Beware of anemia in the elderly multiple myeloma

Anemia is a certain volume of red blood cells circulating in the blood, hemoglobin, or red blood cells than normal in terms of plot. There are many reasons for anemia, but basically just because of blood loss, excessive destruction of red blood cells and blood from the three non-performing. The elderly are the most common anemia iron deficiency anemia, giant red blood cell anemia David and many chronic diseases caused by anemia. However, people sometimes overlook some can cause anemia of chronic disease, multiple myeloma is one of them. Early because of pain similar to rheumatism, rheumatoid arthritis often misdiagnosed. Qu Ganbu visible because of osteoma, often misdiagnosed as bone tumor. Multiple myeloma in more common in the elderly, the plasma cell disease is a disease in is the result of plasma cell dysplasia caused by a vicious disease. Patients can happen pathological fracture, rib fractures more common in part, on the thoracic and lumbar spine, if the abnormal proliferation of plasma cells in bone marrow cells squeeze can function decline in bone marrow, red blood cells while reducing anemia, leukopenia vulnerable, platelet Easy to reduce bleeding, is also known as multiple myeloma clinical for the plasma cell leukemia, magma violations of soft tissue cells, can form local uplift, known as plasma cell tumors. At this time the patient showed irritability, more urine, constipation, because of high blood calcium, M protein in blood, blood viscosity is high and renal amyloidosis caused obstruction and kidney damage occurred, the patient may also occur retinal hemorrhage, peripheral neuritis , Congestive heart failure, and so on. As long as blood routine examination for the disease, can be found to reduce blood (red blood cells, platelets and reduced WBC), blood and malignant plasma cells in bone marrow (also known as myeloma cells), X-film visible chest rib fractures and other abnormalities. Diagnosis of the disease can be. At present, multiple myeloma use of systemic chemotherapy, localized tumor resection and systemic therapy and other support symptomatic treatment, as long as timely treatment, condition can be eased, but it is difficult to cure.

How hepatitis A prognosis

All of a hepatitis A virus had infected people, whether children or adults who are susceptible. But because hepatitis A virus infection and socio-economic conditions and closely related to personal hygiene habits, so in our country, children under 15 and young people most vulnerable to hepatitis A, because of the disease, was lasting immunity, to adulthood, suffering from hepatitis A are reduced, fewer elderly. Hepatitis A generally good prognosis, easier recovery, is a self-limited disease. In nurseries and kindergartens, children infected with hepatitis A clinical symptoms appeared little in fulminant hepatic failure are fewer. Recalling WHO data indicate that clinical symptoms and jaundice growth and mortality have increased with age, children below the young, is lower than the elderly. At present, most scholars believe that a small number of cases of hepatitis A can occur Although clinical, biochemical indications of persistent recurrence of chronic pathological examination, but will not become a chronic liver disease. Within only six of the infants who illness heavier hepatitis A occurred, the mortality rate was higher than that of older children. There are reports within 6 months of hospitalization of children Hepatitis A Hepatitis A heavy 70% mortality rate of about 50 percent; another elderly (over 60 years old) in patients with severe hepatitis A and also more complications, died rate of 10%, but both young and old, who cirrhosis caused by hepatitis A very rare.

Clinical manifestations of hepatitis A

1. Period of rapid onset of jaundice, chills, fever, malaise, loss of appetite, dislike oil, nausea, vomiting, abdominal pain, liver pain, diarrhea, the birds color gradually deepen, and for the end- -shaped. A small number of patients with fever, headache, upper respiratory tract symptoms such as the main performance. Continuing 1-21 day period, the average 5-7 on. 2. Jaundice period can be improved subjective symptoms, fever diminish, but continued to deepen their urine color, sclera, skin yellow staining around two weeks in at peak level. Color can be a shallow stool, skin, such as obstructive jaundice bradycardia performance. Hepatomegaly to 1-3 cm, tenderness and pain. Some patients have mild splenomegaly. Continuing 2-6 week period. 3. Recovery jaundice gradually retreated, as well as reduce the symptoms disappear, liver, spleen retraction, liver function gradually returned to normal. The current period lasted two weeks to four months, the average months.

