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Liu Liang
Oncology
About me
Loudi Central Hospital, Oncology Department, attending physician, has been engaged in clinical work in the field of oncology for many years, and has rich clinical experience in the diagnosis and treatment of oncologic diseases.
Proficient in diseases
Specializes in common diseases such as lung cancer, liver cancer, stomach cancer, breast cancer, colon cancer, and lymphoma.
Voices
What are the symptoms of lymphoma?
The symptoms of lymphoma predominantly start with painless enlargement of superficial lymph nodes, most commonly in areas such as the neck, supraclavicular lymph nodes, armpits, or groin. Additionally, patients with nasal NKT lymphoma might experience nasal congestion, nosebleeds, and rhinorrhea. Lymphomas occurring in the stomach, for example, present symptoms like nausea, vomiting, and even rectal bleeding which are related to the gastrointestinal tract. Therefore, symptoms can vary depending on the location of the lymphoma. Some patients may also experience enlargement of the liver and spleen. In advanced stages of lymphoma, bone marrow involvement is possible, along with common B symptoms including sweating, fever, or weight loss, which are also clinical manifestations seen in lymphoma patients.
What are the symptoms of pancreatic cancer?
The most common symptom of pancreatic cancer is abdominal pain, typically pain in the upper abdomen. Jaundice is also common, especially in cancers of the head of the pancreas, where it is the most frequent clinical manifestation. Upon physical examination, some patients may have a palpable mass in the upper abdomen. Other common symptoms include gastrointestinal issues, such as nausea, vomiting, a feeling of fullness after eating, and a decrease in appetite. These are some of the symptoms related to the digestive tract.
What can someone with stomach cancer eat?
For the diet of stomach cancer patients, they should focus on eating easily digestible foods and maintain a balanced diet with frequent small meals. They can eat meat, eggs, vegetables, and fruits. However, they should avoid cancer-causing foods such as pickled products and barbecued foods, as well as overly greasy or hard-to-digest foods. There are no specific dietary prohibitions. As long as the patient has a good appetite and can tolerate food, they can eat many types of food.
What to do if vomiting occurs in liver cancer?
Liver cancer is divided into two main pathological types, the first being hepatocellular carcinoma, which is the most common, and the other being cholangiocellular carcinoma. Clinically, vomiting is also a common symptom of liver cancer. For symptomatic treatment, we can provide gastric protection and administer antiemetic drugs such as stomach comfort, but these are only symptomatic treatments and do not cure the root cause. The key is still to treat the liver cancer itself, as the symptoms will only alleviate once the cancer is under control. For advanced hepatocellular carcinoma, targeted therapies like sorafenib are available. If it is cholangiocellular carcinoma, and symptoms like vomiting and jaundice appear, which may be obstructive symptoms, then a surgical procedure in hepato-biliary surgery to drain the bile can be performed, which can also alleviate the symptoms of vomiting. (Medications should be used under the guidance of a doctor.)
Can people with lymphoma eat beef?
The diet for lymphoma patients isn't particularly special; it’s just like the diet of healthy individuals, with no need for specific dietary restrictions. Moreover, there aren't any prohibitions related to "hot-natured" foods as mentioned in traditional Chinese medicine. From a Western medicine perspective, the focus is simply on enhancing the patient's nutrition. This can be achieved by eating smaller, more frequent meals, and ensuring a balanced diet with a good mix of meat and vegetables. There are no special dietary taboos; all foods are permissible, provided one avoids junk food. Therefore, foods like beef and lamb are perfectly acceptable.
What is lymphoma?
Lymphoma refers to a type of malignant tumor that originates in the lymph nodes or extranodal tissues or organs. It is clinically categorized into two main types: Hodgkin's lymphoma and non-Hodgkin's lymphoma. Furthermore, it can be subdivided into many different pathological types. Among these, diffuse large B-cell lymphoma is the most common type in China, and there are dozens of different pathological types. The pathological type of the lymphoma determines its malignancy level, prognosis, chemotherapy regimen options, and treatment methods, all of which can vary significantly.
How to check for gastric cancer?
When clinical symptoms such as nausea, vomiting, gastric distension or upper abdominal pain, acid reflux, or hematemesis, as well as melena occur, it is necessary to consider the possibility of gastric cancer and seek timely medical attention. Completing a gastroscopy and obtaining a biopsy under gastroscopy are essential. If cancer cells are found, this is the most important diagnostic method for confirming gastric cancer. After the diagnosis of gastric cancer, further examinations like endoscopic ultrasound and CT scans of the chest and abdomen are required to assess the approximate stage of the patient and to decide the subsequent treatment plan.
early symptoms of gastric cancer
The early symptoms of gastric cancer are similar to those of some gastrointestinal diseases such as gastritis, gastric ulcers, or duodenal ulcers. They don't have very specific clinical manifestations. Common symptoms include nausea, vomiting, discomfort or pain in the upper abdomen, and acid reflux-like symptoms, which are early symptoms in patients with gastric cancer. Therefore, when such symptoms appear, it is essential to seek medical attention promptly and undergo a thorough gastroscopy.
What are the symptoms of rectal cancer?
Symptoms of rectal cancer include changes in bowel habits, such as a feeling of heaviness around the anus, a constant need to defecate, or diarrhea. Some patients may experience constipation, or alternating episodes of diarrhea and constipation. Another common symptom is a change in the shape of the stool, with the stool becoming narrower. Additionally, abdominal pain and rectal bleeding are also common symptoms. Some patients with rectal cancer may exhibit clinical signs of intestinal obstruction, which includes constipation, inability to pass stool or gas, which means no flatulence. This is accompanied by nausea and vomiting. Other common symptoms include significant abdominal pain and bloating.
Can rectal cancer be cured?
If rectal cancer is detected in its early stages, such as stage I or II, curative surgery can be performed. Postoperative decisions regarding the necessity of adjuvant radiotherapy or chemotherapy are based on the postoperative pathological staging. Early-stage rectal cancer patients can achieve a cure through surgical treatment combined with some postoperative adjuvant therapies. After curative surgery, the overall five-year survival rate is approximately 50%. However, this rate can vary and is associated with several factors such as postoperative pathology, whether there is lymph node metastasis, the presence of vascular tumor thrombi, and nerve invasion, among other high-risk factors for recurrence, showing certain individual differences. Yet, early-stage rectal cancer patients can achieve a cure through these methods.