Metastasis of esophageal cancer - is a secondary disease foci in the body, the spread of tumor to other parts of the body. The cancer can be metastatic already at the time of diagnosis, or it is a relapse after treatment .
The tumor is called a common, if its value is too large to remove, when he was diagnosed. Or when a malignancy is so considerable dimensions to assign high-radiation therapy in order to cure the disease. High doses will cause an excessive amount of side effects.
How is the cancer?
Common cancer can be local or secondary. Local forms develop in the same region where the primary tumor can grow through the esophageal wall into the surrounding tissue.
Tumor process that has spread to other parts of the body, is called secondary or metastatic. Part esophageal cancer cells detached from the main tumor and moves through the body through the lymphatic system or bloodstream. They get to another part of the body and begin to grow there.
What bodies affects cancer of the esophagus?
Certain parts of the body the malignant cells of the esophagus prefer. These include:
- lymph nodes.
However, this does not mean that the disease is always propagated. The same type of esophageal cancer behaves differently in different people. If any symptoms are concerned, it does not mean that their cause is oncology. You must discuss this with your doctor to check.
Monitoring the metastasis of esophageal cancer
Unfortunately, if the tumor process hit other parts of the body, it can not be cured. There is no such powerful treatments to get rid of metastatic cancer. But chemotherapy or radiation therapy often helps reduce swelling and control its display a certain time. The doctor will not be able to identify the exact amount of time. Oncologists will closely monitor the condition. Knowing the symptoms and applying different kinds of diagnostics , they will be able to say, fast or slow developing disease.
Methods for the palliative treatment of esophageal cancer
Doctors use cytostatics, radiation and other treatments - laser treatment, stenting. Reducing the size of the tumor, to put pressure on other tissues, relieves symptoms.
With widespread disease in the majority of patients have difficulty swallowing. There is a local palliative treatment of esophageal cancer, which helps to cope with this problem. Doctors can remove or burn off part of the tumor, so that more space in the esophagus.
In the process of metastasis development of treatment programs for cancer of the esophagus in Assuta doctor takes into account: the size of the tumor and its location, the secondary lesions, previously the therapy, the general state of health.
The doctor will give an explanation about the purpose of various treatments for esophageal cancer. This may be an attempt to slow down the progression of the disease, relieve symptoms of disease, or both tasks. Radiotherapy and chemotherapy to help control symptoms by reducing tumor volume, provoking pain and pressure. Reducing secondary foci in the lungs will reduce breathlessness.
Important consideration before the therapy. For example, if the esophagus was performed radiotherapy, more than it already is not appointed. However, you can assign exposure to other areas of the body. If you previously had chemotherapy, it can continue, but use different drugs. The choice of cytostatic agents will depend on how well the body's response to the last time and how to react right now.
Dysphagia - Esophageal Cancer Treatments
The most common symptom of the disease - difficulty swallowing. Many people go to the doctor for this reason. In some cases, the tumor may completely block the esophagus. Doctors use a number of methods of treatment of esophageal cancer. Unfortunately, they only help for a while. Tumor re-growth will resume by blocking the body. But some of these procedures can be repeated.
The doctor recommends radiation or cytostatic agents, in order to reduce the swelling, but there are other methods:
- Laser treatment or diathermy.
- Photodynamic therapy.
This treatment of esophageal cancer easier ingestion and a process liquid at a time. They performed during endoscopy. To choose a suitable option will affect: the rate of development of the disease and previous treatment. The doctor discusses it with the patient.
Laser treatment of metastasis of esophageal cancer
Laser - thin, focused beam which heats certain tissue site. Doctors use a laser beam to cut the malignancy as well as a scalpel. Laser treatment cuts off a tumor blocking the esophagus. Its advantage - minimal bleeding. Laser immediately "seals" the blood vessels during operation.
During the procedure, a laser is transmitted by the endoscope. Reaching the desired area, the physician directs the beam and burns as much of the tumor as possible. Thereafter, the endoscope is removed. It takes some time to get the patient regained consciousness after sedation.
Laser treatment of metastasis of esophageal cancer has almost no side effects. The patient is able to leave the hospital the same evening. Your doctor may recommend to stay overnight.
If the tumor grows rapidly, requires laser therapy again. Sometimes it is necessary to repeat it every 4-6 weeks. It may be assigned after that external radiotherapy, or brachytherapy, to slow the progression of the disease.
