Medication Knowledge

Stage of lung cancer drug

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Stage of lung cancer drugs, lung cancer than chest CT examination necessary to do the chest or MRI, but also for brain CT or brain MRI, bone scintigraphy, abdominal ultrasound (liver supraclavicular lymph node area, the membrane retroperitoneal lymph nodes, kidney and adrenal, pelvic examination when necessary), check should also be related to lung cancer tumor markers, liver and kidney functions and blood picture, electrocardiogram, or bounce echocardiography (if necessary).
Stage of lung cancer treatment, small cell lung cancer should also note that there are dollars thyroid, testis, ovary, etc. of the transfer. Staging of small cell lung cancer bone metastasis was detected in check 19% _38%, 14% of brain metastases snow transport, liver 17% "34%, 17% bone marrow involvement, 23% and so on. Although foreign non-small cell that symptomatic brain cancer, bone metastasis to be done when the brain CT (or MRD and bone scan, but we think that even though more expensive, but the symptoms of micrometastases per treatment and prognosis better than those who have symptoms, so it is conditions should be checked as early as possible.
Lung cancer patients to achieve early detection and early treatment, the tumor radically curb the spread of toxic effects of drugs through the lung, the lung cancer gradually reduced until it disappears.
Stage of lung cancer treatment, save in exceptional circumstances after the diagnosis of lung cancer (as superior vena cava syndrome, hand-obvious symptoms of brain metastasis and load-bearing parts such as cones, pelvic bone or lower extremities first transfer.) Should be phased inspection, to make occult lesions may be detected to determine the stage of disease before choosing the right treatment, because: lung disease for the United States, more than two-thirds of the time of diagnosis with advanced disease (distant metastases in locally advanced B), even before stage as resectable I, H or side dish A change, especially those of local obvious clinical E, III, or had an adverse outcome of disease indications, such as significant weight loss, should be fully phased inspection. Deposited by the sub-element examination of symptoms often can be found in distant metastasis. Such as bone, brain metastasis. Therefore, before the transfer, through the effective role of a number of lung cancer drugs suppress tumor cell growth.

Drug treatment of liver cancer

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Treatment of liver cancer drugs, traditional Chinese medicine for the vast majority of the oral preparations of various stages of liver cancer patients (complete obstruction of the digestive tract or paralysis occurs when the ball does not apply, could be replaced by enema).
1. Decoction of the traditional oral medicine: This is the best individualized treatment, if in continuous use throughout the treatment of liver cancer, received the best possible results.
2. Traditional Chinese medicine oral preparation: for each of the various stages of liver cancer patients. Evil drugs generally law-based, with the righting-based soups, can make up for the evil law of some toxic drugs into the decoction of the lack of good.
3. Chinese herb preparations for the treatment of liver cancer pleural effusion and pain.
4. Chinese Hong suppositories for pain relief, anti-inflammatory, local tumor treatment.
5. TCM cava preparations for the various stages of liver cancer in all patients, divided from the role of the evil law righting and two agents.
6. Interventional treatment of Chinese medicine formulations suitable for intravenous infusion in patients with locally advanced hepatocellular carcinoma intervention.
7. Adjuvant treatment of other traditional Chinese medicine (acupuncture, diet, music therapy, medicine bath, psychological) for each of the various stages of liver cancer patients. Liver slices and liver Lok ventral abdominal capsules through the spleen qi, blood Ruanjian, Qingrejiedu. To apply to the main card spleen liver stasis primary liver cancer, Zheng Jian abdominal mass, flank pain, Shenpi fatigue, eat less poor appetite, abdominal distention, upset, irritability, mouth and throat pain, etc. . For the syndrome in patients with liver cirrhosis and liver fibrosis serum markers to improve the role.
Drug treatment of liver cancer, liver complex capsules prominent pharmacological effects:
(1) anti-tumor effects: directly kill tumor cells, the liver is a complex capsules cancer cells by blocking DNA synthesis, physical type of liver cancer cells significantly in vitro.
(2) immune regulation: in vivo liver Lok Fu natural killer cells (NK), interferon (IFN), lymphokines (IL-2), macrophages (Mf), activated lymphocytes (LAK) Dengjun significant role in promoting. Play host immune function by activating anti-tumor effect.
(3) Liver function: Liver Fu Le on paracetamol-induced liver injury is a significant protective effect on carbon tetrachloride liver injury significantly decreased SGPT role.

