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PostWysłany: Czw 21:07, 10 Mar 2011    Temat postu: herve leger sale PDT treatment of 59 patients with

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PDT treatment of 59 cases of upper gastrointestinal cancer effects and complications


Larger tube foreign body, foreign body in the device catch on, it will close its back and close the bottom of the casing, starting a casing expansion guide, with pull out, it would also cut through the esophagus and to avoid possible throat of mucous membranes. (2001-10-22 Received Chen Fengying reviewers Huang Qiulin edit) (Continued from page 93) developed by the Conference of the PDT photodynamic efficacy of common evaluation standard, full effect (CR): the symptoms disappeared completely, entirely within the microscope, the tumor disappeared for more than 1 month. Significant effect (SR): significant improvement in subjective symptoms, relief of obstruction, can enter the solid diet. Endoscopic lesions reduced by 50% for 1 month. Effective should be (MR): subjective symptoms should be reduced, obstruction partially lifted, to enter and liquid or soft diet, endoscopic lesions reduced by 25% for 1 month. No effect (NR): After treatment, their symptoms and objective examination and treatment the same as before. 2 Results Schedule 59 cases of stomach and esophageal cancer cases 2.1PDT PDT efficacy evaluation of esophageal cancer after treatment, eating status in 15 cases,[link widoczny dla zalogowanych], 14 cases could be into a normal diet, and 1 invalid. There were only a few stems choking feeling, a gastric cardia in 26 cases, 24 cases of resistance to lift it can flow into the semi-liquid food,[link widoczny dla zalogowanych], or food, 2 cases were ineffective. 14 cases of gastric cancer into the normal diet may be the residual cancer in 4 cases, 1 case of semi-liquid food can be hired in 3 cases and 2 cases with liver metastasis could eat into the flow, and 1 invalid. Endoscopic morphology of 2.2 at the 3rd to see most of the PDT tumor treatment significantly reduced or disappeared, most of the patients lost contact after discharge, or do not want to review again endoscopy, therefore, only a small number of patients at 1 month after endoscopy and biopsy review, it is effective only in accordance with the symptoms and eating the situation to determine. See the site of the tumor disappeared and black white fur covering callus formation, see the site of tumor shrinkage are superficial ulceration and edema. There were 1 case of esophageal tumor months later see the disappearance of biopsy were negative, 2 cases of gastric cancer review 3 months after endoscopic atrophic gastritis biopsy results, and no tumor cells. 2.3PDT complications microscope with superficial ulcers, gastritis and esophagitis congestive form, the patient under conscious chest and xiphoid pain, low fever in some patients. The group of 59 patients, CR + SR + MR total effective rate was 93.22%. 59 cases of cancer patients after PDT, after review of blood, urine, feces three conventional, laboratory tests of liver function, renal function and B-no special change. 3 Discussion 3.1PDT principle the treatment of cancer diagnosis and treatment of cancer PDT is a new technology that can selectively destroy tumor tissue, the laser medicine, optical fiber and the result of the development of endoscopic techniques 【2J, the principle is the use of selective accumulation of photosensitizer , pool slide in the cancer tissues, and specific wavelength of light in cancer cells under the effect of photodynamic destruction, while the collagen fibers under normal gastric mucosa without injury, in order to achieve the purpose of local cancer 【3.4J. 3.2PDT treatment of 59 patients in this group of patients with gastrointestinal tumors by PDT treatment, most patients to reduce the pain, solve the feeding problems, significant effect,[link widoczny dla zalogowanych], the effective rate was 93.22%, the recent results were satisfactory. Lost contact with most patients, 1 patients with esophageal cancer a month later the tumor disappeared gastroscopy see, biopsy was negative, 2 cases of gastric cancer pathology repeated endoscopy after 3 months the results of atrophic gastritis, followed up for 6 years and is still survival. 3.3PDT complications of ulcer formation may be damaged laser sake of cancer, congestive gastritis and esophagitis is mainly due to local inflammatory reaction after irradiation, can be taken orally gastrointestinal mucosal protective agent, symptoms may gradually subside. Fever may have been anti-tumor necrosis factor into the blood as the body temperature caused by heat induced. PDT effect of reliable, safe, simple, and is currently the palliative treatment of upper gastrointestinal cancer therapies. It can only remove the superficial parts of the tumor cells, can not eradicate deep tissue of the tumor cells, therefore, its long-term efficacy still some limitations, need further study.

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