Five brothers and four of them have gastric cancer. This is not a Korean drama plot, but it actually happened in the clinic of the deputy chief physician Gong Weihua, the Second Affiliated Hospital of Zhejiang University School of Medicine, the deputy chief physician of the Department of Surgery,
(Zhejiang Medical Second Hospital).
The eldest and second son of the four people have passed away, and two have just had surgery last year.
Image source Visual China
7 years
Four brothers and four of them have had gastric cancer one after another
5 brothers are from Jiangxi. The third brother Wang Fusheng is 75 years old this year. He has settled in Hangzhou with his son for more than 10 years and rarely returns to his hometown. In August last year, Wang Fusheng developed stomach bloating and difficulty swallowing. "Even if he only had a few bites of supper, his stomach was bloating and uncomfortable. When he went to bed at night, he felt the food he had eaten was pressing against his throat." , but because he could still tolerate it, it did not attract his attention. "Sometimes, when he got up and vomited once at night, his stomach felt comfortable, and if he didn't bloating, he could sleep."
"Dad's generation, people who have been going up and down the fields since they were young, have been used to suffering in the fields for decades. As long as it is not serious, he will not tell us that he is sick." Wang Fusheng's youngest son said.
A month later, Wang Fusheng's condition did not relieve it, but became more serious. With the insistence of his family, he went to Zhejiang Medical Second Hospital for gastroscopy and . He was later diagnosed with gastric cancer.
Image source Visual China
"When I came to the hospital for treatment, Wang Fusheng's condition was already advanced gastric cancer, and the cancer cells had lymph node metastasis. It was a pity. His situation was that he could detect cancer earlier and control the cancer cells in the budding state."
Dr. Gong Weihua explained that the overall treatment effect of the tumor has a lot to do with the early and late stage, and early detection and early treatment is the key. At present, the 5-year survival rate after early gastric cancer treatment can reach more than 90%. Once the progression period reaches the level, the 5-year survival rate will drop significantly. If the stage IV is reached, the survival rate will only be 10%.
"Early gastric cancer is equivalent to a newly sprouted seed, with a relatively limited growth range, and the effect of cutting and root removal is better; once the cancer cells spread and metastasize, they will spread to various organs like lush trees. Even if surgically removed, it will be difficult to remove all the tumor branches and leaves without recurring."
Although 80% of early gastric cancers have no symptoms, there are traces to Wang Fusheng, but he was careless and missed the best surgical opportunity. It turned out that during the interview, Dr. Gong Weihua learned that 3 and Wang Fusheng's eldest and second brothers both died of gastric cancer 4 years ago. Three of the brothers had cancer, and this is a typical familial gastric cancer.
"One of the high-risk factors for gastric cancer is heredity. The parents and siblings of first-degree relatives of gastric cancer patients have a risk of gastric cancer 2 to 3 times higher than the average population."
At the suggestion of Dr. Gong Weihua, Wang Fusheng's two younger brothers also had examinations in the local hospital. The younger brother, who had the youngest result in , was also diagnosed with gastric cancer. Fortunately, it was in the early stage, and now he has undergone surgery and has been discharged from the hospital.
All five brothers love to eat high-salt foods such as pickled vegetables
This is also a high-risk factor that causes gastric cancer
0 Wang Fusheng brothers have lived in the border of Zhejiang and Jiangxi since childhood in Yushan . In the era of food scarcity, pickled vegetables are an indispensable and important dish. The economy has improved over the years, but high-salt and pickled vegetables such as sauerkraut, fermented tofu, and bacon have become part of their lives.
Image source Visual China
"Food with high salt can destroy the gastric mucosa; nitrates in pickled products can be decomposed into nitrite and strong carcinogen nitrite . Nitrite and nitrosamine will induce cancer of the gastric mucosa, that is, mutations in cell genes, thereby increasing the chance of gastric cancer." Dr. Gong Weihua said.
Currently, research has also found that the intake of a large number of fresh vegetables and fruits reduces the risk of gastric cancer. "Vegetables and fruits contain a large amount of vitamin C. Vitamin C has strong reducing and antioxidant effects, and can inhibit the synthesis of nitriteamines."
In addition to dietary and living habits and genetic factors, precancerous lesions such as Helicobacter pylori and stomach are also important factors in the high incidence of gastric cancer.Most of the time currently believe that gastric cancer may be the result of a long-term infection of Helicobacter pylori and other factors.
The infection rate of Helicobacter pylori in China is 40-60%, and some people will be infected again after treatment. The oral-to-oral transmission of bacteria in daily life is the main reason for the high infection rate. Therefore, to reduce the risk of infection, Dr. Gong Weihua recommends adding a pair of public chopsticks or separate meals during dinner.
gastric cancer is a "benevolent disease" in Japan
It is different from us talking about cancer. As Japan, which has a high incidence of gastric cancer, they unanimously believe that gastric cancer will not cause death and is a "benevolent disease". In fact, the mortality rate of gastric cancer in Japan is really low.
In 2017, Dr. Gong Weihua once went to Japan Cancer Research Hospital for further study for three months: "I went there for three months. There are three who have the deepest impression of Japanese medical treatment:
1. First, they implemented the principle of bloodlessness in the operation, that is, they have never seen blood transfusions during the operation, and they did not prepare blood routinely before the operation;
2. The operation is very rigorous, and the amount of bleeding during the operation is very small. Basically, a drop of bleeding is stopped immediately when you see a drop of bleeding;
3. The early detection rate of gastric cancer is as high as more than 60%, and the highest center for early gastric cancer screening in China is less than 40%. " Why is the gap between
?
Dr. Gong Weihua believes that the reason is gastroscopy , which is a routine physical examination item for people over 40 years old in Japan. In the cancerous mode of chronic gastritis-gastric mucosa atrophy-intestinal metaplasia-dysplasia-gastric cancer, gastroscopy, as the gold standard for diagnosis of gastric cancer, its advantage is that it directly sees the lesions of the gastric mucosa and biopsy , which can distinguish precancerous lesions and early cancers, and achieves early intervention and early treatment.
"The concept of gastroscopy in China has not been popularized. Most people also think of having gastroscopy after stomach discomfort and obvious symptoms. At this time, it is often advanced gastric cancer."
Dr. Gong Weihua said that if you want to stay away from gastric cancer, you must prevent it in advance. "For those over 40 years old, you can consider having gastroscopy every two years; if you have a high-risk group with a history of tumor genetics at home, especially those whose parents and brothers and sisters have gastric cancer, it is recommended to have gastroscopy once a year." Of course, you must also have a reasonable diet, eat less pickled and fried food, and do not eat moldy food; control drinking and smoking.
Eat a reasonable diet, check
regularly without "fearing at talking about cancer"
Dou Xiaohua reminds yourself
At the same time, it also allows more people to see it!
Source: Zhejiang Medical Second Hospital (zyey1869) Author Lu Wen
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