Argon plasma coagulation
This procedure is similar to laser therapy. Another name - argon diathermy. To destroy the abnormal cells using argon gas and electricity. Argon diathermy helps eliminate swelling of the esophagus. The doctor refers to the procedure, if the tumor blocks the stent.
This is a tube that is placed inside the body and keeps it open. It facilitates the process of swallowing.
Oncologist offers a hollow plastic or metal stent. There are many different types. Most stents are now used, expanding self when installed in the right place and keep the esophagus open. Unfortunately, sometimes the tumor begins to grow through one end of the stent and block the body again. If this happens, you may need laser treatment or photodynamic therapy.
If difficulty swallowing PDT - another version of the laser therapy. Photodynamic therapy - a relatively new method of treatment of esophageal cancer, which doctors use in some cases. It uses light to destroy abnormal cells.
In the first stage, the patient is given a drug that makes cancer cells sensitive to light. It is administered intravenously for 2-3 days prior to laser therapy. This time period allows the drug to bypass the entire body.
Patient sedation before doing laser treatment. The doctor uses an endoscope to guide the light to the desired position, directly on the cancer. Cells die. The procedure itself takes only a few minutes. You can leave the clinic on the same day.
PDT has several side effects. The most difficult - to cope with the sensitivity to light. Sensitizing drug passes throughout the body, so the skin and the eyes become sensitive to light. You should avoid UV rays and glare in the room. On the street you need to close the skin clothing and sunglasses. This state may last for 6 weeks or longer. For this reason, your doctor may not consider this method of treatment of cancer of the esophagus as a suitable option.
Other undesirable effects of FTD include:
- blisters, red and swollen the skin under the influence of glare;
- swelling around the treatment area;
- nausea and weakness;
- metallic taste;
- pain when swallowing for a few days.
The narrowing of the esophagus, rather than lock in Assuta doctor may suggest dilatation. Esophagus able to taper after surgery or radiation therapy. This procedure involves the expansion of the body. Its operate with sedation or anesthesia. Repetition may be required every 2-3 months. There is a very slight risk of rupture of the esophagus wall, especially if the patient has passed the irradiation. But in general, the treatment is repeated again without any problems.
Control of the symptoms of esophageal cancer metastasis - palliation
This work with the patient is engaged in specialized palliative care team. Its members are experts in the management of symptoms and helps improve the condition of the patient as long as possible. With such manifestations as pain and nausea, can be managed with medication. For some patients, help alleviate the symptoms of these complementary therapies for esophageal cancer - relaxation and massage. They are also helpful in controlling anxiety and stress. In addition, such methods are successfully used adjunctive therapy, aromatherapy, acupuncture, phytotherapy, yoga, imaging techniques (imagination control).
There are many different ways of analgesics and their introduction into the body. They are free from pain most of the time. It is impossible to get rid of pain during movement, but perhaps during the holidays.
Medicines help to cope with nausea. There are several types of drugs, the choice is determined by the fact that the causes of this symptom. For example, it may be a chemical imbalance in the body. Or a person may experience nausea when there are difficulties with the passage of food through the digestive system. Depending on the reasons prescribed different drugs.
Disturbances in bowel habits - constipation, diarrhea
When prescribing accounted causes of these symptoms. Painkillers are a major cause of constipation. If the patient takes regular analgesics, should consult a doctor, it is easier to prevent undesirable consequences. Perhaps all that is required - it is soft lactulose syrup, for example.
The cause of diarrhea may be an infection, as this expression is a side effect of treatment of metastasis of esophageal cancer. When for a long time there is constipation or diarrhea, it is important to consult a doctor, rather than just taking drugs.
Disturbances in bowel habits often occur after surgery to remove the cancer of the esophagus. For a while this situation persists. It is worth experimenting with diet to see what kind of products, such as impact. Some people point out that the problems after surgery are related to dairy products, especially milk. Some recommendations on soft diet:
- It should be more use of sauces and gravies.
- Long, slow cooking softens the meat and vegetables.
- It is finely chopped meat and vegetables in a food processor before and after cooking.
- A great option - soup of meat and vegetables.
- In a blender you can prepare smoothies.
- Option - try canned fruit, they are softer.
- You can choose ice cream, yogurts, mousses.