is a 39-year-old woman who was hospitalized due to hemorrhoidal bleeding and planned to undergo hemorrhoid surgery.
Because he is almost forty years old, the doctor is afraid that the patient may have other intestinal diseases, so he recommends a colonoscopy.
This investigation revealed an unexpected discovery: there was a huge polyp in the transverse colon!
is as big as a table tennis ball, cauliflower-shaped, with obvious fullness, and the surface is not very regular. Based on experience, it is not a good thing. It is highly suspected to be early-stage intestinal cancer!
So the endoscopist also performed a biopsy, and the pathology suspected high-grade intraepithelial neoplasia (very close to early cancer).
After full communication with the patient and her family, the doctor decided to perform laparoscopic surgery on her.
So this time she was hospitalized not only for hemorrhoid surgery, but also for the removal of the huge polyp.
Doctor P and Doctor L fought hard for two or three hours before cutting it off and reattaching the two ends of the intestine.
The postoperative pathology is really early-stage colon cancer (intramucosal cancer, the very early type).
We also lamented after the operation. Fortunately, her hemorrhoids were bleeding. Otherwise, she would not have come to the hospital, let alone checked colonoscopy , because the large polyp had not yet ulcerated and bleed. If it grows in another year or two, it might Lymphatic metastasis or even liver metastasis occurs, and then there is no chance for surgery.
It can be said that hemorrhoids saved her life. As the saying goes, "Misfortune depends on blessings"!
This incident reminded me of a gathering last year with Dr. He (she) will do a colonoscopy and it will be fine. If there are polyps, they should be removed to eliminate future problems.
X Doctor also agrees with me. Many rectal cancer patients who have bloody stools have been treated for hemorrhoids. The difference between early detection and late detection is really huge! Not only the cost of treatment is different, but the effect of treatment is also very different.
In the past two months, many cases of colorectal cancer have been discovered in our department, including those aged 31, 34 and 36 years old. It is a pity that the 31-year-old patient was found too late, and the rectal ulcer progressed at a low level. For stage intestinal cancer , even if an operation can be performed, the anus cannot be preserved. After the operation, a fecal bag must be carried on the abdomen for a long time, which greatly reduces the quality of life.
Early diagnosis and early treatment of colorectal cancer has a long way to go. In addition to increasing government investment, people's awareness of cancer prevention and cancer screening must also continue to increase.
We are pleased that the national level has paid more and more attention to it, and some colorectal cancer screening examinations have been carried out in the physical examination of the elderly in enterprises, institutions and social welfare centers, such as colonoscopy, fecal occult blood, tumor marker and other examinations. It is true that many early bowel cancers and precancerous lesions (adenomatous polyps) have been discovered;
popular science education in recent years has also been continuously promoted in various hospitals and institutions.
Advanced experience in Europe and the United States tells us that early screening for people over 45 years old, especially those with risk factors for colorectal cancer, and timely removal of early-stage colorectal cancer and colorectal polyps can significantly reduce the incidence and mortality of colorectal cancer.
