From April 15 to 21 this year is the 26th National Cancer Prevention and Control Publicity Week. The theme of this year’s publicity week is "Common Action for Cancer Prevention and Control". It is hoped that the campaign will promote the implementation of the Healthy China Action cancer prevention and control special action and improve cancer prevention and control throughout the society. Awareness, to create a good atmosphere for cancer prevention and treatment for the whole people, and to promote the concepts of early diagnosis and treatment, scientific cancer prevention, active cancer prevention, and healthy living. As a demonstration hospital for standardized cancer treatment in prefectural and municipal hospitals in our city, relevant experts from the Oncology Department of the Second Municipal Hospital confirmed that due to the current requirements for the prevention and control of the new crown pneumonia epidemic, Zhuzhou Cancer Prevention and Control Promotion Week this year will focus on online activities. They also hope to "meet" with the general public and patients through this issue of Health Weekly, and chat with you about the misunderstandings and prejudices of cancer and tumors in everyday society.
[Expert's business card]
王贵华 Director of the Second Oncology Department of Zhuzhou Second Hospital, and deputy chief physician of the Department of Oncology. Member of the Standing Committee of the Provincial Medical Association Tumor Minimally Invasive Intervention Committee, Member of the Provincial Quality Control Center for Minimally Invasive Intervention, Member of the Provincial Medical Association Radioactive Particle Professional Committee, Member of the Provincial Medical Association Chemotherapy Professional Committee, Member of the Provincial Tumor Rehabilitation Therapy Professional Committee, Municipal Tumor Radiotherapy and Chemotherapy Quality Director of the Control Center, Vice Chairman of the Intervention Committee of the Municipal Medical Association, and a backbone expert of the Municipal Oncology Department.
is good at the comprehensive treatment of various malignant tumors such as radiotherapy, chemotherapy, targeted therapy, immunotherapy, etc., especially specializing in the diagnosis of benign and malignant tumors on the body surface and internal organs, and the vascular interventional treatment of malignant tumors. Non-vascular minimally invasive treatment (radiofrequency ablation, radioactive seed implantation, microwave ablation, argon helium knife).
王贵华
In addition to "big and complete", there is also "precise and accurate"
Can malignant tumors also be minimally invasive?
The Second City Hospital established the Oncology Department in 1992, and in recent years established the Oncology Minimally Invasive Intervention Department. Wang Guihua is the director of the Department of Minimally Invasive Tumor Intervention.
Minimally invasive interventional therapy for tumors has achieved rapid development in the past 11 to 12 years. Because of the small trauma and rapid recovery, more and more patients are gradually receiving this treatment. But there are still many people who do not understand this new type of cancer treatment. "Is it better to have minimal trauma and minimally invasive surgery? Or is the traditional surgical resection more thorough? Many patients and their families have this question." Wang Guihua said.
In fact, after years of development, the methods of minimally invasive surgery for cancer have been unexpectedly enriched and enriched, and the scope of application is also unexpected. In the treatment of cancer, minimally invasive surgery is used in every stage of tumor treatment. Although minimally invasive surgery cannot completely replace traditional surgery, it has shown its superiority and irreplaceability in many aspects. "Currently, cancer treatment includes not only the previous traditional surgery, radiotherapy and chemotherapy, but also new treatment methods such as minimally invasive and targeted treatment. Although they are not'large and comprehensive' traditional methods, they are'precise and accurate'. The new trend of development." Wang Guihua said.
Small trauma, low side effects
What are the advantages of minimally invasive tumor interventional therapy?
Wang Guihua introduced that the main advantages are as follows: First, it is less traumatic and recovers quickly. There are no special precautions after discharge, and it can quickly return to normal work and life. Second, it has low side effects and small damage to the body. , Low toxic and side effects, fewer complications, and quick recovery of the general condition; third, high accuracy, under the precise guidance of medical imaging equipment, accurate positioning and targeted therapy can be achieved.
In addition, minimally invasive interventional therapy is gradually recognized by other departments and patients due to its safe and effective characteristics. It plays an important role in the decision-making process of tumor treatment. In the multidisciplinary consultation of tumor treatment, whether in diagnosis , Treatment or complication management, etc., often in unexpected circumstances, "two-by-two".
The preferred option for advanced liver cancer
Which conditions are suitable for minimally invasive surgery? Wang Guihua introduced that minimally invasive tumor surgery is mainly used in these areas.