Ovarian cancer outlined

Ovarian cancer is female genital mutilation one common tumor incidence rate of cervical cancer, and second only to cancer of the uterus and out rank third. But ovarian cancer death, accounts for all types of gynecologic tumors first to pose a serious threat to women's lives. Because the embryonic development of ovarian, organization anatomy and endocrine function more complicated, it may be suffering from benign tumors or malignant. Because of early ovarian cancer clinical asymptomatic, identify its type and benign and malignant quite difficult, ovarian carcinoma laparotomy found in the ovarian tumor confined to only 30 percent, most have spread to the uterus, bilateral annex, omentum and pelvic organs, both in ovarian cancer diagnosis and treatment, it is a major problem. Over the years experts on the pathological form of ovarian cancer, the development of clinical treatment programs and many of the accumulated a lot of experience, so far, statistics on domestic and foreign clinical data, the five-year survival rate of only 25% ~ 30%.

Will genetic hypertension

The incidence of hypertension is of obvious family gathering, statistics show that parents with their children suffering from hypertension, high blood pressure significantly higher than the probability of parents with normal blood pressure. The parents if a person suffering from hypertension or both, the probability of children suffering from high blood pressure than normal and 2-3 respectively 1.5 times. Scientists have also analyzed the genetic hypertension, and in animals for the success of the hypertension genetic experiments. Of course, this does not mean that all the genetic decision, the incidence of hypertension also with the many environmental factors.

Hypertension will damage the kidney

Early in hypertension for some time, and will not cause significant kidney disease, only for the performance of high-sodium or blood volume expansion of the weakened ability to adapt, such as eating or drinking too much time Guoxian prone edema, high blood pressure. Since then gradually diluted concentrated in tubular function decline in performance for nocturnal enuresis increased, causing increased pressure within the glomeruli urinary albumin excretion increase. A few years later there may be mild to moderate renal arteriosclerosis, then renal ischemia, atrophy, fibrosis, kidney function gradually subside, the performance of the serum creatinine increase, with blood urea nitrogen and serum uric acid increased. In ischemic vascular endothelial kidney damage, kidney caused by the release of a series of the vasoconstrictor and vasodilative material balance disorders, have a material step-up increase, has been elevated to a higher blood pressure, high blood pressure and kidney between the "vicious Cycle. " With the increase of blood pressure and kidney beyond the control of the more severe atherosclerosis, can affect the tubular absorption, excretion, resulting in the creation or metabolism of some toxic substances can not excrete out, causing toxic accumulation in the body, known as uremia . Uremia chronic renal insufficiency is a serious stage, mainly for metabolites of retention, water, electrolyte, acid-base balance disorders and symptoms of systemic systems. Once patients with hypertension to uremia stage, not only to control blood pressure in an ideal level, but also through blood dialysis and peritoneal dialysis bitterness, who must be re-kidney transplant can save lives. So: a hypertensive patients should pay attention if they have swelling, increased symptoms such as nocturnal enuresis. These symptoms often prompt you: may already have early kidney damage, the need to timely treatment.

What are the complications of cirrhosis？

Often a result of complications in patients with liver cirrhosis deaths, major complications 1 liver cirrhosis encephalopathy for the most common cause of death. It is the basis of a metabolic disorder of the central nervous system dysfunction Zonggebingzheng, awareness is the main obstacle to clinical performance, conduct disorders and coma. 2 upper gastrointestinal bleeding Changbiaoxianwei hematemesis and black excrement. If the small amount of bleeding may be the only black excrement. Massive bleeding can be caused by shock and induced ascites and hepatic encephalopathy, or even death. 3 infection 4 primary liver cancer 5 hepatorenal syndrome characterized by oliguria or urine, azotemia, hyponatremia and low urinary sodium. 6 vein thrombosis.

