Symptoms of liver cancer
liver cancer - a malignant tumor.There are diseases of the liver, in which increases the likelihood of subsequent liver cancer.This is the background of liver disease - hepatitis, the presence of which the frequency of liver cancer increases dramatically.For more information about hepatitis look here.Liver disease - cirrhosis in 80% of cases the cause of hepatocellular liver cancer.Read more about cirrhosis of the liver, see here.
malignant liver tumors include primary liver cancer and metastatic cancer.The latter arises when the primary tumor site is located in another organ and tumor cells that were in the liver and began to grow.
Only 10% of malignant tumors are transmitted to us by inheritance, and more than 90% of tumors arise spontaneously or under the influence of adverse factors.Factors that influence the tumor may occur, called carcinogens.
The physical carcinogens include ultraviolet radiation, ionizing radiation (radiation), long-term mechanical stress.
carcinogenic effect and h
impetus for the development of cancer can serve as a long-term overload at work, nervous tension, stress, setbacks in his personal life and career
Malignant liver tumors
a) hepatocellular carcinoma;
b) cholangiocellular cancer;
c) tsistoadenokartsinoma biliary tract;
d) mixed gepatoholangiotsellyulyarny cancer;
e) undifferentiated carcinoma;
s) embryonal sarcoma, other tumors.
Secondary or metastatic cancers:
1) of colon cancer;
2) of gastric tumors;
3) in lung tumor;
4) tumors of the esophagus;
5) of the ovarian tumor;
6) from a breast tumor;
7) of prostate tumor;
8) kidney tumor;
9) from a tumor of the biliary tract;
10) of melanoma;
11) pancreatic tumors;
12) from cervical tumors;
13) of neuroendocrine tumors.
If you have any malignant tumor of the liver disease, both primary and secondary, a more caring attitude.Not only must strictly comply with all recommendations oncologist, but also to take an active part in the treatment of their disease.First of all, we should pay attention to nutrition during illness and treatment, the mode of the day, the possible intake of vitamins, adaptogens and antioxidants.
It turned out that among all malignancies occurring in the population of all countries, cancer of the liver took the fifth place and, unfortunately, entered the twelve most common tumors.What
tumors metastasize to the liver?Why liver metastases occur, which promotes the detachment from the primary tumor and spread of tumor cells and their settling in the liver?
now known a large number of secondary or metastatic tumors.Most frequently metastasize to the liver primary colon tumor.Also give liver metastases of gastric cancer, lung, esophagus, breast, ovary, renal, biliary tract, pancreas, cervix, neuroendocrine tumors, and melanoma,
According to recent data, with tumor development in various human organs, its cells may ripfrom the main tumor mass and through the blood or lymphatic vessels get into other tissues of the body.With the blood or lymph cells are deposited primarily in the liver.But this does not mean that they immediately start to grow.For their awakening and growth of the relevant conditions are needed.The impetus for the awakening of dormant tumor cell growth and metastasis in the liver can serve as a weakening of the body's systems.
That's why under any scenario specific anticancer treatment (surgical, chemotherapy, radiation) is not only important to know the condition of the person with the primary tumor, but also strengthen the body's defenses.In this regard, the patient himself can help the physician and, of course, himself.
necessary to perform a number of simple recommendations to help improve the body's resistance to various factors, including the development of recurrence and metastasis.
Treatment Methods of treatment of liver cancer are many.Choosing the right method, the physician takes into account all the "pros" and "against" evaluate all related disease.Unfortunately, from malignant tumors are not insured people who are already suffering, for example, coronary heart disease, gastric ulcer or duodenal ulcer, diabetes and so on. N.
1. Surgical removal of primary or metastatic liver cancer.
2. Combined treatment of liver tumors, combining surgical procedures with different variants of intervention effects (drug administration through various vessels).
3. endovascular intervention (introduction of various pharmaceutical formulations under the control of X-ray machines):
a) arterial himioinfuziya into the hepatic artery, hepatic artery embolization and chemoembolization of the hepatic artery (the artery in the form of treatment is administered a special substance that stops the power of liver cancer);
b) intraportal: himioinfuziya into the portal vein, and portal vein chemoembolization mechanical portal vein embolization (the same as in a paragraph, only special substance not introduced into the artery, and vein);
c) methods of percutaneous local destruction of tumors: ethanol therapy (tumor destruction
ethyl alcohol), cryosurgery, radiofrequency ablation;
g) endobiliary intervention: installation of permanent naruzhnovnutrennih drains or stents.
