Gastric Cancer

Name: Gastric Cancer
ISBN: 9787117332149

季加孚 / 步召德 / Leng JiahuaApr 2025

4.3

Word count: 80K words
Chapters: 196
ISBN: 9787117332149

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Summary

This book is one volume in the Cancer Science Popularization Encyclopedia Series, with a focus on gastric cancer. It uses cartoons in a consistent style to make the content more engaging and readable. Following a question-and-answer format, it covers the basics of gastric cancer (prevalence, at-risk groups, causes), its harm to the body (clinical manifestations, effects on the body), prevention (lifestyle habits, health checkups), examination and diagnosis (test methods, disease staging), treatment (treatment options, pros and cons), prognosis (treatment success rates, effects of treatment on other bodily functions), and other common questions. Each section is built around the questions the public cares about most, highlighting the most practical and relevant concerns.

Editor's review

This is a popular-science book on gastric cancer for general readers, combining cartoons with a question-and-answer format to break down topics such as prevalence, at-risk groups, causes, clinical manifestations, prevention, examination and diagnosis, treatment options, and prognosis into specific questions and answers. Compared with similar popular-science books, its strength lies in questions that speak to the practical concerns of ordinary readers; the cartoon style lowers the barrier to medical content, making it accessible to people without a medical background. It works well as a standby reference on the family health bookshelf and for anyone who wants a quick primer after a stomach problem turns up during a checkup. Note that this book is positioned as popular science, not a diagnostic or treatment guide; it focuses on general knowledge and cannot replace a doctor's individualized diagnosis and treatment recommendations. Readers are advised to consult the chapters relevant to their own situation rather than reading straight through, and to consult a specialist about specific test results or treatment plans.

Who it's for

A good fit for

People who have found a stomach abnormality during a checkup and want a preliminary understanding of gastric cancer
Family members of gastric cancer patients who want to understand the basics of the disease
General readers interested in stomach health who want to learn about prevention and screening
Community health educators looking for accessible popular-science materials

Not a good fit for

Patients seeking individualized treatment plans or medication guidance
Readers with a medical background who need in-depth academic discussion
Medical students looking for a systematic pathophysiology textbook

Reading tips

Start with the table of contents and jump to the topics you care about—prevention, testing, or treatment—rather than reading cover to cover.
When reading the prevention and screening chapters, make brief notes on your own lifestyle habits to help with later adjustments.
When you encounter technical terms such as examination methods or staging, use the cartoon illustrations to aid understanding, then confirm the specifics with a doctor.