Combined Treatment of liver cancer drugs

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Combined Treatment of liver cancer drugs 1. For those who complete surgical resection, such as the cutting edge of non-cancer, portal vein tumor thrombus within the element and so on, should be used in medical treatment after surgery, can benefit software firm based, integrated gasification appropriate management. Six Gentlemen Decoction prescriptions, such as medicinal Codonopsis (l5g), Atractylodes (l0g), Poria (30g), turtle shell (30g), dried tangerine peel, Pinellia mainly.
Those who do not complete the excision, such as the cutting edge of a cancer in the surgery to the silver clip markers in the postoperative radiotherapy combined with spleen qi in Chinese medicine-based treatment. For the intraoperative or postoperative pathologic findings of vascular thrombosis within those patients should be immune therapy, interventional therapy and traditional Chinese medicine. Evil-based medicine to spleen. Jun spleen of four main methods can be evil diffusa, Scutellaria barbata, Maozhaocao, snakes and other six Valley.
Combined Treatment of liver cancer drugs 2. Radiotherapy combined with traditional Chinese medicine and radiation therapy after radiotherapy treatment in Chinese medicine to the spleen, eliminate lead-based good effect, should pay attention to make the best use, appropriate use, combined with qi, heat of the product. Jun spleen of four main consumer guide, such as xanthan and the like, qi, such as wood, citrus aurantium, blue, etc., heat with capillaris, Loulu and so on.
Combined Treatment of liver cancer drugs 3. Chemotherapy combined with Chinese medicine treatment is usually of primary systemic chemotherapy for liver cancer is not obvious. Control of liver cancer has been associated with primary tumor lung metastases, the chemotherapy has a certain effect. Interventional chemotherapy or chemoembolization better, commonly used drugs cisplatin (DDP), fluorouracil (5-FU), mitomycin (MMC) and so on. Before and after chemotherapy, Chinese medicine to nourish the liver, vomiting, righting mainly. Liver common ground wood, field-based yellow, Serissa, etc., vomiting to Pingwei, Erchen based, righting available Astragalus, wolfberry fruit and so on.

Advanced liver cancer drug

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Advanced liver cancer treatment, liver cancer with ascites, jaundice, distant metastasis, etc., known as advanced hepatocellular carcinoma. With ascites of hepatocellular carcinoma, could advance medicine or western medicine diuretic therapy, ascites subsided, according to liver cancer cases, treatment can still press on. Case of hemorrhagic ascites, is not easy to subside; portal vein or hepatic vein tumor thrombus who is not easy to bear fruit in the western diuretics. Such as liver nodules rupture, bleeding should be treated simultaneously with abdominal pressure dressing.
Carcinoma with jaundice, in the case of hilar mass with obstructive jaundice caused by compression, can be localized radiation therapy, or local intratumoral injection, or interventional therapy, or stent or external drainage; in the case of non-blocking jaundice, can be to the medical treatment, liver treatment.
Lung metastasis of liver cancer, such as liver primary tumor has been controlled, only a single lung metastasis, consider removal, or local radiation therapy. In the case of multiple metastatic lesions, or diffuse lungs, could consider radiation therapy (whole lung field irradiation), or chemical treatment, biological treatment. Such as liver primary tumor is not therapy or no treatment control, a single metastasis, or more limited, may consider radiotherapy. Such as full diffuse pulmonary metastases, can be treated using biological or chemical treatment, Chinese medicine treatment.
Pharmaceutical Co., Ltd. Guangxi Masahiro rebirth after years of clinical research with the swelling of soft capsules Kennedy, blood circulation, the effect of rousing, for liver cancer, gastric cancer treatment. Combined with radiotherapy, chemotherapy has synergistic attenuated, improve immune function, prevent recurrence and metastasis of tumor cells. Mainly applied in advanced inoperable cancer chemotherapy patients
Advanced liver cancer bone metastasis, such as a single or few metastases, radiotherapy can be used. Such as extensive bone metastases, may be chemotherapeutic agents, biological therapy or radionuclide therapy, may also be bone Teng, Aredia and other treatment.
Advanced liver cancer drug, portal vein, hepatic vein, inferior vena cava with tumor thrombus, could try hepatic artery infusion chemotherapy, hepatic artery thrombosis is generally not used, can be used in biological therapy or medical treatment.

