Symptoms and course of gastric cancer

Pages: 1 2 3 4 5 6 7

According to literature [birch E. L., 1950; A. Melnikov Century, 1960; Pechatnikova E. A., 1965; birch Yu. E., 1976, and others], and our material among the major symptoms of stomach cancer in frequency, the first place belongs pain, they are absent only in 10-15% of all patients. Of these, about half of them are connected with food, and the others not. As the frequency is reduced body mass, which is celebrated in almost three quarters of all patients. The heaviness in the epigastric region is noted in half of all patients, as frequent and burps. A little less - vomiting (25-48%). Nausea and heartburn are found in 10-25%. Loss of appetite - 15-30%. More or less long periodic temperature increase is observed in more than half of all patients coming to the hospital with stomach cancer.
To date, many classifications of gastric cancer according to clinical his signs. These classifications are not widely spread. Great attention should be paid from the earliest years held in the research Institute of Oncology. N. N. Petrova division of all cases of cancer of the stomach in accordance with clinical distinction flow into 4 major groups: 1. Flowing with prevailing local gastrointestinal manifestations. 2. With the prevalence of common disorders. 3. Flowing with the picture of the disease in other organs. 4. Asymptomatic cancers [a holding S. A., 1952, 1970]. This brief classification includes all the main features of the clinical manifestations of the disease.
However, there is no doubt that clinical features of and differences in the clinical course of gastric cancer are more sensitive to the location of the tumor and almost all cancers of the stomach must be divided into cancers of the upper third of the stomach (raki input Department), cancers middle third of the stomach (cancers of the body) and cancers of the lower third of the stomach (cancers of the output of the division).
At each of these locations cancer has a number of typical, characteristic only for her symptoms that are very different from symptoms of cancer in the other two locations. As can be seen from the foregoing, this applies not only to local, gastric symptoms, but the symptoms caused by General disorders.
Cancer, initially localized only in the epithelium of the mucous membrane of the stomach, is steadily growing, spreading uncontrollably in hand and occupying not only the wall of the stomach, but also the adjacent thereto bodies. Formed when the tumor metastases secondary lesions in various organs and tissues lead to disorders of their activity in the partial or complete destruction. Accordingly steadily progress and clinical manifestations, the nature of which is very diverse. It depends on the tumor location and characteristics of its growth, and on the features of metastasis, and from many other, not always identifiable moments. Regardless of the nature of clinical manifestations of the lesion is constantly growing and the condition of patients from day to day is getting worse. If the course is not interrupted in any fatal complication, gradually developing cachexia and soon will inevitably die. The life span of the onset of the first signs of cancer, most patients 1-2 years, sometimes less, and very seldom more.