Laparoscopic surgery. Application of laparoscopy for colon cancer resection, rectal cancer resection, gastric cancer resection, ovarian and uterine tumorsTumor resection, even lobectomy, pancreaticoduodenectomy, etc. have been reported, but it should be noted that laparoscopic surgery has limitations in terms of the integrity of the excised specimen.
Because minimally invasive interventional therapy is aimed at the blood supply artery of the tumor, or inject anticancer drugs into the tumor area to directly kill the cancer; or embolize the tumor blood supply artery to block the nutritional supply of the tumor and reduce the tumor volume; or Perform dual intervention, organically combine anticancer drugs and embolic agents into the target artery, which not only blocks the blood supply, but also stays in the tumor area to act as local chemotherapy and kill the tumor tissue. “So it is suitable for some patients with advanced liver cancer, especially those with advanced liver cancer.”
Liver cancer is the second cancer “killer” in China. Patients generally have no discomfort in the early stage. Once symptoms appear, they are often in the middle. In the late stage, the general survival time after the onset is about 6 months, and is called the "king of cancer". However, patients with advanced liver cancer who are unwilling or unable to undergo traditional surgery, under the guidance of imaging medicine, will target specific instruments and drugs through tiny wounds to target the diseased parts of the body for treatment, and they can survive with the tumor. "There are many examples of this in our hospital. Some patients with advanced liver cancer have their lives prolonged and their pain reduced. After treatment, some patients can be removed by second-stage surgery, and patients with small liver cancer can be clinically cured." Wang Guihua said.
[Expert Business Card]
刘建民 Director of the First Oncology Department of the Second City Hospital and deputy chief physician. Graduated from Bethune Medical University, majoring in oncology radiotherapy, master's degree, deputy secretary general of the Municipal Anti-Cancer Association, secretary general of the Municipal Radiotherapy and Chemotherapy Quality Control Center, director of the World Federation of Chinese Medicine Cancer Precision Therapy Committee, member of the Provincial Precision Radiotherapy Technical Committee, provincial Member of Precision Medicine Committee, Member of Provincial Cancer Rehabilitation Committee. Early domestic development of IMRT, CyberKnife technicians, skilled in conventional radiotherapy, intensity modulated radiotherapy, stereotactic radiotherapy technology (cyber knife, X-knife, γ-knife), good at nasopharyngeal cancer, lung cancer, liver cancer, esophageal cancer and gynecology Comprehensive diagnosis and treatment of malignant tumors.
刘建民
Cancer is a chronic disease
How to get along with cancer?
"Like cardiovascular, diabetes, etc., cancer is a chronic disease. It is not as terrible as people think. It is not an incurable disease." Liu Jianmin, director of the First Oncology Department of the Second City Hospital, told the author that many People can often deal with cardiovascular disease calmly, but "talking about cancer" about cancer is an outdated concept.
In fact, after years of development and exploration in medicine, the quality of life of cancer patients has been continuously improved. Liu Jianmin introduced that the middle and early stages of nasopharyngeal cancer, breast cancer, cervical cancer, and rectal cancer all have high radical cure rates. In addition, there are still many patients, with the help of doctors, family members, and their own management, they have been well controlled.
He has many years of experience in cancer treatment and has counted the cases he has come into contact with. "As long as early detection, early diagnosis, and early treatment, one-third of cancers can be completely prevented, one-third of cancers can be cured through early detection, and one-third of cancers can also be treated with existing medical measures. Extend the lives of patients, reduce their pain, and improve their quality of life." Liu Jianmin said.
Cancer is preventable and needs early treatment
How can we prevent cancer? Unfortunately, how can I deal with the disease?
Liu Jianmin gave his opinion.
Since cancer is a chronic disease, of course, we must first, like preventing other chronic diseases, get rid of bad habits. "WHO believes that cancer is a lifestyle disease. Smoking, obesity, lack of exercise, unreasonable dietary habits, alcoholism, excessive stress, mental stress, and staying up late are all risk factors for cancer. Therefore, quit smoking, limit alcohol, A balanced diet, moderate exercise, and a good mood can effectively reduce the occurrence of cancer." He also reminded that the occurrence of cancer is a process of accumulation of risk factors related to the human life cycle. Therefore, cancer prevention and control is not just a matter for middle-aged and elderly people. It is necessary to pay attention to cancer prevention as soon as possible and develop a healthy lifestyle from an early age.
