lymph node according to the principle of effecting a radical cure, should reach and radically treat the range, as well as reach the thorough intensity; It can adopt put to in charge of portal vein at skill,a postoperative 5- FU is getting more quiet to last chemotherapy continuously; Make the rational postoperative auxiliary healing solution and tight to examine at the same time according to the pathologic result.
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