The elderly cirrhosis glucose metabolism disorders

The liver is the storage of sugar vary with the conduct of the main venues of Health, is to maintain a relatively constant blood sugar one of the major organs. Diffuse liver disease can be secondary to glucose metabolism disorders, showed impaired glucose tolerance or diabetes-induced liver. As the elderly liver and pancreatic morphology and function of the change to result in more Huangan Bing, glucose metabolism disorders. 1. The incidence of diabetes-induced liver principle of liver-derived diabetes may be related to the occurrence of liver enzyme (Glucokinase, glycogen synthase, hexokinase, FDP kinase) activity decreased insulin resistance increased concentration of hormones, insulin hypoglycemic effect of glucose And from high-sugar diet as a protective measure, glucocorticoid and the use of diuretics, chronic liver disease at the hypokalemia, and other relevant. 2. The elderly liver-derived diabetes the clinical features of the elderly often due to diabetes-induced liver cirrhosis of the clinical manifestations of chronic relatively prominent and covered up the symptoms of diabetes, or the emaciated, weak, dry mouth, low nutritional status, and other symptoms attributed to Liver disease. Some patients have significant dry mouth, and more drinking, more urinary symptoms. Because liver dysfunction, and more food is rarely see the performance of liver-derived diabetic ketoacidosis and nonketotic hyperosmolar coma are rare; retinopathy and neuropathy in a very low rate of cattle; compared with diabetes nephropathy Rare, and hypertension, atherosclerosis and the incidence of non-diabetic patients with cirrhosis same as the elderly, patients with diabetes than the primary low. 3. Treatment principle The elderly liver prototype focus on the treatment of diabetes treatment of liver disease is positive. Diet control can be properly angry sense of relief, in order to avoid inadequate nutritional intake. Although the elderly patients with cirrhosis of treatment, but often protracted course Buyu. In short cirrhosis elderly poor prognosis, the high mortality rate. Of elderly patients with cirrhosis should conduct a comprehensive and detailed inspection, done early diagnosis and treatment, organ function monitoring, prevention of failure, to strengthen support for therapy, rational drug use, to facilitate the extension of the patient's life.

What are the types of ulcer disease

Ulcer due to different reasons and the incidence of disease pathogenesis not the same, arising from the canker is not the same type: (1) Composite ulcer: gastric and duodenal ulcers also have called the compound ulcer. More because of a duodenal ulcer first, emptying caused pyloric antrum obstacles appear to remain flooded, and then a gastric ulcer. Composite ulcer longer course, the symptoms heavier, and easy to cause bleeding or pyloric obstruction. (2) multiple ulcers: General ulcer cases there is only one ulcer, if two or three at the same time that the existence of multiple ulcers called. (Three) huge ulcer: If the ulcer diameter greater than 2.0 metres, that is known as the great ulcer. His huge stomach ulcers can be complicated by perforation of the back wall, pancreas and involvement, often misdiagnosed as pancreatic cancer. (4) stress ulcer, because of trauma, major surgery, the head of the disease, severe infection or drug and other factors arising from the gastrointestinal mucosa acute injury, bleeding, erosion and the formation of ulcers and necrosis. The stress of more than about 10 days after onset, can occur at any age, no difference between men and women. Prior to the onset of a multi-trauma, major surgery, serious infections, such as history. Often appears on the upper gastrointestinal bleeding, the performance of hematemesis, and then, more sudden onset, often without the precursor signs and difficult to stop bleeding. In addition, there may be on the abdominal pain, abdominal distention, nausea, vomiting, acid and other gastrointestinal symptoms return, but more general stomach, duodenal ulcer disease to light. Through gastroscopy, or double barium-peer be confirmed. Xu treatment of symptomatic treatment, treatment should be active by the disease; (5) anastomotic ulcer: called marginal ulcers in the stomach or duodenum after surgery-prone, and more in anastomotic, Chengyuan oval-shaped formation of ulcers, or single or multiple, generally after the operation, 2-3 Occurred. (6) pancreatic ulcer: also known as gastric secretion of cable or Chaplin. Ai syndrome, for β cells of the pancreas. Mainly because of antrum, the G duodenal cell proliferation, large numbers of gastrin secretion, caused by multiple, intractable peptic ulcers. The main symptoms are intractable peptic ulcer symptoms, course of disease for several years to several decades, may have fulminant. Ulcer for multiple, and often occurred on Jan 12 that can be found in the stomach, esophagus, such as air ileum. Determination by gastric acid, serum gastrin determination Imaging checks to be confirmed. Diagnosis clear who the preferred treatment is surgical excision.