People who have already had cancer should live more actively. "For patients in the middle and early stages, we hope to help her build the confidence to continue living, rather than just asking them to learn how to face death." Liu Jianmin introduced that there are anti-cancer organizations such as "Mulan" in Zhuzhou. Hundreds of patients regard cancer as an open source. A book of life, with the help of doctors and family members, follow up on time, take medicine on time, live a regular life, and be positive, integrate tumor cells into one's daily life, and get along with normal cells in the body. "They are dancing with cancer."
manages the whole process to maximize the benefits of patients
For treatment, Liu Jianmin believes that hospitals and medical staff should implement the strategy of managing cancer patients throughout the process. "Only in this way can the survival and quality of life be guaranteed for patients and maximize the benefits of patients." He relayed a sentence recently made by Professor Li Jin of the Chinese Clinical Oncology Association.
Liu Jianmin had contact with such a case. At the end of 2016, a 35-year-old middle-aged woman was diagnosed with rectal cancer due to blood in the stool. "Later, she committed a lot of problems that patients easily commit." For two years, she went to many large hospitals in the province and tried various treatments. She changed hospitals whenever her condition changed, and she had no trust in doctors and hospitals. Her doctor in charge was also unable to manage her condition throughout the entire process because of frequent changes, nor could she compare the effects of various treatments. This led to the fact that different doctors continued to change their treatment plans based on their personal experience. In the end, the curative effect was not good, and the rapid progress of the disease was persuaded to return to Zhuzhou for conservative treatment.
"I contacted her in May 2017. She has been treated in an outside hospital for nearly one and a half years. We carefully sorted out the treatment process, integrated multidisciplinary discussions, and gave her an individualized treatment plan. The patient also tolerated her and her condition began to improve. In 2018, she was given the opportunity to undergo surgery. Postoperative radiotherapy plus targeted therapy has achieved clinical cure.” Liu Jianmin said that this lady’s “counter-attack” was attributed to the standard management, standard treatment, and treatment throughout the entire process of the Second City Hospital so far. Later tumor rehabilitation treatment, regular return to hospital for review, etc. "This is a list of real cases where patients with advanced cancer were not only cured of their disease, but also integrated into society and normal life and work."
[Expert Business Card]
吴慧 Director of Radiotherapy Department of the Second City Hospital, Deputy Chief Physician of Oncology Radiotherapy, Member of the Professional Committee of Tumor Radiotherapy of Hunan Anti-Cancer Association, Member of the Nasopharyngeal Carcinoma Professional Committee of the Provincial Anti-Cancer Association, Member of the Central China Radiotherapy Association, Member of the Municipal Radiochemical Quality Control Center, Member of the Municipal Oncology Committee, graduated from the Department of Radiation Medicine, Suzhou Medical College, and has been engaged in oncology radiotherapy after graduation. He took the lead in developing three-dimensional conformal radiotherapy in our city. He is good at routine treatment of various parts of the body and various solid tumors. Precision radiotherapy, especially for the treatment of head and neck tumors, breast cancer, esophageal cancer, rectal cancer, cervical cancer, and palliative symptom reduction in patients with advanced stages
吴慧
Approximately 75% of cancer patients need to receive radiotherapy during the entire treatment.
After the tumor is removed, radiotherapy is not needed?
Wu Hui, director of the Radiotherapy Department of the Second City Hospital, told the author a sad case.
Ms. Zeng is a cadre of a state-owned enterprise in our city. A few years ago, the country liberalized the second-child policy. At the age of 36, she decided to have another child with her husband. Because I was not pregnant, I found a cervical mass during the gynecological examination in the foreign hospital. After a comprehensive examination, I was diagnosed with cervical cancer stage II. The hospital performed radical surgical resection on Ms. Zeng. Because the patient has high-risk factors and requires postoperative radiotherapy, the patient and family members think that the tumor has been completely removed and that there should be no problem, so radiotherapy is ignored. Half a year later, Ms. Zeng's cancer recurred and her pelvic and abdominal cavity had been metastasized. After being treated in the provincial capital, she was persuaded to return to Zhuzhou for conservative treatment.
