29-year-old woman, from "stomach ulcer" to stomach cancer, it only took half a year! -----------------------------------------------

Recently, 29-year-old Miss Li was found to have advanced gastric cancer in Nanning People's Hospital because of "gastric ulcers"
.

It turned out that half a year ago, Ms.

After taking the medicine, the symptoms were alleviated for a while, because of the busy work, and later failed to review in time
.

Half a year later, Ms.

Stomach ulcers have a certain chance of becoming cancerous

Stomach ulcers have a certain rate of
cancer.

In addition, after the treatment of gastric ulcers, a follow-up examination should be carried out to observe the healing of the ulcers, that is, changes, and adjust the treatment measures
.

According to Chinese literature reports, about 5% of gastric ulcers can occur cancerous, this number currently has a tendency to increase, there are statistics up to 29.

Studies have found that patients with gastric ulcer carcinogenesis account for about
5% to 10% of the incidence of gastric ulcer.

Carcinogenesis generally occurs in the mucous membrane around the ulcer, and the mucosa in these areas erodes during the ulcer activity, and malignant changes
can occur after repeated stimulation of destruction and regeneration.

In recent years, due to the progress of diagnosis and examination methods, it has been found that early gastric cancer confined to the mucosa can cause erosions and ulcers, and its tissue surface can be changed by secondary peptic ulcers, which can be repaired like benign ulcers, and ulcers and repairs can occur repeatedly, so the course of the disease can be extended for several months or even longer, so gastric ulcers should be highly valued
.

Beware of "stubborn stomach ulcers"

Stomach ulcers may sound common now, but more than 20 years ago they were a disease that was often associated with the horror of gastrectomy, which often progressed to serious complications such as bleeding, perforation, and stenosis, and only partially removed the stomach
.

In recent years, with the development of proton pump inhibition drugs, the relationship between Helicobacter pylori (HP) and gastritis and gastric ulcer onset, the treatment of gastric ulcer, the current standard medical "quadruple therapy", that is, an acid-suppressing drug + a bismuth agent + 2 antibiotics, has been able to cure most of the peptic ulcers, and the probability of ulcer recurrence has been greatly reduced, becoming a milestone
in the treatment of ulcer disease.

However, the above is just ordinary stomach ulcers, and some ulcers belong to the "stubborn elements", even if the "quadruple therapy" is helpless
against it.

If there is no obvious effect after conventional treatment, the symptoms still recur during the maintenance treatment period, and even complications such as bleeding and perforation occur, which are called "refractory ulcers"
.

For long-lasting gastric ulcers - refractory gastric ulcers, we must be vigilant against the possibility of "gastric cancer ulcers", especially middle-aged and elderly patients
.

There are many reasons for "stubbornness", such as the cause has not been removed (anxiety, nervousness and other mental factors), poor diet, improper treatment or accompanied by gastrinoma, pyloric obstruction and other diseases, but for middle-aged and elderly patients to pay special attention to the possibility of cancerous ulcers, because it is fundamentally different from general ulcers, as ordinary ulcers
to treat of course is not OK.

Ulcers and cancer, who came first?

Every stomach cancer ulcer patient has the so-called "chicken or egg first" question, that is, whether there is an ulcer first, or a cancer first?

Gastric cancer ulcer according to the mechanism of occurrence actually includes two kinds, one is due to heredity, diet, long-term chronic atrophic gastritis (carcinogenesis rate of about 1%-3%) and other triggers, stomach cancer has occurred, gastric cancer cells because the growth is too vigorous, tumor tissue blood supply oxygen supply can not keep up, some cancer cells are "starved", thus forming ulcers;

The other is that the original ulcer does not heal for a long time, and the cells around the ulcer are stimulated by various factors such as inflammation for a long time, and the mutation occurs and becomes a cancer cell, which is what we generally call the ulcer "malignant change", which is generally not high, less than 1%.

Although the formation process of these two gastric cancer ulcers is very different, the treatment and prognosis are the same, and there is generally no need
to distinguish clinically.

The prognosis of ordinary gastric ulcers and gastric cancer ulcers is very different, which does not explain that everyone should also understand that gastric ulcers are still well treated, even if they are difficult to treat, and generally do not endanger life, often simple drug treatment can be
.
Stomach cancer, on the other hand, is vicious and menacing, and if you are not careful, you will miss the best time
for treatment.

According to the statistics of more than 2,600 cases of stomach cancer in Fudan Cancer Hospital, nearly 80% of patients have basically advanced stage when they come to the clinic, which is a very painful fact
.

Because stomach cancer develops to a later stage, the cure rate is very low, less than 30%.

In terms of treatment, except for a very small number of early-stage gastric cancers that can be resected endoscopically, surgical and/or adjuvant chemoradiotherapy are generally required
.

Stomach cancer ulcers, early detection is not terrible

Once you find that stomach ulcers are actually stomach cancer, don't think that there is no hope, you should have surgery or chemotherapy as soon as possible to improve the prognosis
.

Especially in the early stage (stage I, II) gastric cancer, the current treatment effect is still quite good, the cure rate can even reach more than 70%-80%, and some advanced gastric cancer combined with neoadjuvant therapy can also get a good effect
.
So the most important thing is to achieve "three early" - early detection, early diagnosis, early treatment
.

Of course, this requires the use of a sharp tool - gastroscopy
.
Gastroscopy generally biopsy when gastric ulcers are found, but affected by factors such as the location, size, and biopsy of the ulcers, there is a certain false negative rate, and it is possible that cancer tissue
cannot be found.
Therefore, for suspicious patients, multiple re-examination of gastroscopy and biopsy is necessary
.

In general, considering the possibility of gastric cancer, for patients with gastric ulcers, especially patients with refractory gastric ulcers, gastroscopy must be reviewed in time after the symptoms improve, generally once a year
.

There are also many cases of "three mornings" clinically, such as a patient who has had a recurrent gastric ulcer, because he has been more "obedient", he went to the hospital once a year for re-examination, and when he had a gastroscopy review, Ben only routinely did a biopsy, but the result was unexpectedly found that there was cancer around the ulcer, so he was able to do part of the gastrectomy surgery in time, and the postoperative recovery was very good
.

Later, the pathological results showed that it was a very early stage of stomach cancer, the cancer cells were only "hidden" in the gastric mucosa, and had not yet "run" to the deep layer of the stomach wall or other organs, and because it was found early, the gastrectomy range was relatively small, and there was still a part of the stomach, so the quality of life after surgery was relatively high, and eating and daily life were basically as usual
.

How to prevent stomach cancer?

A re-examination of gastroscopy is intended to make an early diagnosis and to kill stomach cancer at an early stage
.
If you can do early prevention, of course, it is better, and to achieve early prevention of stomach cancer, you can only start from daily life and improve your lifestyle
.

Regular diet, living, long-term exercise, and avoiding overwork are the most important things, which can maintain the normal immunity of the body and fight against the invasion
of various disease factors on the body.

In addition, you should quit smoking and limit alcohol, avoid overheating diets, and eat less pickled, grilled, and fried foods
.
Try to consume enough fruits and vegetables to supplement vitamins B, C, etc.
, which can antioxidant and improve immunity
.
Carrots, garlic, shiitake mushrooms, etc.
can not only be made into a full color and flavor of the dish, but also rich in anti-cancer substances such as β - carotene, allicin, shiitake mushroom polysaccharides, etc.
, with a certain anti-cancer effect, ordinary life can be appropriately increased intake
.

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