Treatment of stomach cancer

Now the only effective way of treatment of stomach cancer is the surgical removal of all cancerous tissue. The use of radiation treatment and chemotherapy until now are under study, and the successful application of these methods in cancer of the stomach is still very small. It is established that the radiation treatment of certain forms of inoperable cancer of the cardia can cause some relief of the patient and for a short time prolong his life. It is certain that chemotherapy (5-fluorouracil, methotrexate, Ftorafur and others) can sometimes significantly improve the patient's condition inoperable cancer and slow down the development process [Peterson B. E., Letyagin B. N., 1976; Opportunities for drug treatment..., 1977]. There are reports of the best long-term results of combined chemotherapy and surgical treatment [Orlovskaya L. A. and others, 1977, and others].
However, according to J. Franz, A. Gruz (1977) when such treatment significantly improves only one-, two - and three-year survival rate, and the remote results remain unchanged. Due to low efficiency and the real possibility of severe complications, wide dissemination of these methods have not received yet. Almost chemotherapy is a cancer of the stomach is carried out now only in those patients who have surgical treatment is already impossible, there are no contraindications for the purpose of chemotherapy, the overall condition is not burdened by disease parenchymatous organs, the heart, the expressed intoxication in connection with the collapse of the tumor.
In stomach cancer surgical treatment is indicated where possible remove all affected by the tumor tissues not only in the stomach, but in the surrounding organs. This is the only event which gives the opportunity to hope for a cure or at least prolong the life of the patient. However, to set up operations possible or impossible successful surgical intervention is very difficult. This task is easily solved only when they are pronounced symptoms overstretched process, when the patient has undoubted distant metastases (supraclavicular lymph nodes, liver, or other organs)clearly defined ascites or large stationary due to germination of the abdominal wall of the tumor.
All other patients, the question about the possibility of operation can be solved only at the opening of the abdomen. Of course, the history data, the rate of change of the General condition of the patient, properties apparently tumor - its size, mobility, consistency, and also the data of x - ray examinations often allow you to Express more or less probable supposition about the possibility gastrectomy in each case.
Often, especially in young people, even very early detection of tumor without causing any infringement of a motility of the stomach are inoperable due to the presence of multiple metastases. At the same time, the surgeon sometimes you have to meet with extensive cancerous lesions of the stomach, leading to a significant violation of the General condition of the patient, in which radical surgery is feasible without much difficulty. Therefore, if the surgeon finds the patient above undoubted signs neudalimye cancer, shows a sample chrevosechenie, which reveals the extent of tumor spread and removing the feature.