Bleeding ulcer disease of the clinical symptoms

Bleeding ulcer disease can cause the clinical symptoms and the number of blood loss and blood loss rate is closely related to the speed. When the bleeding 50-100 ml, and there can be bleeding to 400 ml, is not only black, but also a series of appears hematemesis and hemorrhagic symptoms. Sustained massive bleeding can result in lower blood volume, anemia, hypoxia, circulatory failure and death. (1) and hematemesis and then: the following general pyloric gastrorrhagia less bleeding or do not cause nausea, vomiting, do not occur hematemesis, and then only solution. If the amount of bleeding, can cause nausea, hematemesis, if the blood in the stomach stranded in a short time, then vomiting of bright red Chenganhongse even if the blood in the stomach stay a long time, oxygenated hemoglobin into the role of acid is iron hemoglobin And a brown. If at the end of Ouchu stomach bleeding, then discharged into the intestine, a black tar-like it or it, the amount of bleeding, intestinal peristalsis fast when it is dark red blood. (2) abdominal pain and discomfort: Most patients with bleeding ulcer before the upper abdominal pain, seizures or aggravate, the pain and bleeding after the often reduce or disappear. (3) changes in blood: bleeding early, because of peripheral vascular contraction and re-distribution of red blood cells, such as physical conditioning, hemoglobin, the red blood cells and blood pressure values of the plot can be no change. 6-12 hours after the bleeding, as inter-organizational liquid into the blood circulation, hemoglobin (hemoglobin) and red blood cells and diluted numerical lower. Bleeding more often after the WBC more than 10,000, Neutrophils also increased. (4) fever: Medium, or bleeding patients, often accompanied with fever, generally within 24 hours to appear, mostly in the following 38.5 ℃, sustained ranging from a few days to a week. This is due to decomposition products lumen, the absorption of blood, blood volume reduction, anemia, in the destruction of proteins, such as circulatory failure to regulate body temperature caused by instability in Central. (5) around the circulatory failure: blood loss, reduced blood volume, blood pressure dropped, can cause the heart to speed up. If the excessive amount of bleeding, Huixin cardiac output and reduce the output of both, may lead to circulatory failure, respiratory function at the same time also be affected. Because heart, brain, kidneys and other vital organs of severe ischemia, lack of oxygen, the shock will become irreversible. In the surrounding circulatory failure, patients can be manifested as irritability, fatigue, flustered, headache, nausea, thirst, difficulty in breathing (hypoxia), pale skin, sometimes cyanosis, cold limbs Jue, the pulse Xiruo until they can not and, Not even lower blood pressure measured. Persistent bleeding can cause oliguria or urine, can cause serious acute renal failure. (6) azotemia: Many patients with ulcer bleeding in the first few days after a azotemia. Continue to hemorrhage, the content of nitrogen in the blood also gradually increased. This is due to enteric to the blood protein digestion by the decomposition products were Xishouruxue, cause azotemia other bleeding can cause renal dysfunction, can not discharge of nitrogen and therefore have azotemia.

Perforated ulcer disease of the clinical manifestations

Gastroduodenal perforation in patients with acute 80 percent have a 90 percent ulcer history, and perforated ulcer disease before symptoms often relapse and increased performance. Abdominal pain is perforated ulcer disease the most prominent symptoms. Perforation occurred, Tugan patients with severe pain in the abdomen, was continuing Daoge kind or tear-like pain, paroxysmal intensified. Abdominal pain since the beginning, the rapid spread of the entire abdomen and right lower abdomen, about 1 / 3 of patients with radiation to the right shoulder pain can be. About half of patients with perforated ulcer after reflection of the often cause nausea and vomiting, vomit for more food debris and gastric juice, mixed with bloody or coffee-like liquid, such as intestinal illness led to the development of paralysis, vomiting will be more serious. After piercing the fierce stimulate patients often can cause irritability, looking pale, cold limbs, plastic, palpitations, sweating, decreased body temperature, pulse by rapid decline in blood pressure and other symptoms of shock. Perforation 1-5 hours, some patients because of increased peritoneal exudate, the dilution of stomach contents into the abdominal cavity of the above symptoms can have different degrees of ease, abdominal pain and tension has reduced, shock symptoms also improved on its own, But still very obvious tenderness. At this time of misdiagnosis or missed easy. Perforation of 10-12 hours later, with peritoneal exudate absorption and secondary bacterial infection, if not promptly treated patients with serious, to be able to enter advanced peritonitis, a shiver, high fever, or even toxic intestinal paralysis, sepsis , Sepsis and ultimately died because of toxic shock. The elderly and frail patients with perforation of the response and tolerance of young patients with different. Its not very obvious symptoms of abdominal pain and severe, but vomiting, abdominal distention heavier, easy to shock, rapid development of disease and poor prognosis, vigilance must assign.