Comprehensive treatment of liver cancer

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Comprehensive treatment of liver cancer, liver cancer combined treatment of Chinese medicine, including the integrated use of different therapies, such as the spleen to Sijun mainly to stagnation of qi Xiaopi Decoction real power, heat and humidity to build soup or Yin Yin Chen Chen Wuling scattered mainly Shixiaosan Blood to the main deficiency in Yiguanjian based. Can unite in integrated application Therapeutic.
Pure herbal treatment, plus symptomatic disease differentiation syndrome plus oral medication side effects should be better than a single diagnosis and treatment, disease differentiation treatment, symptomatic treatment of traditional Chinese medicine, if combined with local therapy, external therapy, etc., efficacy may be further increased.
Hua Wo Pharmaceutical Pharmaceutical limited liability company Lengshuijiang liver Lok abdominal film is easy for spleen qi, blood Ruanjian, Qingrejiedu. Spleen to the liver stasis for certificate-based primary liver cancer, Zheng Jian abdominal mass, flank pain, Shenpi fatigue, eat less poor appetite, abdominal distention, upset, irritability, mouth and throat pain and so on. For the syndrome in patients with liver cirrhosis and liver fibrosis serum markers to improve the role.
Based on years of clinical results show that treatment of liver slices of liver in patients with abdominal music has a unique effect:
First, the liver Lok Fu film does have Jianpiliqi, stasis Ruanjian significant effect, it is to improve the clinical symptoms, improve quality of life, increase weight, ease and stability of the further growth of tumor and prolong survival improvement have good role The total effective rate was 74.6%, while the control group was only 27.4%, both have a very significant difference (P <0.001 =. Therefore, the proof of primary liver cancer liver Lok Fu see spleen deficiency of liver blood stasis better effect, is a good treatment in patients with primary liver cancer drug.
Second, the liver Lok Fu film clinical trial of liver and kidney function, cardiac function and peripheral blood were no adverse reactions, but some patients had diarrhea, two weeks to maintain their own recovery, to long-term use.
Third, the clinical piece of liver Lok Fu easy to use, wide indications for primary liver cancer caused by spleen deficiency syndrome due to liver stasis food satisfied dull, vicious vomiting, flank pain, abdominal distention, Shenpi fatigue, irritability, upset , mouth and throat pain and other symptoms were significantly improved effects, can significantly improve the quality of life of patients.
Now that the treatment of liver cancer combined global and local importance. More use of traditional Chinese medicine decoction of the overall treatment of oral-based, local treatment of multiple use of B-or CT-guided injection of liver cancer drugs within the block, or interventional medicine will be injected through the hepatic artery Aikuai and so on. Overall treatment combined with local treatment can improve liver cancer.
Comprehensive treatment of liver cancer, liver cancer treatment should be integrated within the governing law and external treatment combination. Mainly in the treatment medication. Plaster or outside the government to use more topical medicine, acupuncture therapy, multi-pronged approach to suppress tumor growth and metastasis.