4. Liver transplant.
5. isotopes treatment (administration of special radioactive isotopes that accumulate in the tumor cells of the liver and kill it).
6. Chemotherapy primary tumors (administering anticancer drugs:. Fluorouracil, doxorubicin, mitomycin C, mitoxantrone, etc.) and metastatic (.. Principles generally in the treatment of primary carcinomas locations, ie tumors which arose from liver metastases).
7. Systemic chemotherapy and radiation therapy on the progression of liver tumors.
8. Targeted therapy (target therapy directly to tumors of the liver drug Arglabin specially created).
9. Complementary therapy (additional therapy for combating metastasis, recurrence and complications specific anticancer therapy).When
complementary therapy, the following medicines:. Poliprenoevaya acid metadoksil, adaptogens, antioxidants, etc.
Until recently, liver transplantation, diseased tumor process was considered fantasy about this could only dream.But 10 years ago, scientists at the St. Petersburg Central Research Institute of Radiology (TSNIRRI) headed by the Director, Academician of the Russian Academy of Sciences AM Granova the first time in Russia carried out the bold transplant.Until now, there is a patient that the operation was done in the clinic FSI TSNIRRI.There are also other positive results for liver transplantation.However, such operations are very expensive and not available to everyone.Furthermore, there is the difficulty of obtaining donor organs.Perhaps, in the third millennium medicine learns to grow for this purpose a variety of cells and organs.
can not help acquaint you with the novelty end of the last century.This method of treatment of tumors of the liver is called radiofrequency ablation.He mastered and practiced at the Moscow Institute of Surgery named after AV Vishnevsky RAMS.During this treatment the surgeon through the abdominal wall of the patient inserts the needle into a liver tumor.After this needle RF exposure is carried out on tumor cells.Cancer of the liver cells of the patient literally welded and destroy the tumor.At the site of the tumor formed scar.Currently, there are already positive results in 40 patients of this institution.
Science does not stand still, scientists are finding more effective treatments for liver tumors and cancer patients there are more hopes for recovery.
Preparation for surgery
surgical practice Experience shows that elective surgery results depend strongly on the advance preparation of the body.
more thoroughly prepare for the surgery, the easier it will be held postanesthetic period, the fewer complications will arise, the more quickly heal scars.Let
important preparatory measures.
First of all, the patient bad energize your body with trace elements and vitamins, especially from the group of antioxidants A, C and E. And they both found in abundance in the vegetable juices.
It is advisable to drink 1/2 cup fresh carrot juice (carrot varieties better punisher, the tip is not used for cooking drink) before breakfast.When carrot juice is not very well tolerated, then, as already mentioned, you must change the nature of some of its main food.Specifically excluded from the diet (or significantly reduce) products containing sugar, flour and starch (recommendation of Doctor of Medicine R. Pope).If, however, after drinking carrot juice condition worsens, you can add to it a little milk cream, but the reception is not to stop.Carrot juice can be replaced by or beet, if tolerated, to a mixture of the two juices.
To prepare the drink used maroon beets without white streaks, cylindrical shape (the tip is not used).Drink the same amount before breakfast.But remember that before using beet juice must be kept for at least 2-3 hours.This is due to the presence therein of substances which can cause vasospasm.Fortunately, they decompose in the open air.
Later in the afternoon it would be nice to drink a cup of infusion 7g wild rose garden.
Three days before surgery reception of juices and infusions should be discontinued.
After surgery, at 3-4 day (after consultation with the attending surgeon) can be included in the diet of 1/4 or 1/2 cup of fresh vegetable juice.Drink sips of juice before meals.It is useful to drink during the day 1/2 cup of dried fruit compote.
results of operative treatment of malignant liver tumors will depend on a number of facto moat, among which recently took mental attitude.The founder of the domestic oncology academician Nikolai Petrov still in 1945, wrote: "Surgery reaches the top of its possibilities only in the case when it is decorated with the highest manifestation of unselfish concern for the man and not only his body but also on the state of his mind".
Any surgery, and the more radical surgery to remove a large portion of the liver require the patient and the surgeon mutual efforts to improve overall health.It is important to strengthen the immune system, because with primary liver cancer as well as metastases to the liver depressed cellular immunity is responsible for the antitumor protection.How to do it?How to emerge victorious in a fierce battle with the disease?