Ulcer disease clinical manifestations of the characteristics of

Ulcer disease is a generic term for gastric ulcer and duodenal ulcer, is a chronic common diseases. Many occurred in young adults. Ulcer disease is the main symptoms of upper abdominal pain, the clinical performance of the following characteristics: (1) longer course, Chanmian refractory disease. (2) in the general season, climate change, easy to attack. (3) gastric ulcer after a meal in more than half an hour to two hours occurred in pain; duodenal ulcer in two to four hours after a meal to begin the pain until the next eating can ease the pain, and often attack at night. (4) the consumption of drugs or basic service temporarily relieve the pain and painkillers. (5) also associated with heating, and back to the acid indigestion symptoms.

Triggered as a causal factor in peptic ulcer

Peptic ulcer disease is very common, it is estimated that about 10 percent of the people in his life had suffered from such diseases, including peptic ulcer and gastric ulcer duodenal ulcer. Relevant information to statistics, the incidence of duodenal ulcer is three times the gastric ulcer. What factors will cause peptic ulcers? » Can be summed up generally have the following factors: First, Helicobacter pylori infection of the bacteria that cause chronic infection is a major cause of gastric inflammation, and chronic peptic ulcer and gastric inflammation are closely related, the majority of peptic ulcer patients with chronic gastric inflammation there. In gastric ulcer in the Helicobacter pylori detection rate of 70% to 90%, duodenal ulcer disease in the Helicobacter pylori in the detection rate was 95% to 100%. So, where H. pylori infection of the ulcer, the treatment of antibiotics are required, can be radical. Second, drug abuse aspirin, indomethacin, Bao Tai Song and glucocorticoid drugs such as prednisone, dexamethasone and so trigger canker, particularly to aspirin. Third, the spirit of adverse factors emotional, mental tension through the neuroendocrine system can increase the secretion of gastric acid, also affected the gastrointestinal mucosa nutrition blood supply, caused by canker. If clinical often encountered some young people in the overworked, live in a state of tension even when gastrointestinal bleeding ulcer. 4, restaurants Baoyinpusi no laws or laws of diet, can affect stomach digestive function, causing indigestion and malnutrition, and malnutrition can weaken the role of gastric mucosal barrier, leading to the occurrence of ulcer disease, and the impact of mucosal repair . 5, preferable snacks to eat snacks because after stimulate gastric acid secretion, but because less food intake without a lot of acid to help digest excess of acid the stomach and duodenal mucosa will digest itself, causing peptic ulcers. 6, smoking tobacco contains nicotine component of the role of a gastric injury, long-term smoking can also make too much gastric acid secretion; bile reflux into the stomach and gastric damage; inhibited pancreatic secretion HCO3, and in the ability of gastric acid ; And the mucous membrane of prostaglandin was reduced, and the protection of the prostate known as the role of gastrointestinal mucosa. These are peptic ulcer that smoking is a major causal factor. 7, drinking alcohol can stimulate gastric acid secretion, the gastric mucosa also has a direct injury. Drinking habits are also regular smokers or long-term use of aspirin and other drugs, ulcer disease occur more easily. 8, genetic ulcer patients in the family to the risk of high single-egg twins simultaneously, the risk of ulcers in more than 50 percent in patients with duodenal ulcer than other blood type O blood group . 9, geographical environment and climate in different geographical ulcer disease incidence vary, according to information found on gastroscopy, the geographical characteristics of peptic ulcers in the South than the North, urban than rural. Climate change induced ulcer disease is also one of the factors, at the turn of autumn and winter and spring for the period of high incidence of peptic ulcers. 10, and other chronic diseases affecting the patients suffering from emphysema, duodenal ulcer rate three times higher than normal; coronary heart disease, arteriosclerosis will cause gastric poor blood supply, can affect ulcer healing; patients with cirrhosis The incidence of peptic ulcers in the general population is two to three times that of patients with hepatitis B surface antigen positive, gastric ulcer incidence rate was as high as 33 percent.