Gastric pain medications

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Gastric pain medication, the treatment of cancer pain in a variety of existing methods, the drug treatment is essential, because it is effective, the risk is relatively small, the cost is reasonable, and often quick onset of therapy. The basic principles of drug treatment of cancer pain in patients with individualized treatment plan is.
1. Keep in mind the following principles
The dose should be the simplest solution and the least traumatic pain therapy begins.
In the case of no contraindications, the treatment of mild to moderate pain drugs include anti-inflammatory drugs non-simplified categories.
For persistent pain medication, should be based on regular medication, supplemented by "necessary" to increase the dose.
Long-term use of opioid therapy may cause drug resistance and physical dependence, but not to be confused with addiction.
* Route of administration of pain medication is best taken orally, it is most convenient and affordable treatment methods. If the patient should not be administered orally, should consider the rectum or subcutaneous administration, these two drugs are relatively non-invasive way.
Do not use placebo in the treatment of cancer pain.
2. Three step analgesic therapy "ladder" delivery method is to use three-factor mediated side escalator pain treatment based on treatment of cancer pain, cancer pain treatment in the use of painkillers, you should pay attention to the following principles, in particular medication on time and knowledge ladder medication.
(1) The ladder pain medication according to the previous evaluation, it is clear that we already know, in the end your pain is mild, moderate, or severe pain First of all, let's look "at step" drug content. The choice of analgesics should be based on the degree of pain from weak to strong order increase.
One step drug: application of a non-opiate drugs, such as aspirin, acetaminophen, indomethacin indomethacin suppository, Italy facilities wayside. May be appropriate under the circumstances plus adjuvant drugs.
second step medication: If this purpose should not pain, such as into the weak opioid analgesics, such as codeine, tramadol (tramadol), etc., as appropriate, plus adjuvant drugs.
three step treatment: If the pain fails to control or continue to worsen, it should be injected into the third level to be used for moderate to severe pain medicines play replacement of A, such as morphine, pull-release tablets of morphine, fentanyl, etc. . Can also be used at the time of non-opioid drugs, which both increase, such as analgesic effects of opioids, but also reduce the amount of Afghan drugs.
If severe pain can also be directly used opiates. Opioid analgesic with aspirin get better results, especially for patients with bone pain. Can only be used at the same time in one of each medication. If a drug is no longer valid, do not switch to another similar drug is an alternative drug, but should switch to a strong and positive analgesic effect of drugs.
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Treatment of gastric cancer patients

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Treatment of gastric cancer patients, cancer patients, especially cancer patients after surgery, digestive function has been greatly affected. Manifested as poor appetite, poor appetite, abdominal distension, abdominal pain, etc., and bowel motility in patients with abdominal surgery is poor, the stool is not always smooth; after a temporary reduction in the secretion of digestive juice, causing gastrointestinal dysfunction, or decreased. At this point, less than the consumption of fluid given, it should also use traditional Chinese medicine as soon as possible.
According to TCM syndrome differentiation, most patients are not, and stomach, the gas wasting, should be Qi and spleen, qi and stomach, digestion of the stagnation of Chinese medicine, such as San SHENLINGBAISHU, Xiangsha Liujunzi soup can be improved symptoms, increase appetite, promote digestion improvement.
Gastric cancer after treatment, but also intraoperative damage to body fluid rather than blood, patients can not eat large Erzhi Yinxue injured, can nourish the stomach yin, nourishing qi in Chinese medicine, such as the yellow people blood soup, eight treasures soup addition and subtraction.
Tonghuajinma Pharmaceutical Group Co., Ltd. Shen Lian capsule production Qingrejiedu, blood circulation, Endometriosis. Used by blood stasis, heat caused the drug resistance of lung cancer, gastric cancer patients.
Comparison of patients with gastric body weakness after surgery, treatment and care at the same time need to supplement their diets, from Xi'an Jiaotong University Pharmaceutical (Group) Co of Epps liter oral immune function can be used as an adjuvant treatment of cancer, reduce the radiotherapy and chemotherapy on hematopoietic system and gastrointestinal side effects reactions. Yi Pusheng (mannatide) oral anti-cancer drugs can also be used in conjunction with the other to increase their immunity to cancer patients, with a good immune-enhancing effect.
Postoperative gastric cancer medication, some patients spontaneous perspiration, night sweats clear that the Department of Western autonomic nervous system disorder. Chinese medicine is no longer the deficiency caused by surgery, spontaneous, that is awake sweating, is a qi deficiency is not solid; sweating, that is, quietly sweating during sleep, mainly in the main deficiency. Application under the circumstances, solid form Qi, Yin Convergence Khan of medicine, such as Yu Ping Feng San, Dabuyin pills and the like, are expected to quickly adjust.