版权信息
《肿瘤科普百科丛书》编写委员会
序
前言
一、概述
1.胃的构造是什么样的
2.胃的血液是如何循环的
3.胃的淋巴是如何引流的
4.胃的主要功能有哪些
5.慢性非萎缩性胃炎和慢性萎缩性胃炎分别是什么
6.慢性萎缩性胃炎会癌变吗，如何治疗
7.什么是消化性溃疡
8.哪些人容易发生消化性溃疡
9.消化性溃疡的症状有哪些
10.消化性溃疡会发展成为癌症吗
11.什么是反酸
12.什么是胃灼热
13.什么是呃逆
14.什么是黑便
15.哪些疾病与黑便有关
16.常见的胃肿瘤性疾病有哪些
17.胃癌在全球的流行情况如何
18.幽门螺杆菌感染可以诱发胃癌吗
19.幽门螺杆菌可以传染吗
20.吸烟是胃癌的致病因素吗
21.含氮亚硝基化合物是胃癌的危险因素吗
22.高盐饮食是胃癌的危险因素吗
23.超重是胃癌的危险因素吗
24.EB病毒感染是胃癌的危险因素吗
25.多吃瓜果蔬菜可以降低罹患胃癌的风险吗
26.胃癌的个体危险因素有哪些
27.胃癌会遗传吗
28.什么是早期胃癌
29.什么是进展期胃癌
30.什么是食管胃交界部癌
31.什么是残胃癌
32.什么是皮革胃
33.什么是胃间质瘤
34.什么是胃息肉，是否会癌变
35.胃息肉是否需要彻底切净
36.胃癌的转移方式有哪些
37.胃癌最常见的远处淋巴结转移在哪儿
38.什么是胃黏膜上皮内瘤变
39.血型与胃癌有何联系
40.哪些人群应警惕胃癌的发生
二、检查与诊断
1.胃癌患者就诊时有哪些常见的临床症状
2.胃癌可能出现哪些伴癌综合征
3.晚期胃癌有哪些表现
4.胃癌的主要检查手段有哪些
5.胃癌的血清学筛查方式有哪些
6.“呼气试验”是如何检出幽门螺杆菌感染的
7.“呼气试验”检查前有哪些注意事项
8.什么是钡餐检查
9.怎么看钡餐检查报告
10.多大年纪开始做胃癌筛查
11.电子胃镜是如何协助诊断胃癌的
12.胃镜检查的适应证有哪些
13.胃镜检查的禁忌证有哪些
14.胃镜检查前的准备有哪些
15.内镜下活检是否会引起疼痛
16.为什么有时候需要进行二次内镜下活检
17.无痛胃镜与普通胃镜有何区别
18.什么是胶囊内镜
19.普通胃镜和超声胃镜的区别是什么
20.胃镜检查的风险和并发症有哪些
21.如何解读胃镜报告单
22.腹部超声检查为什么需要空腹
23.CT检查有哪些注意事项
24.为什么有时候要在平扫CT的基础上加做增强CT
25.胃癌的CT影像有哪些表现
26.什么是鲍曼（Borrmann）分型
27.MRI检查有什么注意事项
28.PET/CT对胃癌诊断有何作用
29.PET/CT的辐射量很大吗
30.什么是穿刺活检
31.经皮肝穿刺或肺穿刺的安全性如何，会引起癌症扩散吗
32.什么是肿瘤标志物
33.什么是肿瘤标志物CEA
34.什么是肿瘤标志物CA19-9
35.什么是肿瘤标志物CA24-2
36.除了胃癌，哪些疾病也可以出现上腹疼痛
37.什么是肿瘤的分期
38.胃癌是如何分期的
39.什么是肿瘤的“高”“中”“低”分化
40.病理报告中的“免疫组化”是什么意思
41.检测HER-2的临床意义是什么
42.如何解读病理报告中HER-2的检测结果
43.什么是微卫星不稳定性（MSI）
44.检测肿瘤微卫星状态的意义是什么
三、胃癌的治疗
1.胃癌有哪几种治疗方法
2.月经期患者能接受手术吗
3.手术前患者为什么需要“禁食禁水”
4.什么是术前备皮
5.手术当天需要患者做哪些准备
6.术前为何需要进行呼吸道准备
7.胃癌患者为何要在术前戒烟
8.术后如何正确咳嗽
9.围手术期如何应用降糖药
10.什么是全身麻醉
11.胃癌手术前还能服用治疗心脑血管系统疾病的药物吗
12.什么情况下可以选择消化内镜下的胃癌切除
13.胃癌内镜治疗的禁忌证有哪些
14.内镜下的胃癌手术是怎么完成的
15.内镜治疗有何优势和不足
16.内镜治疗术后并发症有哪些
17.胃癌发生梗阻后可以用内镜治疗吗
18.术后辅助治疗的目的是什么
19.什么情况下需术后辅助化疗
20.什么是根治性手术
21.根治性胃大部切除的手术范围包括什么
22.如何选择胃的安全切除距离
23.如何选择胃的切除范围
24.什么情况下可以使用腹腔镜手术
25.什么是姑息性手术
26.什么是短路手术
27.术中腹腔灌洗的目的是什么
28.什么是腹腔热灌注化疗
29.手术后，家属可以做哪些事情帮助患者
30.什么是吻合口瘘
31.什么是胃瘫
32.发生胃瘫应当怎么处理
33.胃癌合并呕吐的患者术前应注意哪些问题
34.胃癌手术前后留置胃管的原因是什么
35.如何留置胃管
36.带胃管时有哪些注意事项
37.何时可以拔除胃管
38.什么是换药
39.胃癌手术留置腹腔引流管的作用有哪些
40.携带腹腔引流管期间有哪些注意事项
41.何时可以拔除腹腔引流管
42.手术为何要留置尿管
43.留置尿管有何意外风险
44.什么是流质饮食
45.什么是半流质饮食
46.什么是倾倒综合征
47.胃癌化疗的禁忌证有哪些
48.化疗常见的不良反应有哪些
49.化疗发生消化道不良反应该如何处理
50.化疗药的剂量是如何确定的
51.“一线治疗”“二线治疗”是什么意思
52.化疗药5-氟尿嘧啶、卡培他滨和替吉奥的区别是什么
53.什么是骨髓抑制
54.骨髓抑制的特点是什么
55.化疗出现骨髓抑制应当如何处理
56.什么是“肠外营养”
57.什么是“肠内营养”
58.CVC、PICC、输液港分别是什么
59.为什么胃切除术后容易出现贫血
60.什么是胃癌的多学科协作诊治
61.什么是新辅助化疗
62.新辅助治疗的优点有哪些
63.哪些患者适合进行新辅助化疗
64.如何评估新辅助治疗的效果
65.什么是胃癌的靶向治疗
66.胃癌靶向治疗药物有哪些不良反应
67.什么是免疫治疗
68.癌细胞是如何利用免疫检查点逃脱免疫细胞攻击的
69.PD-1/PD-L1免疫检查点抑制剂的抗癌原理是什么
70.PD-1/PD-L1抑制剂在胃癌治疗中的现状
71.免疫检查点抑制剂类药物的不良反应有哪些
72.什么是放疗
73.什么是三维适形放射治疗
74.放疗过程中的影响因素有哪些
75.哪些胃癌患者可以进行放疗
76.如何定位胃癌的放疗范围
77.胃癌放疗前需做哪些检查
78.什么是放疗增敏剂
79.放疗可能出现的不良反应及处理措施
80.放疗期间如何饮食
81.癌痛治疗的原则有哪些
82.应该在什么时候开始镇痛治疗
83.非甾体类镇痛药物更安全吗，可以多用吗
84.镇痛药会产生药物依赖性吗
85.胃癌卵巢转移如何治疗
86.肝转移应当如何治疗
87.什么是腹水
88.如何治疗胃癌引起的恶性腹水
四、胃癌的治疗后事项
1.什么是深静脉血栓形成，有哪些危险因素
2.深静脉血栓的危害有哪些
3.胃癌术后为何出现反流性食管炎
4.如何预防深静脉血栓
5.胃癌手术后能运动吗
6.什么是加速康复外科
7.患者治疗后还能工作吗
8.罹患胃癌后还能怀孕吗
9.胃癌手术后应当如何正确进食
10.胃癌术后定期复查的目的是什么
11.胃癌治疗后应当如何定期复查
12.少吃饭可以饿死肿瘤吗
13.如何提高晚期胃癌患者的生活质量
14.发生肠梗阻怎么办
15.胃癌患者的预后如何
16.影响胃癌预后的因素有哪些