What are the common diseases of fatty liver due to

Caused many of the causes of fatty liver, common are: ① nutrition factors: chronic hunger or digestion and absorption barriers, lack of food in protein and some vitamins, or long-term intake of high fat, high cholesterol and high-precision diet. ② toxic fatty liver: a lot of chemicals, such as steroids, growth hormone, salicylic acid formulations, adenosine triphosphate, some sedatives, epinephrine and norepinephrine, carbon tetrachloride, phosphorus, chloroform, benzene, alcohol, etc. . ③ infections: such as tuberculosis, Streptococcus infections, pneumonia, typhoid fever, chronic cholecystitis and bronchitis target = _blank> chronic bronchitis, chronic pancreatitis, and so on. ④ endocrine and metabolic diseases: such as diabetes, obesity and endocrine problems. Hyperthyroidism, Cushing disease, leaves after the pituitary, such as hyperthyroidism. ⑤ iatrogenic: If in the course of the treatment of hepatitis patients too much rest, coupled with the consumption of high-precision, high-calorie diet, weight gain or continuing a long time, such as intravenous hypertonic sugar can cause fatty liver. ⑥ other: Pregnancy can cause fatty liver of pregnancy, congenital dementia syndrome, galactose levels, family history of hyperlipidemia, non-β-Hyperlipoproteinemia, ulcerative colitis and Crohn's disease, and so can cause fatty liver.

What are the ovarian cancer clinical performance

Ovarian cancer rapid growth, easy-proliferation. However, patients often asymptomatic in the early days, often in the gynaecological examinations, occasionally found, or that tumor growth to a certain size beyond the pelvic, abdomen can be palpable in time, or when complications are found, Daidao medical treatment when they are already late. The symptoms of ovarian cancer may be due to tumor size, in time, there complications to be different. Common symptoms are: (1) early occasional side of the abdominal discomfort or abdominal pain are falling flu. (2) abdominal swelling sense of ovarian cancer can also occur even if the early ascites, only a small tumor in the pelvic examination can be found beyond the pelvic mass gradually grow up, can touch abdominal tumor. (3) symptoms of oppression: the enormous pressure of bladder cancer can be, frequency, difficulty urinating, urinary retention; oppression rectum is difficult stool; oppression gastrointestinal tract have gastrointestinal symptoms; oppression diaphragmatic breathing difficulties can occur, we can not sits flat. (4) because of the rapid tumor growth, malnutrition and physical wasting a form of liquid evil. (5) due to cancer and a corresponding transfer of the symptoms, ovarian cancer rarely cause pain, such as a tumor rupture, bleeding or infection or because of infiltration oppression nearby organs can cause abdominal pain, low back pain. (6), a menstrual disorder, vaginal bleeding. Lung metastasis may be a cough, hemoptysis, pleural effusion, bone metastases can cause partial Juteng metastasis. Intestinal transfer may have blood in the stool, can cause serious intestinal obstruction.

Ovarian Cancer There are several types of pathology, which means its transfer

(1) pathological types of ovarian cancer are three kinds of ① primary cancer: ovarian primary in itself, is generally solid, tumor sizes, Duocheng round, smooth surface, may have nodules processes. Slice gray or gray with red, hard and soft different microscope showed various types, such as cancer, myeloid cancer. Began often unilateral, often late into bilateral and the other side of ovarian cancer may be primary, the opposite may also be transferred from. ② secondary cancer: ovarian cystadenoma from ovarian cancer or other malignant come. ③ metastatic ovarian cancer: ovarian cancer transfer from the more common digestive organs (stomach, intestine) of cancer, a direct invasion, planting or lymphatic transferred to the waist and retroperitoneal lymph nodes, and then transferred to the lymphatic channels ovarian and secondly By the cervix, or Palace of the fallopian tubes, etc. from the spread of cancer, squamous cell carcinoma, adenocarcinoma or chorionic cell carcinoma; breast cancer can also be transferred to the ovarian blood. Metastases to more solid and more than a bilateral nature, structure and more like its original cancer. (2) ovarian cancer spread and transfer of four kinds of ways ① direct spread of: advanced ovarian cancer, not only with the Wai Wai organizations adhesion, but also direct infiltration of these organizations, such as the uterus, peritoneal layer, the broad ligament, fallopian tubes, colon and small intestine, and can even spread through the fallopian tubes to the uterus cavity. ② lymphatic metastasis: lymphatic metastasis of ovarian cancer is a common transfer form. Is usually transferred to the abdominal aorta adjacent lymph nodes, but also along the round ligament and transferred to the groin lymph nodes. ③ implantation of the transfer of: ovarian cancer can be coated perforation, bowel, etc., a large number of nodules or the transfer of papillary carcinoma, in particular serous papillary carcinoma of the capsule, the tumor more easily package perforation Film, and the proliferation in the entire abdominal cavity and caused massive ascites. ④ blood transfer: In addition to ovarian cancer sarcoma, malignant teratoma and those that advanced, with little blood metastasis. General remote parts transfer up to the liver, pleura, lung and other sites.

