Peritoneal Cancer
Overview
Peritoneal cancer is a rare cancer that develops in the peritoneum, a thin, 腹膜:衬在腹部内壁上的薄层,覆盖子宫并延伸到膀胱和直肠. The peritoneum is made of epithelial cells. By producing a lubricating fluid, the peritoneum helps the organs to move smoothly inside the abdomen.
Peritoneal cancer looks and behaves like ovarian cancer, but the ovaries are minimally involved. 在切除卵巢后患上卵巢癌的女性很可能患有腹膜癌.
The surface of the ovaries also is made from epithelial cells. Therefore, peritoneal cancer and the most common type of ovarian cancer, called epithelial cancer, produce some of the same symptoms and are often treated in the same way. In addition, women who are at an increased risk of developing ovarian cancer, particularly due to the BRCA1 and BRCA2 genetic mutations, also are at increased risk for peritoneum cancer.
Our approach to peritoneal cancer
UCSF offers innovative, 支持性环境下对腹膜癌患者的关爱. Our team includes gynecologic oncologists, gynecologic cancer surgeons, 放射肿瘤学家和在生殖癌症方面受过特殊训练的护士. 加州大学旧金山分校还为患腹膜癌的高危家庭提供遗传咨询, which has been linked to the BRCA1 and BRCA2 genetic mutations.
We believe that education is a powerful part of the healing process. 我们的团队与每位患者一起工作,帮助她了解自己的病情和所有的治疗方案, so we can decide together on the best course of action.
Awards & recognition
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Among the top hospitals in the nation
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Best in Northern California and No. 7 in the nation for cancer care
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Designated comprehensive cancer center
Signs & symptoms
在早期阶段,腹膜癌的症状可能非常模糊,难以发现. 像卵巢癌一样,这种情况通常在发展后期才会产生任何症状. 当腹膜癌出现症状时,它们与卵巢癌的症状相似. Symptoms may include:
- General abdominal discomfort and pain, such as gas, indigestion, pressure, swelling, bloating or cramps
- Nausea, diarrhea, constipation and frequent urination
- Loss of appetite
- Feeling full even after a light meal
- Weight gain or loss with no known reason
- Abnormal bleeding from the vagina
Diagnosis
In making a diagnosis of peritoneum cancer, 你的十大赌博平台排行榜会首先询问你可能遇到的任何症状, 同时检查你的病史并进行彻底的身体检查. The following tests also may be performed:
- Pelvic exam. This test involves feeling the uterus, vagina, ovaries, fallopian tubes, bladder and rectum to find any abnormality in their shape or size.
- Ultrasound. This refers to the use of high-frequency sound waves that are aimed at the ovaries. The pattern of the echoes they produce creates a picture called a sonogram. 在这张照片上,健康组织、充满液体的囊肿和肿瘤看起来不同.
- CA-125 assay. This is a blood test used to measure the level of CA-125, 一种肿瘤标志物,常在患有卵巢癌或腹膜癌的妇女血液中含量高于正常水平.
- Computed tomography (CT) scan. This is a series of detailed pictures of areas inside the body created by a computer linked to an X-ray machine.
- Lower GI series or barium enema. This is a series of X-rays of the colon and rectum. The pictures are taken after the patient is given an enema with a white, chalky solution containing barium, which outlines the colon and rectum on the X-ray, making tumors or other abnormal areas easier to see.
- Biopsy. This test 包括从可疑部位取出组织,在显微镜下检查. A pathologist studies the tissue to make a diagnosis. 为了获得组织,外科十大赌博平台排行榜进行剖腹手术,一种打开腹部的手术. 如果怀疑癌症,外科十大赌博平台排行榜可能会进行卵巢切除术,将整个卵巢切除. Occasionally a needle biopsy is performed, but this is not generally performed on ovarian tumors if surgery is planned.
Treatments
腹膜癌的治疗取决于许多因素,包括:
- The stage of your cancer, or how advanced it is
- 你的癌症有多大程度的转移,或扩散到身体的其他部位
- Your general health
您和您的十大赌博平台排行榜将共同制定最有效的治疗方案,以满足您的需求.
腹膜癌的治疗可包括以下方法的组合:
Surgery
如果癌症最初开始生长的部位不清楚,手术可以用来诊断和治疗腹膜癌, or if you have a pelvic mass. This procedure is called exploratory surgery, 在此期间,肿瘤将从已经开始生长的腹部内膜移除.
Chemotherapy
化疗使用抗癌药物,通常注射到静脉中. 用于治疗腹膜癌的药物与用于治疗卵巢癌的抗癌药物相似. Depending on the type of chemotherapy drugs used, this treatment can be given weekly or every two to three weeks. In most cases, patients receive the treatment on an outpatient basis.
Supportive care
不幸的是,在某些情况下,腹膜癌直到进展才被诊断出来. Supportive care, also known as palliative care, 是为那些病情严重到无法承受高强度化疗的病人设计的吗.
Supportive care aims to relieve symptoms of peritoneum cancer, such as pain, weight loss and fluid in the abdomen, which can be drained during a procedure called abdominal paracentesis.
UCSF Health medical specialists have reviewed this information. 它仅用于教育目的,并不打算取代您的十大赌博平台排行榜或其他医疗保健提供者的建议. 我们鼓励您与您的供应商讨论您可能遇到的任何问题或疑虑.
Recommended reading
Communicating with Your Doctor
与十大赌博平台排行榜的关系是非常私人的,建立在沟通和信任的基础上. In choosing a doctor, the "chemistry" between the two of you must work.