"It's a pity that we did not save this young life in the end. If the treatment is perfect, she will not be able to leave so soon." Wu Hui said, because of the misunderstanding of the treatment, some cancer patients despite doing Radical surgery, but because of the late stage or high-risk factors, comprehensive treatment is necessary to achieve good results.
Radiation therapyAdvantages
She introduced that radiotherapy is one of the three main treatment methods for tumor treatment. "It uses radiation to kill tumors. About 75% of tumor patients need to receive radiotherapy during treatment." Radiotherapy has a wide range of treatments. Some cannot be operated or chemotherapy. Radiotherapy can be performed; Any part of the body can receive radiotherapy, not restricted by the anatomy; the treatment effect is determined, the method is reliable, the treatment process is simple, painless, and easy to be accepted by the patient; the treatment has few side effects, no trauma, and can preserve the integrity and physiological function of the organ; A better treatment effect can be obtained with less treatment costs.
is different from Ms. Zeng. The 52-year-old Ms. Cai "reversed" the recurrence of the disease due to radiotherapy. The 52-year-old was diagnosed with cervical cancer in an outside hospital because of vaginal bleeding and underwent radical surgery. Postoperative medical examination results: moderately differentiated squamous cell carcinoma of the cervix, which was reviewed regularly in the hospital without other treatment. In the autumn of last year, Ms. Cai once again experienced symptoms such as a small amount of vaginal bleeding and gradually increased. She came to the City No. 2 Hospital to be diagnosed as recurrence of cervical cancer stump again. Immediately, the Second City Hospital gave him radiotherapy, and after 30 treatments, the patient's symptoms were completely relieved and he was discharged. At present, there is no obvious mass in MRI.
"Tumor cells are like weed'seeds'. Even if a radical operation is performed, the'seeds' may have been sown into the nearby'land' before treatment. Because there are few, it may not be detected by any inspection temporarily. Therefore, comprehensive evaluation is required." Wu Hui said, if the doctor proposes postoperative adjuvant treatment, it must not be ignored.
The current radiotherapy, the damage is small, the target standard
There are some patients who think that the radiation will damage the human body to a certain extent, so they are not willing to radiotherapy.
Wu Hui said that there will be certain impacts and injuries where the radiation passes, but patients do not need to be nervous about these radiation reactions and injuries. "The current equipment and technology are advanced enough to achieve precise positioning, precise planning, and precise irradiation, which patients can bear." She said.
Finally, she also emphasized that the scope of radiotherapy is wide. "It can be carried out in both early and late stages." Wu Hui introduced that for early tumors, radiotherapy can achieve similar effects as surgery; for late stages, it can relieve symptoms and improve the quality of life of patients; for incomplete surgical resection or high risk after surgery For patients with factors, postoperative radiotherapy can improve the cure rate and survival rate.
[Health Information] In mid-April, the expert consultation of Provincial Cancer Hospital has resumed
Good news! Since mid-April, every Tuesday, Hunan Provincial Tumor Hospital will appoint experts to go to the Second Hospital of Zhuzhou City for consultation, surgery, and ward rounds.
In recent years, in order to further improve the level of cancer prevention and treatment in Zhuzhou, the Second Hospital of Zhuzhou City (Zhuzhou Cancer Hospital) has become a regional base hospital for cancer specialists in Hunan Province as a platform (only two hospitals in the province have become bases) Hospital), establish a close medical consortium partnership with the Provincial Cancer Hospital, join the provincial cancer prevention and treatment system, and truly realize the sinking of experts in the medical consortium and homogenous medical services.
Beginning in May last year, the Provincial Cancer Hospital appointed well-known experts in oncology, surgery, radiotherapy, gynecological oncology and other majors to Zhuzhou Second Hospital for guidance, rounds, sit-ups, surgery, etc. every Tuesday. The hospital uses the Internet + to carry out remote MDT online consultation and guidance, and establishes a remote medical consultation platform with Peking Union Medical College Hospital and Beijing Fuwai Hospital to further enhance the clinical diagnosis and treatment capabilities of Zhuzhou City, so that the people in Zhuzhou can enjoy high-level tumor diagnosis and treatment services nearby. Previously, due to the epidemic situation, experts from the Provincial Cancer Hospital had interrupted their visits to the plant, but there were still online and video consultations and academic exchanges. Currently, various tasks have been resumed.
[Source: Zhuzhou News Network]
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