A few days ago
Uncle Jiu received a private message from a doctor friend:
Data from the "Expert Consensus on Early Diagnosis and Screening Strategies for Colorectal Tumors in China" show
About 429,000 people are newly diagnosed with colorectal cancer every year in our country.
About 281,000 people die from colorectal cancer.
The number of deaths ranks fifth among cancers.
In my country, residents aged 40 to 74 years old The total number of people at high risk of bowel cancer in the country
is as high as 120 million
In addition
according to the Global Burden of Disease Report
my country’s population accounts for about 17% of the world’s population
But the proportion of colorectal cancer patients has reached 31%
and is on the rise. The contrast is huge
There are more and more intestinal cancers in China
In fact, it is inseparable from the following reasons
At present
my country's population is aging increasingly
and as age increases
The risk of bowel cancer has increased significantly:
html The incidence rate is about 50/100,000 at the age of 150
html The incidence rate at the age of 160 is 95/100,000
html The incidence rate is 250/10 at the age of 170 years The incidence rate of 10,000
0 years old is as high as 375/100,000, which is 7.5 times that of 50 years old.
Harvard University has investigated 27,000 Chinese
conducted a large-scale prospective study for 20 years
and the results showed that:
About 50.4% of common digestive tract cancers in China
are related to poor lifestyle Research on
including unhealthy diet, overweight, smoking, drinking, lack of exercise, etc.
"The Lancet" shows
Any type of polyps
will increase the risk of bowel cancer
Intestinal polyps are mainly found through colonoscopy
But in our country
People’s awareness of colonoscopy screening is insufficient
Many polyps cannot be discovered in time
It is easy to delay and turn into bowel cancer
Bowel cancer The development process
Large-scale colonoscopy screening
has reduced the incidence of colorectal cancer by 40% in the United States
and reduced the mortality rate by 51%
And in our country
The screening penetration rate of bowel cancer is only 16.4%
In fact
The cure rate of early bowel cancer is very high
If surgery can be performed in time, supplemented by chemotherapy
The 5-year survival rate of patients can be as high as 90%
, but if it is delayed to the advanced stage
html, the 15-year survival rate will only be about 14%
According to statistics
The misdiagnosis rate of bowel cancer is about 41.5%
Early bowel cancer often "disguises" as
Appendicitis, enteritis, gastritis, idiopathic ulcerative colitis,
Ulceration, hemorrhoids, intestinal obstruction, intestinal tuberculosis, iron deficiency anemia and other diseases
lead to many bowel cancers being discovered in the middle and late stages
It is a pity
So how can bowel cancer be discovered earlier?
Uncle Jiu suggested that everyone pay attention to the following two points
"China Colorectal Cancer Screening and Early Diagnosis and Early Treatment Guidelines" pointed out
High-risk groups of bowel cancer package Including:
The above 6 categories of people should pay attention to discomfort symptoms
and undergo regular colonoscopy
However, for non-high-risk groups
a high-quality colonoscopy
can reduce the incidence and mortality of bowel cancer
Its effect can last for 10 years
As a digestive tract tumor
Bowel cancer is closely related to diet
If you want to prevent
you might as well start with diet
9
The World Cancer Research Fund’s expert report pointed out that daily consumption of
whole grain foods, dairy products, fish,
foods rich in dietary fiber, vitamin C and calcium
Helps reduce the risk of colorectal cancer
The relationship between diet, nutrition, physical activity and other factors and the risk of colorectal cancer丨Source: WCRF
Increase exercise, quit smoking and limit alcohol
Physical exercise can reduce the incidence of colorectal cancer Incidence and recurrence rate
There are also studies that
If smokers and alcoholics quit smoking and limit alcohol as soon as possible
it can also help reduce the risk of bowel cancer
In short
the key to preventing cancer is early detection , early treatment
If you or your family members belong to the high-risk group
then more attention should be paid
Regular screening
Reference:
[1] China Anti-Cancer Association Colorectal Cancer Professional Committee China Colorectal Tumor Early Diagnosis and Screening Strategy Development Expert Group. Expert consensus on screening strategies for early diagnosis and treatment of colorectal cancer in China [J]. Chinese Journal of Gastrointestinal Surgery, 2018, 21(10): 6.
[2] Guidelines for Colorectal Cancer Screening, Early Diagnosis and Early Treatment in China (2020, Beijing) [J]. Chinese Oncology 2021 Volume 30 Issue 1, Pages 1-28, ISTIC PKU CSCD CA, 2021.
[3] Chen Hongda, Dai Min. Thoughts on the prevention and control of colorectal cancer in China [J]. Chinese Journal of Epidemiology, 2020, 41(10): 1627-1632.DOI: 10.3760/cma.j.cn112338-20200423-00629.
[4] WuY, Li Y, Giovannucci E. (2021). Potential impact of time trend of lifestyle risk factors on burden of majorgastrointestinal cancers in China. Gastroenterology. doi: 10.1053/j.gastro.2021.08.006. Epub ahead of print. PMID: 34389341.
[5] Zhou Changming, Feng Xiaoshuang, Shen Jie, et al. Diet, nutrition, physical activity and cancer [J]. Shanghai Medicine, 2021(022): 042.
