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. In this battle with cancer cells, the most critical thing is the first five years after the operation, because the risk of tumor recurrence and metastasis during this period is relatively high. If patients want to strengthen the treatment effect and pass the recovery period with high quality, it is very necessary to formulate a long-term plan.
1. In terms of treatment, the first two years after
are the best period to consolidate the efficacy. Most patients will choose to continue to undergo auxiliary treatment and maintenance treatment. can effectively delay recurrence while strengthening the efficacy.
In terms of postoperative adjuvant treatment, the NCCN guideline recommends [1]. Except for some stage I patients who may not consider chemotherapy, most ovarian cancer patients need to receive chemotherapy after surgery (see Table 1 for details). Patients with stage I high-grade serous carcinoma and stage II to IV are recommended for 6 courses of chemotherapy, and for other stage I tissue types, 3 to 6 courses of treatment.
Table 1: Refer to the "2022 NCCN Ovarian Carcinoma Including Fallopian Tubulocarcinoma and Primary Peritoneal Cancer"
For maintenance treatment after initial treatment, the NCCN Guidelines believe that [1] is suitable for patients with ovarian cancer who achieve partial or complete remission after initial treatment in stage II to IV (see Table 2 for details):
Table 2: Refer to the "2022" NCCN Ovarian Carcinoma includes fallopian tube cancer and primary peritoneal cancer (1st Edition)》
Therefore, surgery is not the end point of treatment. After patients must also decide subsequent auxiliary treatment and maintenance treatment plans based on their own pathological typing and physical condition, actively cooperate with doctors, and strive for a speedy recovery.
2. Complication nursing
Ovarian cancer is mostly advanced when diagnosed. Tumor cells at this stage often begin to metastasis far outside the abdominal cavity, so the operation is usually difficult, wide range, and there are many complications.
Common postoperative complications include poor incision healing, intestinal obstruction, electrolyte disorder , stress ulcer , venous thrombosis , upper respiratory tract infection , rectal vaginal fistula, etc. . If these complications occur after the operation, nursing treatment measures must be taken as soon as possible to avoid unnecessary impact on the rehabilitation process.
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For more detailed complication care measures, please click the following article to read:
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When the physical condition gradually recovers, that is, about 1-3 years after the operation, patients also need to slowly return to society and enter normal social life. During this period, friends can regain their interests and hobbies, or participate in some outdoor activities, or do some simple and relaxed work to enrich their daily lives.
Just like many patients said in the interview: "I don't say it, others don't know that I am an ovarian cancer patient, and I am no different from ordinary people." It is naturally great to maintain such an optimistic attitude!
4. The 3rd to 5th year after daily life
is a good time for us to supplement nutrition. During this period, the risk of recurrence and metastasis of ovarian cancer has decreased, and treatment in all aspects is coming to an end. The physical condition and daily life are gradually returning to normal. Patients will have more energy and physical strength to "health preservation".
First of all, diet . In principle, it is necessary to ensure balanced nutrition, appropriately consume more foods rich in protein , vitamins, and minerals, eat more vegetables, fruits and other plant-based foods, and combine meat and vegetables, and try to diversify food choices.
Secondly, Exercise is also a kind of "nutrient" . Moderate exercise can help our body better absorb the nutrients it consumes. Friends can choose appropriate exercise methods according to their own situation, such as walking, Baduan Jin . Yoga, Tai Chi, swimming, etc. should be carried out continually and step by step.
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Finally, while ensuring nutrition, don’t forget to review regularly! NCCN guidelines [1]: After initial treatment, follow-up once every 2 to 4 months in the first two years, once every 3 to 6 months in the third to fifth years, and follow-up once every 5 years after 5 years. The review items include pelvic examination, tumor marker and perfect gene detection and other , and will make corresponding adjustments based on the physical condition during each review.
Editor in charge: Gynecological tumor Mutual Aid Jun
Picture source: Photo Network
References:
[1] "2022 NCCN Ovarian Carcinoma Including Fallopian Tubulocarcinoma and Primary Peritoneal Cancer (1st Edition)"