Severe cancer pain drug – morphine

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Severe cancer pain drug – morphine, what is the treatment of opioid pain of moderate to severe major analgesic drugs, the effectiveness of high doses of easy adjustment, the risks and benefits that outweigh the costs. He slices through the central nervous system medicines were inside and outside the binding to specific receptors produce analgesia. Morphine as the World Health Organization recommended for severe cancer pain drug of choice, mainly due to the following aspects:
1. Morphine in the world are simply too many countries and regions can be and the price is not expensive.
2. For more in-depth study of morphine, had to understand the support from many points. Such as morphine pharmacokinetics, side effects, and antidote for morphine have been – opioid receptor antagonist naloxone.
3. Work time and half-life equal.
4. May at any time to increase the dose.
5. Can be administered by a variety of ways, oral administration of pain for a long time, less complications and increase the dose invalid.
When not orally, the choice of rectal administration, intravenous drip, intramuscular or subcutaneous and epidural administration or the retinal cavity. The majority of drugs after oral or rectal administration can better absorption, but absorption may be incomplete. Furthermore, the intestinal absorption of gauze, first in the liver through metabolism. Drugs were the fastest onset of intravenous, because drug absorption is not delayed. Therefore, changing the route of administration and drug formulations, drug dosage and frequency should be based on the response of each patient and the analgesic needs.
1. Able to do oral injections, oral morphine is the preferred route of administration, because oral most convenient and economic. Immediate-release morphine, controlled release agents and two. Controlled-release tablets once broken quickly after release, so do not chew the pill after taking on the patients can not swallow whole tablets should not use the controlled-release tablets. Small number of patients because of their illness during the last stage of stomatitis or swallowing difficulties and need to change the route of administration. Once the patient can not oral drugs, should consider other relatively non-invasive route of administration, such as rectal administration or percutaneous administration. Intravenous and subcutaneous injection may cause local irritation of skin or a vein. We already know that morphine is the treatment of cancer pain the most common and most effective drugs.
So, what dose the most appropriate?
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Drug treatment of gastric cancer

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Drug treatment of gastric cancer, gastric cancer surgery remains the treatment process is the main method of treatment, surgical treatment has grown from a single development for the treatment of a variety of solid tumors, an integral part of treatment, of course, remains the most important part of .
Early and mid 20th century, as the only treatment for cancer, cancer surgery treatment principle is a more thorough surgery, the purpose of attempting to cure and prevent local tumor recurrence and metastasis. Gastric cancer in the curative treatment is surgical excision. Even if the cure is not possible, surgical resection of primary gastric cancer is an appropriate palliative surgery. For most patients, the non-surgical staging is often difficult to trust, is to consider the tumor has already spread widely, it should be considered for surgical exploration. Surgery is only palliative, it can be effectively and safely reduce the patient's pain, bleeding and prevent obstruction. As long as no total removal of the stomach, palliative surgery can significantly improve the quality of life of patients. In fact, for those who hope to cure cancer patients should choose which treatment options, nearly 20 years in the international arena has been controversial. The point of contention is whether extensive lymph node dissection improve survival.
Cancer drug treatment, when we put surgical treatment of malignant tumors in the context of historical development, to inspect, you can see that, although over time, the experience of surgical treatment of malignant tumors increased, surgical technology continues to improve, But a variety of malignant tumors that long term results of surgical treatment of long-term survival has not changed much. Obviously, surgical treatment of malignant tumors has obvious limitations, but not easy to overcome the limitations of the move.
Effects from the treatment perspective, both surgery and radiation therapy as local treatment method. Therefore, cancer surgeon and radiation oncologists are very similar conceptual structure of the tumors, both malignant tumors that occur in local, violations of the surrounding tissue, the lymphatic, vascular or transferred elsewhere by natural cavities. This treatment focuses on the nature on the local, that is to control local growth and local spread, especially the transfer of lymph node.
Systemic effects of drug therapy is the method. Therefore, experts in cancer chemotherapy, in addition to also attach importance to local tumor, the greater the focus on the proliferation and metastasis of malignant tumors on. They point to cells in cancer therapy to kill the view index, it is stressed that a number of courses, full doses of medication method to be able thoroughly to kill most of the tumor cells.
Modern Therapeutics that through a number of effective drugs to fix our foundation, and kidney and soothe the nerves. For cancer radiotherapy, chemotherapy and microwave, radiation damage caused by white blood cells, thrombocytopenia, immune function.
In the development of gastric cancer treatment drug treatment program, the overall concept must be under the guidance and global thinking, to be fully considered, and correctly handle the relationship between global and local. Local treatment must obey the overall treatment, the overall treatment must take into account local factors. To prevent the "stop-gap measures," the metaphysical concept of treatment. That is, in the disease course of treatment, we must focus on the overall situation, only to seize the global nature of things, can effectively overcome the disease. The only way to truly reflect the true nature of medicine.

