The main treatment for kidney cancer is surgical resection. The effects of radiotherapy, chemotherapy, and other treatments are not ideal and uncertain. According to statistics, kidney cancer combined with radiotherapy has no impact on the annual survival.
1. Kidney cancer surgery
It is divided into simple nephrectomy and radical nephrectomy. It is currently recognized that radical nephrectomy can improve the survival rate. Radical nephrectomy includes the perirenal fascia and its contents: perirenal fat, kidney, and adrenal glands. There is still controversy about whether local lymph node dissection should be performed for radical nephrectomy. Some people believe that lymph node metastasis often involves hematogenous metastasis. Cases with lymphatic metastasis will eventually develop hematogenous metastasis. The lymph nodes are widely distributed and difficult to remove. However, others believe that, Lymph node metastasis mainly occurs in the inferior vena cava and aorta area near the renal hilum, which can be curatively removed. However, few patients with metastases found in radical lymph node dissection survive for more than 10 years. During kidney cancer surgery, the renal artery and renal vein should be ligated first to reduce bleeding during surgery and possible tumor spread.
Kidney cancer is a multi-vessel tumor that often has large collateral veins. It is easy to bleed during surgery and is difficult to control. Therefore, when operating large tumors, selective renal artery embolization can be performed before surgery. It can cause severe pain, fever, intestinal paralysis, infection, etc. and should not be used routinely.
Special issues in the treatment of renal cancer
, Renal tissue-sparing renal cancer surgery
Renal tissue-sparing renal cancer surgery, such as bilateral renal cancer or solitary renal carcinoma, and contralateral renal function Bad ones include renovascular hypertension, kidney stones, renal tuberculosis, and ureteropelvic junction stenosis. For kidney cancers that are small in diameter and located at the edge of the kidney, kidney tissue-preserving surgery may be considered. The surgical method is partial nephrectomy, and the tumor can also be stabbed out.
, Inferior vena cava tumor thrombus
Renal cancer is prone to tumor thrombus in the renal vein and inferior vena cava. In recent years, it has been believed that if no local or distant spread is found, radical nephrectomy can be performed at the same time. Intravenous tumor thrombus or removal of intravenous tumor thrombus in the inferior vena cava, the prognosis is still good. The inferior vena cava should be blocked above the thrombus level during surgery to avoid fatal pulmonary embolism. If the thrombus extends to the heart, the inferior vena cava can be blocked in the pericardium, and the inferior vena cava can be incised to remove the embolus.
Local spread of kidney cancer and invasion of adjacent tissues and organs
This is a thorny issue in the treatment of kidney cancer. Complete surgical removal of the tumor and its involved tissues is the only curative method. Only % of these patients survive per year. Local spread of kidney cancer may be accompanied by pain as the tumor invades the posterior abdominal wall, sacrospinalis muscles, and nerve roots. Direct infiltration of the liver by renal cancer is relatively rare, and intrahepatic metastasis is more common than direct infiltration. Duodenal and pancreatic involvement are almost impossible to cure. Although there are distant metastases, as long as surgery is possible, the primary kidney can still be removed in most cases, and the metastatic lesions can still be cured for a long time. After removing the diseased kidney, hematuria and pain will also be eliminated, which is still worthwhile.
2. Treatment
Over the years, it has been proven that lymphocytes in human solid tumors respond to their tumor cells. However, the cytotoxic effect of such tumor-infiltrating lymphocytes on autologous tumors is often low because intratumoral lymphocytes There is an inhibitory mechanism, and these cells need to be stimulated and expanded in vitro to enable them to fully exert their cytotoxic effects on autologous tumors.
Normal human lymphocytes and interleukin culture can produce effector cells called lymphokine-activated killer cells. A group of cells and - treated renal cancer cases: cell + - case and pure - case. The cell + - group had R cases of complete remission and R cases of partial remission. The effective rate was/%. -Group/Example R only.
Tumor-infiltrating lymphocytes, that is, cells, can also be amplified in vitro. In animal experiments, it was found that this adoptive transfer has a therapeutic effect that is three to three times stronger than that of cells, and can destroy metastases in the lungs and liver. . The possibility of its clinical application is still under discussion.
3. Chemotherapy
Chemotherapy for kidney cancer is not very effective, and single drug therapy is even less effective. According to expert statistics, alkylating agents are more effective in the treatment of kidney cancer as a single chemotherapy drug. The combination with better efficacy in combination chemotherapy is: vinblastine + methotrexate + bleomycin + testicular vincristine + doxorubicin + B + methyl acetaldehyde oxyprogesterone vinblastine + doxorubicin + hydroxyurea +. In short, multidrug therapy is better than single drug therapy.
Traditional Chinese medicine has its unique advantages in anti-cancer. It starts from the root cause and treats both the symptoms and the root causes. It adopts syndrome differentiation treatment and comprehensive holistic treatment. While fighting cancer, it can improve the patient's immune function and has good effects on strengthening the body and dispelling evil. Therefore, in the treatment of kidney cancer, traditional Chinese medicine treatment is mostly used in the entire treatment process and is one of the better treatments for kidney cancer, especially for patients with advanced kidney cancer and those with severe decompensation of renal function who cannot tolerate other treatments. , can improve the overall condition of the body and prolong life.