In the field of oncology, most researchers believe that to improve the quality of life of patients and reduce side effects after surgery need to use natural remedies with antioxidant and adaptogenic properties.A number of surgeons, hepatologists (doctors making operations of the liver) believe that in the prevention and treatment of postoperative complications in patients with liver tumors decisive role belongs to parenteral nutrition with obligatory inclusion in the diet of vitamins and minerals.
Doctors from Moscow Oncology Research Center for the elimination of metabolic disorders in patients with malignant tumors of the liver developed antioxidant vitamin complex, which must be taken within 7 days prior to surgery.
complex consists of retinol (vitamin A), tocopherol (vitamin E) and ascorbic acid (vitamin C) in high doses.According to specialists of the Moscow Academy of Medical Sciences cancer center, the introduction of the antioxidant complex improves the health of patients, and reduced the number of septic complications after surgery.Not out of place will be any balanced vitamin and mineral complex that you need to take courses for 2- 3 weeks of 2-3 times a year.
important to remember that vitamins and minerals needed cancer patients, also found in fresh fruits and vegetables, which should be included in the diet.
considered miraculous fresh carrot juice made from carrots good quality, variety punisher (the tip is not used).It is advisable to drink fresh carrot juice 1 / g cups per day for 1 month.
carrot juice is rich in trace elements (sodium, potassium, calcium, magnesium, iron, phosphorus, sulfur and silicon).These trace elements are vital for the human body, had undergone surgery to remove a tumor from the liver.The juice contained in a convenient form for the body.We would like to draw your attention to the fact that the juice should always be fresh, not canned, and it should be drunk immediately after preparation.
During the use of carrot juice is necessary to completely eliminate the starch, flour and concentrated sugar.
Carrot juice is a supplement to the diet a person with diseased liver.His daily diet should include both proteins and fats, and carbohydrates as well as vitamins and minerals.
The main requirement to the diet of patients with malignant tumor of the liver - to exclude products burdening activity of the liver.
All diets for these patients formed with the following rules and principles:
1) eliminate foods that contain a lot of cholesterol and purine bases (extractives of meat, fish, mushrooms);
2) products are not fried, but boiled in water or steamed, or can be baked;
3) not to use very cold drinks and dishes;
4) to limit the fat content in the diet;
5) to give up drinking and smoking.
patient should eat 4-5 times a day.
Any form of treatment tumor pathology suffers intestinal flora.Even if you do not have obvious signs of dysbiosis and the resulting intestinal disorders (abdominal pain, nausea, flatulence, violation of the passage of stool, and so on. P.), It is necessary to carry out the recovery rate for 1 month.For this purpose, use bacterial preparations (bifidumbakterin, bifikol, laktobakterin, Linex, etc.).
Later preventive treatments of bacterial preparations should be carried out regularly every spring and autumn.
most popular in the treatment of neoplastic diseases of the liver so-called diet number 5 and number 5a.
Diet № 5
Indications: diseases of the liver and bile ducts outside the acute stage.
Feature: Mixed table with restriction of animal fats, extractives, fried foods and the introduction of lipotropic substances.
Ingredients: white and black bread, yesterday, cereal (best buckwheat, oats), butter (60-70 g per day, together with the amount that goes to the cooking), cottage cheese, kefir, yogurt, milk, protein omelet,soups, vegetable, fruit, milk, cereals;meat, fish, poultry low-fat varieties of boiled;vegetables, herbs, fruits, berries, cooked and raw.
optimal nutritional value of the diet number 5 (in grams): proteins - 90-100 g, fat 60 g, carbohydrates 350-400 g;
salt - 5.10 g;calcium - 0.8 g of phosphorus - 1,6 g Magnesium - 0.5 g Iron - 15 mg;Vitamins: C - 100 mg, B1 - 4 mg, B2 - 4 mg, RR - 15 mg A - 2 mg (without provitamin A);calorie daily diet - 2800-3000 kcal.
Professor OP Marshak permits include diet menu number 5 and dishes below.
Drinks: tea, milk tea, coffee, natural and surrogate.
Bread products: wheat and rye bread baking yesterday, nesdobnoe biscuits and flour products, oatmeal cookies, bread doctorate.
Snacks: mild cheese, salted lean ham, herring soaked premium (eg, Kerch), cod liver.
Milk, dairy products: whole milk, dry, condensed, cream, fresh cream (in moderation), fresh yogurt and kefir;cottage cheese and cheese dishes (mainly of nonfat cottage cheese), boiled and baked form.
fats: butter, olive oil, refined sunflower oil (in moderation - about 50 grams per day, including 25 grams of vegetable oil).