Classification of gastric cancer chemotherapy

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Classification of gastric cancer chemotherapy drugs, according to the different ways chemotherapy can be divided into systemic chemotherapy and chemotherapy, local chemotherapy:
1. Systemic chemotherapy is the most common means of chemotherapy, mainly intravenous chemotherapy. Intravenous chemotherapy is divided into peripheral and central intravenous chemotherapy, intravenous chemotherapy. Because the use of intravenous Xueguan differences in the concentrations of chemotherapy drugs, drug delivery rate of drugs on the local vascular damage and so on are different, in particular, there are many points in the care, see the relevant chapters later.
2. Local chemotherapy is the most widely used arterial infusion chemotherapy. Such as liver metastasis of primary liver cancer and some other commonly used method of arterial infusion chemotherapy, the aim of using local tumor blood supply and to give local lesions larger dose of chemotherapy drugs can improve efficacy, while reducing high dose chemotherapy Drug-induced systemic toxicity. Intracavitary chemotherapy is also a local chemotherapy, commonly used chemotherapy, including chest cavity, abdominal cavity, the pericardial cavity and the spinal cord cavity chemotherapy. Intracavitary chemotherapy on the indications and considerations detailed in subsequent chapters.
Depending on the number and type of chemotherapy is different from chemotherapy can be divided into single-agent chemotherapy, combination chemotherapy and bio-chemotherapy.
1. Single-agent chemotherapy, the following situations can be applied to single-agent chemotherapy. Some cancer chemotherapy, but remission is short, stop tumor recurrence after chemotherapy, chemotherapy given to patients on intermittent single-agent chemotherapy may prolong remission time, create opportunities for the re-treatment. If we apply the test etoposide (etoposide, VP-16) for lymphomas maintenance therapy after induction chemotherapy, has been made in better effect. In addition, some tumors are chemotherapy-sensitive tumors, or because of patient age, or because for some reason the patient can not tolerate the standard dose chemotherapy, when given the main purpose of single-agent chemotherapy is to control symptoms, improve quality of life, to gain time for further treatment. There is also a new drug in clinical trials, see the specific content of the relevant sections of the future.
2. MDT is based on principles of cell proliferation kinetics, select two or more different mechanism of action, toxicity different cycle specific and cycle non-specific combination of chemotherapy drugs. Chemotherapy drugs used in chemotherapy, the number of generally 3_4 were the best.
First with the cycle of non-specific drugs, a lot of killing tumor cells, the reduction in the total number of tumor cells, so that more tumor cells into the cell cycle, which were then applied to kill the cell cycle specific drugs. In addition, the first with a cell cycle specific drugs to block tumor cells in a given cycle, the drug disappeared, the tumor cells that is synchronized to the next cycle, the role of time and then this cycle of drugs, may be more to kill tumor cells and less damage normal cells. However, only a small portion of solid tumors, tumor cell proliferation cycle is difficult to synchronize all tumor cells into the same cycle. The commonly used chemotherapy regimens, mostly high-dose intermittent administration.
3. Biochemistry therapy (biochemotherapy) bio-chemotherapy of malignant tumors is different from cancer patients for the specific circumstances of a planned, rational application of biological response modifiers and chemotherapy drugs, in order to achieve improved cancer cure rates and improved survival of cancer patients purposes. Biological response modifiers for a variety of malignant tumors have a direct or indirect anti-tumor activity in combination with chemotherapy drugs or the effect of additive synergistic effect.
