45-year-old civil servant, Mr. Shen, a hematochezia situation a long time, which he believes is the hemorrhoids caused by a "normal phenomenon", not thought about it before medical treatment.
3 years ago, Mr. Shen's mother was hospitalized,at that time in order to balance work and care for mothers, lack of sleep, mental and physical exhaustion, there are times when even bowel bleeding, medical care after the doctor to assess the hemorrhoids deterioration is also concerned about the possible length of the "bad "In addition to open ointment to him, and further arrangements for the large intestine barium X-ray examination. No abnormal test results, Mr. Shen on time after the symptoms of drug-coated also improved a lot.
Before the end of the story. Last year, Mr. Shen bleeding recurrence of the situation, this time accompanied by abdominal pain, stool shape significant changes (to become thin and small, in some cases, transparent mucus), but he depends on its findings two years ago, normal, and there was no family history , care about the warning issued by the body.
Until the later one of his classmates get colon cancer, and his symptoms exactly the same, he was alert to the situation was serious, to the hospital to make colonoscopy.
Inspection process is successful, doctors will be skillfully colonoscopy from the anus into to, first quickly pushed to the end of the large intestine, and then slowly back to doing the carpet-like inspection. Mr. Shen did not play anesthesia, clearly heard the doctor said: "At present, very good and found no polyps or tumors." He said he had a little uneasy heart release . Did not expect that after a few minutes, the doctor looked dignified manner, pointing to the screen, "There is a tumor biopsy to see is good or bad." Mr. Shen in shock, mind blank.
Biopsy results showed that malignant tumors, but also because it was found later, is already the third phase of colorectal cancer, which is transferred to the lymphatic cancer, five-year survival rate of about 40 ~ 50%. Although the heart to do the worst, the news announcement, Mr. Shen is still at unacceptable repeatedly ask: "Why me?" Shen wife is panic-stricken, more than tears.
As the tumor 5 centimeters big, doctors first radiotherapy plus electrotherapy, so to 3 cm tumor removed after surgery, then chemotherapy. It is very difficult by the side effects of chemotherapy, treatments have not ended, Mr. Shen decided to give up the chemotherapy, but fortunately the disease has been controlled, and now every three months in addition to regular back-up care in daily life are now reunited with the normal track. And the life down and let him re-examine their own lives and the establishment of a new eating habits, do not dare to overlook physical distress signal.
However, it was not clear, why not check out before the anomaly? Doctor to assess, 3 years ago it was a massive hemorrhage, intestines should have polyps may be barium X-ray inspection errors (with the concentration of well or according to well), the impact of the doctor's interpretation. The doctor said that if the colonoscopy was again confirmed that perhaps will be able to early detection, replacing toss later.
Many patients with hemorrhoids, as Mr. Shen, the symptoms that hematochezia only cause it to "tolerance" of non-medical treatment, ignored bleeding may also be a precursor of colorectal cancer, colorectal Linkou Chang Gung Memorial Hospital physician Zhang Jian Rong pointed out.
Mackay Memorial Hospital colorectal surgeons said Liu Jianguo, some people even after a doctor refuses to face the truth, convinced that he was just hemorrhoids is not cancer, hemorrhoids turn up (doctors in order to tie up band hemorrhoids, about 8 ~ 10 days due to necrosis of hemorrhoids organizations and off), food prescriptions, self-purchase of medicines, delays in treatment time.
Almost all colorectal Physicians are met various medical treatment of hemorrhoids has not improved, after further examination found that colorectal cancer patients. Yang Lie singer because hematochezia, diarrhea unbearable the first time for medical treatment, it was misdiagnosed as hemorrhoids attack, for a second hospital was diagnosed with colorectal cancer.
Difficult to judge patients, doctors often misdiagnosed. Well, how in the end the difference between what is hemorrhoids, or colorectal cancer do?
Chang Chung-Rong said that in general to do preliminary color bleeding judge hemorrhoids bleeding red color is due to defecation vein bleeding caused by forced extrusion; and colorectal cancer partial color bleeding is to attack cancer cells, causing damage to normal tissue, blood leaving some time in the intestines with feces.
But be careful, if the tumor location near the anus if it will emit red color, it depends on whether the merger of other symptoms such as abdominal pain, diarrhea, stool shape change (thin, small or faceless justice), or anemia, it is best to check quickly for medical treatment.
Found that the higher survival rates sooner
Early detection of colorectal cancer can be treated early, in addition to alert symptoms, regular screening is a more active approach to combat. 90% of colorectal polyps grow by more than change comes cancerous process would take about 5 to 10 years. No early symptoms, the patient found that the abnormal, the most is the second, three or even the end of early screening, removal of polyps is an important line of defense to prevent cancer.
However, Taiwan's screening rate is relatively low, showing the alertness of the people is not high. According to a 2005 national survey found that people over the age of 50 into a screening rate of only 2.
As a result, colorectal cancer has been discovered too late, the National Health Council in 2004 analysis of 29 hospitals, 6463 new cases found, II and III of the ratio of more than half of the three patients, and found that the rate of early colorectal cancer less than a percent , which is lower than the United States improvements.
"Should think of ways to raise public awareness of colorectal cancer, especially high-risk group," is also chairman of colorectal surgery Chung-Rong Changchien loudly.
There are tuna fish maw, please carefully
The latest national survey found that waist size (an indicator of metabolic syndrome) and the great relationship between colorectal cancer. National Taiwan University Hospital hepatobiliary gastrointestinal mode analysis of general practitioners Kin Hospital Center, nearly 5,000 people attending the information found that people suffering from metabolic syndrome with multiple colorectal polyps disease risk is generally 2 to 3 times. As to why there is correlation between the two requires further study.
Other high-risk groups include:
People over the age of 50: singer Yang, writer Chang Hsiao-feng, director Edward Yang, President of Hong Kong artists Zhu Ding, both before and after the 50-year-old disease.
American Cancer Society recommended that the general public once a year after the age of 50 fecal occult blood examination, once every 5 years Sigmoidoscopy examination or barium X-ray ultrasound examination every 10 years a whole colonoscopy. Die doctors stressed in particular that 75% of patients with colorectal cancer is not family history, early detection is therefore particularly important.
Have a family history: one parent suffering from colorectal cancer, children's chances of ordinary people suffering from the 2 to 4 times, such as both parents have, then an increased risk 3 to 6 times.
Colorectal many general practitioners found that the recent trend of younger, 50 years of age more and more patients, so Mackay Memorial Hospital Dr. Liu Jianguo appeal to have a family history of those who should be granted early in the 40-year-old started to accept colonoscopy.
Personal history: has won, including colorectal cancer, chronic inflammation of colitis such as ulcerative colitis and Crohn's disease, adenomatous polyps. There is a history of colorectal cancer, the recurrence rate of up to five-cheng, it is best to track every three months once every six months after two years, five years after the inspections each year; and adenomatous polyps, the polyps removed after every 3-year follow-up time; As for chronic inflammatory colitis patients, the proposed 8 years after onset to start screening.
‧ well-known U.S. anchor Katie Couric's husband is due to colon cancer, died at age 42. Katie two years ago to do a colonoscopy, and inspection process in the television broadcast, causing a lot of reverberations screening rate for a short period of time the United States increased by 20%.
Singer Yang cancer is restored, are also involved in charity performances, called on people from his own experience, early screening, awareness of symptoms, maintain a healthy lifestyle is the only way to prevent colorectal cancer.
No comments:
Post a Comment