Liver metastasis after cardiac cancer surgery

Liver metastasis of advanced gastric cancer has been treated with adjuvant chemotherapy for nearly a year, and the condition is stable at present. There are several points to explain: poorly differentiated adenocarcinoma of cardia with squamous cell carcinoma differentiation, at that time, 10 lymph nodes could not be taken to detect metastasis, and the adjuvant chemotherapy scheme appeared to be "insufficient firepower", which may be related to poor postoperative tolerance. 5-FU can't be taken orally because its bioavailability fluctuates greatly. At present, there are many oral fluorouracil drugs, such as Youfuding, Capecitabine, S- 1, etc.

"Capecitabine (Zefei)+Cisplatin" chemotherapy for one cycle. Xeloda was taken orally on June 5438+1October 2, 2009. "

The above statement may be wrong. Zefei is gemcitabine. 20 10 1.2 Did you start taking Xeloda orally?

Liver metastasis of partial gastric cancer will cause a significant increase in AFP in the blood, which is not caused by primary liver cancer. Most patients with liver metastasis have splenomegaly, and the reason is not clear. At present, AFP is decreasing, which may be the result of effective chemotherapy.

Most patients with gastric cancer can't recover to the preoperative level after operation, and will fluctuate at a new slightly lower level.

Post-treatment pursues quality of life and symptom control, and can be treated with oral single drug. S- 1 is also a good choice.

Best wishes.

(Dr. Li Xingya solemnly reminds me that because I can't see the patient face to face, I can't fully understand the condition. The above suggestions are for reference only. Please go to the hospital for specific diagnosis and treatment under the guidance of a doctor! )

Zheng Dayi Affiliated Hospital Li Xingya/