Current application of the better bio-chemotherapy tumor malignant melanoma, renal cell carcinoma and so on. U.S. M. D. Anderson Cancer Center reported many times in recent years, application of cisplatin, vinblastine, nitrogen en Mi amine in combination with interferon, interleukin -2 treatment of advanced malignant melanoma, the total efficiency of 50%, 10% long-term disease-free survival of patients. The author also reported interferon, interleukin-of combination chemotherapy of malignant melanoma, compared with chemotherapy can improve survival. In addition, chemotherapy, gene therapy, such as Her-ceptin (no Chinese translation) combined with paclitaxel in the treatment of advanced breast cancer; U.S. Rockwell (Rituximab) combined with chemotherapy in the treatment of malignant lymphoma have received a better effect. Chemotherapy for gastric cancer is still exploring the biological. Japan, South Korea's data suggest that lentinan, OK-432 and other consolidation therapy after surgery for gastric cancer patients and terminally ill patients in palliative care, disease-free survival time and median survival time than chemotherapy alone. I have reported the lentinan treatment including chemotherapy, including 99 cases of advanced gastric cancer patients with advanced cancer, and chemotherapy in the control group, the results of symptom improvement, objective response, survival and immune function (TI, T4, TI/T4 ) and other benefits are obvious.
4. Chemotherapy Classification of chemotherapy and other treatments based on the relationship, but also into adjuvant chemotherapy and the chemotherapy, neoadjuvant chemotherapy.
(1) adjuvant chemotherapy: is defined as an effective local treatment (surgery or radiotherapy), the primary local treatment for micrometastases may exist, in order to prevent recurrence or metastasis by chemotherapy. For example, the blood tumor on postoperative adjuvant chemotherapy can significantly improve the efficacy and help to save the limb. Another example of the high-risk breast cancer patients (lymph node metastasis, pre-menopausal, hormone receptor-negative, etc.), radical postoperative adjuvant chemotherapy can improve disease-free survival and overall survival. Adjuvant chemotherapy can be based on whether a radical surgical treatment is further divided into indicators of consolidation chemotherapy and no chemotherapy. All tumors in the specification were removed after surgery, postoperative immunohistochemical examination were related to negative real as adjuvant chemotherapy after radical consolidation chemotherapy; in pathological examinations showed no net margin, or the tumor markers continue to positive, but imaging studies (such as X ray, CT, MRI, B ultrasound or angiography) were negative in the non-real patients adjuvant chemotherapy after radical, often referred to as "non-target chemotherapy." Currently, breast cancer, colorectal cancer and osteosarcoma has been standard chemotherapy, and gastric cancer adjuvant chemotherapy and standard chemotherapy has yet to be more clinical studies to clear.
Classification of gastric cancer chemotherapy, (2) neoadjuvant chemotherapy: is defined as surgery or radiotherapy before and after the chemotherapy. Neoadjuvant chemotherapy has three purposes: First, the limitations of earlier clinical stage of tumor, chemotherapy before surgery first, because tumor shrinkage after chemotherapy, surgical resection can be reduced to reduce the damage caused by surgery (including amputation, etc.) and beauty, etc., significantly improve the patient's quality of life; for late clinical stage, but who have the possibility of surgical resection, preoperative chemotherapy can reduce the clinical stage and improve the resection rate. Secondly, neoadjuvant chemotherapy can be cleared or suppressed before and after operation of micrometastasis may exist to improve the prognosis. In addition, preoperative chemotherapy can be used as chemotherapy drug sensitivity test, refer to the efficacy of neoadjuvant chemotherapy, adjuvant chemotherapy can guide sm
ooth. Current neoadjuvant chemotherapy in gastric cancer has accumulated some aspects of the experience.