Recurrent ovarian cancer can be re-operation

-- Health reported the recurrence of ovarian cancer surgery and chemotherapy again whether there has been significant controversy. Xijing Hospital, Fourth Military Medical University XIN Xiao-Yan, director of obstetrics and gynecology professor, recently admitted the past 10 years, 38 cases of recurrent epithelial ovarian cancer clinical data were analyzed retrospectively after that, recurrent ovarian cancer to surgery and chemotherapy can further improve The survival rate of patients. Primary ovarian cancer, 60.0% and 90.0% for the epithelial carcinoma, the initial clinical surgery after chemotherapy to cure, but there is still 85.0 percent of cases in the near future and long-term relapse. This 38 cases of recurrent ovarian cancer, 20 patients received tumor recurrence again laparotomy cytoreductive surgery, nine cases due to fear of surgery and the use of chemotherapy alone, the other nine cases of the use of traditional Chinese medicine or give up treatment. The results showed that 20 cases of surgery again after two to five-year survival rates were 69.8% and 52.4%, 42.7% and 26.4%; nine cases received chemotherapy only 2 to 5-year survival rates were 68.9% and 13.8%, 8.7% And 6.9 percent, to surgery and chemotherapy alone 5-year survival rates were significantly different (P <0.01);>

Ovarian cancer what the disease was originally

Ovarian cancer risk factors unclear, but the environment and endocrine effects in ovarian cancer risk factors in the most attention. According to its etiology and epidemiological investigation, the incidence of high-risk factors and the number is: ⑴ environmental factors: the industrial developed countries and upper class women's high incidence of ovarian cancer, may be related to high cholesterol diet. In addition, ionizing radiation and asbestos, talc can affect oocytes HKTB increased the chance of ovarian cancer, smoking and vitamin A, C, E and the lack of morbidity may also be relevant. ⑵ endocrine factors: ovarian cancer occurred in the absence of maternal or infertile women, the pregnancy of ovarian cancer seems to be confrontational role that the daily performance of epithelial ovarian ovulation caused by repeated Phi loss and ovarian cancer-related. In addition, breast cancer, endometrial cancer with ovarian cancer, the three diseases have all this hormone-dependent. ⑶ genetic and family factors: about 20-25% of patients with ovarian cancer in the immediate family members of cancer patients. Plot

Breast and ovarian cancer-related links

Swedish experts recently warned that, for those who have breast or ovarian cancer family history of the young women, if he has been diagnosed with breast cancer, then their risk of suffering from ovarian cancer will be significantly increased by 10 times. So even the experts recommended that some breast cancer patients may be necessary to use with ovarian cancer such as prevention with the preventive measures. Karolinska Institute Kjell Bergfeldt, such as medical doctor in his study in the analysis and comparison of the more than 30,000 cases of breast cancer patients under the age of 70 the medical records, and their immediate families are also suffering from breast cancer in ovarian cancer or conduct the survey. The results showed that, if his mother, sister or daughter of someone with breast cancer or ovarian cancer, while those in the age of 40 before being diagnosed with breast cancer in women in the 70-year-old former suffering from ovarian cancer risk of a corresponding increase six-fold and 17 Times. Relevant experts believe that the discovery confirmed the existence of these two types of cancer among some related links. Previous studies have also noted that carrying the BRCA1 or BRCA2 gene mutations in breast cancer patients in about 40 percent of the people will be suffering from ovarian cancer.