Gastric cancer chemotherapy regimens is as follows:
- Postoperative adjuvant chemotherapy:
For patients who have undergone radical gastrectomy, if they meet any of the following conditions, they will be given postoperative adjuvant chemotherapy for 1 to 2 years: poorly differentiated cancer (excluding stage 0 and stage 1 without lymph node metastasis); tumor invasion of the serous layer or subserous layer of the stomach; local lymph node metastasis; presence of tumor thrombi in blood vessels or lymphatic vessels. The start of chemotherapy should be as early as possible after surgery, but no later than 1 month after surgery. - Neoadjuvant chemotherapy before surgery:
This is mainly used for stage 3 gastric cancer, and generally involves 3 cycles of chemotherapy before surgery. It has been reported that this can reduce the stage of the disease and increase the resectability rate, with a resectability rate of about 70% after chemotherapy. In summary, the comprehensive treatment should be carried out according to the specific situation of the patient.
Gastric cancer patients should actively accept treatment and cooperate with the treatment plan of healthcare professionals. They should overcome any temporary difficulties encountered during the treatment process and complete the treatment plan. If abnormal conditions are found during or after treatment, patients should promptly contact their doctors and regularly visit the original treatment unit for follow-up visits. Patients and their families need to establish a strong determination to fight against the disease, maintain an optimistic attitude, which is very beneficial to improving the patient’s immunity. In particular, we should take care of elderly and weak patients, let them feel the warmth of the family and the care of society.
In terms of diet, patients’ taste preferences should be considered, and the food should be cooked carefully. Meals should be divided into several smaller meals throughout the day, with appropriate portion sizes. Some patients may experience dizziness, palpitations, and upper abdominal discomfort after surgery, which may be due to “dumping syndrome.” These symptoms can be relieved by adopting a semi-sitting or semi-lying position after eating. According to the patient’s physical condition, they should participate in some family and social activities. During the rehabilitation period, it is essential to change bad habits and pay attention to cancer prevention.
