Symptoms and course of gastric cancer

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Metastasis to distant lymph nodes usually do not cause the patient has any painful sensations and not attract his attention. Usually, the patient does not know about their existence, and to seek their doctor should carefully examined the condition of all available palpable lymph system, especially on the neck. With the development of metastatic process in lymph node it grows, becomes hard, which greatly differs from healthy hosts. Initially, it is mobile, but increasing fused with other entities and gradually towards them is fixed. Metastatic nodes can be single or multiple. Then, if it is placed too close to each other, they can grow together, forming a hard, usually painless bumpy tumors.
When metastases in the neck (metastasis Virchow or symptom of Troisie)usually affects deep lymph nodes, usually on the left collarbone, rarely on the right and up, located behind the sternocleidomastoid muscle. In the absence of clear signs of cancer of the stomach is the nature of changes in the node set using biopsy. Often patients do when there are already metastases in the liver. With its extensive lesion, it can be considerably increased and in hypochondrium probed her tight and hilly region, and sometimes also changed its front surface. Often there is some istericeski of the skin, and sometimes clear jaundice. The presence of metastases in the liver indicates a particularly extensive distribution process, as the main way of migration of cells in the body - the bloodstream. This sometimes see metastases in the peripheral veins, which initially diagnosed as usual thrombophlebitis. In such cases, it can affect the superficial veins are not only lower, but the upper limbs, abdominal, chest and other areas.
Symptoms of stomach cancer can occur suddenly in people who considered himself to be perfectly healthy, and in a short time the picture of the disease can buy pronounced. This causes the patient to see a doctor, and the doctor immediately helps to make the diagnosis.
Sometimes, especially when endophytic cancer, the first symptoms can be very similar to the symptoms of peptic ulcer. Special similarity occurs when the patient has saved the secretion of hydrochloric acid that at the beginning of the disease is not rare. Then welcome alkalis significantly improves the patient's condition. Belching, heartburn, pain caused as a direct irritation sour juice affected areas of the walls and phenomena spasm causing the evacuation of infringement, neutralize gastric content disappear or become less pronounced. The picture is typical of stomach cancer develops after a period, usually not very long period of time.
Often symptoms of cancer is preceded by a long, sometimes many years gastric disorder, caused by any of benign diseases: gastritis, polyposis or gastric ulcer. These diseases, which was with certainty installed on an x-ray, endoscopy, and sometimes with the direct study of the stomach (for example, when suturing of perforated ulcer), for many years treated therapeutically with varying success. Therefore, the deterioration of the patient associated with symptoms of cancer, is considered to them, and often their health care provider, as the aggravation of existing in a patient with chronic long-term illness. However, the development of cancer, usually leads to some changes in the pattern of the disease: the changing nature of pain, their intensity, time of occurrence, the dependence on food intake, reduced appetite, you receive belching, and so on, Sometimes familiar to the patient symptoms become more pronounced. Such changes in the manifestations of the disease should always get a doctor to suspect cancer. Especially if diseases are among the precancerous, if the age of the patient for forty years, and if the existing manifestations of the disease, despite appropriate treatment, do not disappear, or, temporarily disappearing, systematically renewed. Note that quite unfavorable point here is that even with extensive cancerous lesions diligently conducted, as said by S. S. Yudin, "explanatory treatment can lead to the fact that for some time the symptoms of the disease will become less pronounced or even disappear altogether. This effect therapeutic treatment is causing incorrect interpretation of the nature of the actual disease. This leads to the fact that in case of resumption of the symptoms of the patient intensively treated therapeutically up until the diagnosis of cancer does not become a doubtless even for those around you.