During the treatment of kidney cancer, traditional Chinese medicine treatment methods can not only be effectively used in combined treatment with Western medicine treatments such as surgery, radiotherapy and chemotherapy, to improve the curative effect, but also can be used for patients with advanced stages who are inoperable and who cannot withstand radiotherapy and chemotherapy. For patients, TCM treatment provides beneficial help.
What are the treatments for late-stage kidney cancer? In short, traditional Chinese medicine treats late-stage kidney cancer. While suppressing and killing cancer cells, it also protects the body's normal functions, supports righteousness, improves immunity, improves the patient's clinical symptoms, and can effectively prolong survival. Expect.
Let us first take a look at the treatment of terminally ill patients. Western medicine treatment for late-stage patients mainly includes the following methods:
, surgical treatment of late-stage cancer
The surgical lesions of late-stage cancer patients are large, and most of them have metastasis, infection, etc. The situation is relatively complicated. In addition, because patients with late-stage cancer have Because of their poor physical constitution and low immunity, surgery often severely damages their vitality and sharply reduces their quality of life. Therefore, before surgery, take an increased amount of anti-cancer traditional Chinese medicine (such as ginsenosides) for at least one to two months. This is because the anti-cancer active substances extracted from pure Chinese medicine like ginsenosides (vitamins) have the effect of reducing the size of tumors. In addition, they also have the effect of improving the immunity of patients with advanced cancer, which can increase the success rate of surgery and reduce the risk of cancer. There are possible side effects after surgery to speed up postoperative recovery.
, Radiotherapy and Chemotherapy to Treat Advanced Cancer
Patients with advanced cancer often use radiotherapy, chemotherapy, or simultaneous treatment with radiotherapy and chemotherapy, but the premise is that the patient is in good physical condition and can withstand the radiotherapy. Side effects of chemotherapy. The advantage of radiotherapy and chemotherapy for treating patients with advanced cancer is that it is effective and effective, and it can completely kill cancer cells. Disadvantages are: severe side effects, risk of recurrence and metastasis.
Therefore, it is necessary to take good care of the patient's body at this time to alleviate the damage of radiotherapy and chemotherapy. The ginsenosides mentioned above can effectively alleviate the damage caused by radiotherapy and chemotherapy and effectively prolong the patient's life. Studies have found that ginsenosides can also play a good role in enhancing efficacy and reducing toxicity in the treatment of radiotherapy and chemotherapy. Clinical research is carried out using ginsenosides, the main active ingredient in ginseng, as an auxiliary treatment for tumors. In the study, damage, bone marrow cell micronucleus and spleen lymphocyte transformation experiments were used, and it was found that ginsenosides have significant protective effects on damage caused by large-dose radiation, bone marrow micronucleus cell formation and immunosuppression, indicating that ginsenosides are expected to become a radiation protection drug. At the same time, experiments have confirmed that the combined use of ginsenosides and cisplatin can significantly improve the inhibitory effect on laryngeal cancer cells and induce apoptosis of laryngeal cancer cells. When low-dose ginsenosides are used in combination with low-dose ginsenosides, the application effect can be achieved several times the dose, showing obvious synergy.
Conservative treatment of late-stage cancer
For advanced cancer patients who are elderly, in poor physical condition, and have low immunity, conventional Western medicine treatment may be able to achieve good therapeutic effects, and the cancer cells can be effectively eliminated. Kill or control, but patients may not be able to withstand the physical wear and tear caused by the side effects of the treatment, thus accelerating the end of the patient's life. In this case, patients need to take conservative treatment, traditional Chinese medicine treatment methods with the purpose of reducing the patient's pain, prolonging life, and improving the quality of life.
As mentioned above, ginsenosides (life-protecting substances) have the effect of improving the patient's immunity, inhibiting the growth and spread of cancer cells, promoting apoptosis of cancer cells, and inducing the differentiation of cancer cells. If you insist on taking it in dosage, it can achieve Cancer survival and pain relief, improving the quality of life of patients with advanced cancer.
Because of this, ginsenosides (vitamins) are currently the only drug that is necessary for patients with advanced cancer.
Example:
Ms. Lu’s father was diagnosed with mid-to-late stage kidney cancer in 2016. He went to the hospital for surgery and has been recuperating at home after the operation. He went to the hospital for review at intervals. He took Chinese medicine at home and had high blood pressure. , I often feel dizzy and my diet has been poor. After Ms. Lu learned on the Internet that ginseng saponins can improve diet, sleep, etc., she bought Jinxing capsules for her father. Later, her father's appetite did increase a lot. He seemed very energetic and even went for a walk in the park alone every day. Ms. Lu felt that ginsenoside had indeed helped her father, so she continued to take it. She went for a checkup every month. The doctor said that the tumor had not grown and was well controlled. So far, her father has taken the box and is still taking it.
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Kidney cancer treatments