Ovarian tumour treats an encyclopedia

Mew is malign tumor is given priority to with operation cure, and complementary treat in order to radiate, turn the comprehensive treatment such as cure. The operation should be probed in detail above all when remedial operation. Chemical cure diffuses as

Ovarian cancer is one of tumour with female reproduction common organ, incidence of a disease is next to cervix cancer with uterine body cancer row to reside the 3rd. But send the dead because of ovarian cancer, take the first place of tumour of of all kinds department of gynaecology however, cause serious menace to woman life. As a result of ovarian embryonic development, the organization is anatomized reach endocrine function is more complex, the tumor that it has may be benign or malign. Because ovarian cancer is clinical and inchoate,do not have a symptom, differentiate its constituent type and fine, malign quite difficult, paunch of ovarian cancer travel probes what discover tumor bureau be confined to is ovarian in art to be occupied only 30% , great majority already diffused uterus, bilateral accessory, big retinal reach pelvic cavity each organ, so no matter ovarian cancer is in diagnose and one catastrophe problem is truly on cure. Come for years experts are right the pathology configuration of ovarian and malignant tumor, clinical happening development rule and remedial program undertook a lot of discussing, accumulated much experience, so far, with respect to statistic of domestic and international clinical data, its 5 years of survival rate only 25% ~ 30% .

Ovarian cancer is given priority to with operation cure, complementary wait with chemical cure, radiative cure.

(1) operation cure is general travel complete uterus, bilateral accessory and big retinal resection. Terminal patient should excise move cancer kitchen as far as possible, go namely tumor cell is cut art. As to the cure of the lymph node after cleared peritonaeum value still does not have final conclusion.

(2) chemistry cure is main and auxiliary therapeutics. Reckon the operation excises tumor difficulty, 1 ~ is used first before art 2 period of treatment change cure, can raise operation resection. The application after art changes cure to be able to prevent recrudescent; operation excision is not complete person, after changing cure, can obtain alleviate temporarily survive for a long time even the person that; operation cannot be excised, change cure to be able to make tumor contractible, become loose, for again the operation creates a condition.

About changing cure the choice of medicaments, dosage, usage and heretofore of period of treatment had be notted unite. From curative effect analysis, with medicine with large dose intermittence lesser dosage uses medicine to be beautiful continuously, change cure jointly relatively simplification cure is beautiful, by histology classification makes the plan that change cure be beautiful:

① whole body changes cure to be given priority to with medicine with vein. Treat at present hear cancer of ovarian and epithelial sex, use suitable platinum more (DDP) and A mildew element (close amine of ADM) , 6 armour (amine of acyl of phosphor of HMM) , annulus (pyrimidine of Niao of fluorine of CTX) , 5- (the combination such as 5-Fu) changes cure.

Second dosage arranges sheet commonly platinic 30mg/m2, a mildew element 30mg/ M2, 150mg/ M2 of 6 armour close amine, () of profess to convinced, 150mg/ M2 of amine of annulus phosphor acyl, 8mg/kg of pyrimidine of 5- fluorine Niao.

Tumour of ovarian reproduction cell, plan of commonly used VAC, namely Changchun is new alkaline (VCR)2mg, static note, every week 1 in all G of μ of D(KSM)400 of 12; actinomyces element, the 2nd ~ amine of acyl of phosphor of annulus of; of 6 days of Jing Di (CTX)400mg, the 2nd ~ 6 Tian Jing is noted. Using VAC plan to add DDP20mg/m M2 again at the same time in recent years, the 1st ~ 5 days of Jing Di, 3 ~ repeat interval 4 weeks. Qualitative tumour adopts AFC plan more between sexual all alone, namely actinomyces element D0.01/kg, daily 1 Jing Di, in all 5 (8mg/kg of pyrimidine of Niao of maximum 0.5mg/d);5- fluorine, daily 1 Jing Di, in all 7mg/kg of amine of acyl of phosphor of 5; annulus, daily 1 static note, in all 5. Every 4 weeks repeat.

② abdominal cavity changes cure but immediate effect at tumor, local concentration is high, explore makes ascites effect beautiful, side effect is smaller. Current and multi-purpose 60 ~ 80mg adds suitable platinum physiological saline 1000ml, vein to hydrate goes in the meantime, make uric quantity amounts to 2000ml above 24 hours, in order to ease kidney noxiousness reaction.

③ artery notes medicine to change cure to be below bureau hemp, via leather puncture arteria femoralis, go in a direction not allowed by traffic regulations spile is pushed into the artery inside Qia fix anticarcinogen thing, can reduce the tie of anticarcinogen content and serous albumen, and the cellular noxiousness effect that adds; of free medicaments chroma to be able to add anticarcinogen thing, heighten curative effect thereby. In addition, passable reduce systemic side effect.

④ changes cure embolism way at the same time to anticarcinogen of the perfusion inside artery content and embolism agent, the cancer cell that makes suffer anticarcinogen content effect is anoxic be short of blood, easier necrotic.

(3) puts Xie Zhi cure the ovarian and malignant tumor of different organization type, different to putting the sensitivity of cure, with asexuality cell tumour the most sensitive to putting cure, spend in grain cell tumour sensitive, epithelial sex tumour also has external exposure of rear body of art of certain susceptibility; to basically be aimed at a kitchen of celiac remaining cancer. The person that adhesion has kitchen range of tiny and leftover cancer is not had inside abdominal cavity, can be after art 7 ~ radionuclide of 14 days of perfusion, 15mCi of ~ of commonly used 32P10, buy in physiological saline of 300 ~ 500ml, slow infuse is celiac.

4, one of measure that cure can regard the Chinese traditional medicine that fight cancer as comprehensive treatment, apply to a few do not suit operation and put, the patient that change cure or has a relapse after the operation.

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    (the exercitation edits: Chen Junqi)

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    Ovarian tumour treats an encyclopedia

    Mew is malign tumor is given priority to with operation cure, and complementary treat in order to radiate, turn the comprehensive treatment such as cure. The operation should be probed in detail above all when remedial operation. Chemical cure diffuses as