FAQ

Can this book replace a doctor's diagnosis and treatment advice?

No. This is a popular-science book for general readers, intended to help them understand the basics of gastric cancer, prevention methods, and common diagnostic and treatment approaches; its content is general. Everyone's condition, constitution, and test results differ, so specific diagnosis and treatment plans must be determined by a specialist based on the individual case. Readers should not decide on medical care or medication on their own based on the book.

Will readers without a medical background find it hard to follow?

Generally not. The book uses a question-and-answer format, with questions drawn mostly from topics the public cares about most, and includes consistent cartoon illustrations to aid explanation, lowering the difficulty of understanding. Readers can pick chapters that interest them rather than reading in order, and can use context and illustrations to understand technical terms.

What topics does the book mainly cover?

According to the materials, the book covers the prevalence of gastric cancer, at-risk groups, causes, harm to the body and clinical manifestations, prevention (lifestyle habits and health checkups), examination methods and disease staging, pros and cons of treatment options, prognosis, and the effects of treatment on other bodily functions, and is organized around the questions the public cares about most and finds most practical.

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About the author

季加孚 Author

Ji Jiafu is a Chinese author of books on medicine and health. Publicly available information about him is limited, and his nationality, dates of birth and death, and educational background are not clearly documented. Judging from the nine works included in the database, his writing focuses on oncology, covering common malignant tumors such as gastric cancer, colorectal cancer, pancreatic cancer, thyroid cancer, lymphoma, brain tumors, and endometrial cancer. These works generally address diagnosis, treatment, and clinical practice, serving both medical professionals and general readers concerned about health. He is also the author of European DRGs: The Only Way to Transparency, Efficiency, and Quality for Hospitals, which reflects an interest in hospital management and healthcare quality evaluation systems. His works fall mainly into the categories of medicine and health and have had a certain influence on the organization and dissemination of knowledge about cancer prevention and treatment.

步召德 Author

Bu Zhaode: publicly available information is limited. What is currently known is that the author works mainly in medical writing, focusing on two gastrointestinal tumors, gastric cancer and colorectal cancer. Two works are held in the collection, both centered on the clinical diagnosis and treatment of tumors and related knowledge, with medicine as their common category. Judging from the existing bibliographic information, the writing is intended for medical professionals or general readers concerned with gastrointestinal tumors, takes the diseases themselves as its core, and emphasizes systematic presentation of knowledge rather than personal narrative. As the author's educational background, professional experience and positions are not clearly recorded, this introduction makes no inferences and confines itself to an objective account of the subjects and writing orientation of the works. Readers may regard the two works as reference reading for understanding medical knowledge related to gastric cancer and colorectal cancer; the author's specific academic contributions and influence await further public information.

Leng Jiahua Author · Chinese

Leng Jiahua is a Chinese medical author and associate chief physician in Ward III of the Gastrointestinal Oncology Center at Peking University Cancer Hospital, where he also serves as Party branch secretary and concurrently heads the hospital's Medical Insurance Service Office. He holds a doctorate from Peking University and completed postdoctoral research at Johns Hopkins University in the United States. His clinical expertise centers on minimally invasive surgery for gastric and colorectal cancer and on complex operations for refractory tumors. He has served as chief editor of works including Gastric Cancer and Colorectal Cancer, and has also written on hospital management and medical insurance policy in European DRGs: The Essential Path to Transparent, Efficient and High-Quality Hospitals. Three of his works are included in the library, all classified under medicine. Public information is limited; his writing draws on clinical practice and hospital management experience, is professional and practical in tone, and addresses specialists and healthcare administrators.