Many people think Colorectal cancer is a disease of the elderly Only when you get older will you get However In recent years, more and more young people Being "targeted" by rectal cancer... Xiaojia (pseudonym), a young man born in the 2000s from Hangzhou Recently, he was diagnosed with "late stage rectal cancer" Only 23 years old! The post-00s guy just started working Diagnosed with advanced colorectal cancer Recently, according to the official WeChat account of Hangzhou Municipal Health Commission, "Healthy Hangzhou", three months ago, Xiaojia, a young man born in the 2000s, suddenly felt a heavy pain in his buttocks. Before he could figure out what was going on, his stool was also bloody, so he rushed to the hospital for a colonoscopy. The results surprised everyone, and the pathological results suggested: rectal adenocarcinoma. After an examination by an oncologist at Hangzhou First People's Hospital, it was found that Xiaojia's pathological results were consistent with "rectal adenocarcinoma liver metastasis", and it was considered to be in the late stage of the tumor. Because Xiaojia's rectal tumor is not only large in size and close to the anus, but also invades outside the rectum and is accompanied by lymph node metastasis, it has developed to the local advanced stage. Direct surgery is relatively difficult, the tumor lesion is difficult to completely remove, and anal preservation cannot be guaranteed, so surgical treatment is not possible for the time being. However, this does not mean that the opportunity for surgery has been lost. Doctors used comprehensive treatment measures to transform inoperable colorectal cancer into operable. After comprehensive treatment, Xiaojia's original 5cm rectal tumor has almost completely disappeared, and the liver tumor has shrunk to 1.8*0.8cm. The degree of tumor shrinkage has fully met the requirements of surgery, providing sufficient conditions for preserving organs. Xiaojia will soon undergo surgery. Why did colorectal cancer target this young man? After the doctor asked, Xiaojia had no family history of colorectal cancer. It turned out that after Xiaojia came to Hangzhou to work, without the supervision of his parents, he almost skipped breakfast and ate whatever he liked. He would have a hot pot with his friends every other day, and fried chicken with various sweet drinks was his favorite afternoon tea. When Xiaojia recalled the past, he regretted how much he ate. In recent years, there have been many cases of young people getting sick. Most of them are related to bad living habits. A 30-year-old girl was diagnosed with rectal cancer Late-night snacks and barbecue are my favorites In 2020, there was a 30-year-old girl named Xiao Zhang from Zhejiang. After graduation, she worked in sales at a foreign trade company. Working overtime was the norm. She liked to have supper with her colleagues every night after work. Her favorite food was barbecue. According to Xiao Zhang, she was a typical carnivore. She usually liked strong-flavored food. As for vegetables and fruits, they were optional. Later, Xiao Zhang always felt a little tired when working during the day, and often had dull pain in his lower abdomen accompanied by a feeling of heaviness and distension. The frequency of bowel movements also increased, often three or four times a day, and blood in the stool appeared from time to time. She thought it was hemorrhoids, so she bought some medicine to treat it. Unexpectedly, the blood in her stool not only did not get better, but it got worse, and her bowel movements increased to seven or eight times a day. It was not until she fainted at the door of the company that her colleagues took her to the hospital, where she was diagnosed with rectal cancer. 27-year-old game blogger Died of colon cancer Coincidentally, on June 5 this year, Ling Yi Zhao Xin (real name Ling Ping), a game blogger with 130,000 followers, was diagnosed with colon cancer for only half a year and unfortunately died at the age of 27. In January of this year, he announced on his short video platform that he was diagnosed with advanced colon cancer in November 2022. In the video, he recorded his physical changes. The video shows that Ling Ping is getting weaker and weaker, and he is skinny sleeping on the hospital bed. Only half a year later, he unfortunately passed away. It is understood that when he was a game blogger before, he often took orders day and night, lacked exercise, and had an irregular diet. Colorectal cancer is the fifth most common cancer in my country Early screening increases survival rates Colorectal cancer includes colon cancer and rectal cancer (also known as "large bowel cancer"), and ranks fifth among all tumors in my country. According to CCTV, in recent years, colorectal cancer in my country has increased at an annual rate of 4.2%, far higher than the international level of 2%, and almost one person dies from colorectal cancer every 5 minutes. Although advanced colorectal cancer is so dangerous, in fact, colorectal cancer is one of the cancers that is easiest to be screened in the early stage, and early colorectal cancer is also one of the cancers with better treatment effects and higher 5-year survival rates. Compared with liver cancer, pancreatic cancer, lung cancer, etc., which progress rapidly, colorectal cancer grows slowly. Clinical statistics show that about 80% to 90% of colorectal cancers are transformed from polyps, and the disease progression takes about 5 to 15 years. This also explains why the overall age of colorectal cancer patients is relatively old. Moreover, for the same endoscopic screening, if you want to detect gastric cancer and esophageal cancer early, the doctor's skills are required to be higher; while most colorectal cancers are polyp evolutions, which are easily found under colonoscopy and can be removed at the same time during the examination. Why are nearly half of the patients A check showed it was in the middle or late stage? Since colorectal cancer is relatively easy to detect, why are nearly half of patients diagnosed in the middle or late stages? Because early colorectal cancer may be asymptomatic or have mild symptoms, only mild indigestion, abdominal distension, etc. However, many people do not have the awareness of active screening. Most of them wait until relevant symptoms appear, or even to the point of unbearableness, before seeking medical treatment, resulting in missing the best time for treatment. Some of these patients, even if their lives are saved through surgery, will have to use ostomy bags for the rest of their lives, which greatly reduces their quality of life. Therefore, for ordinary people, early detection is more important than anything else. Colonoscopy is the gold standard for diagnosing colorectal cancer Screening is recommended for these groups of people Colonoscopy is the gold standard for colorectal cancer screening. Doctors use colonoscopy to observe various changes in the intestine, including tumors, polyps, ulcers, bleeding, etc. If you are worried about the pain of colonoscopy, you can also choose painless colonoscopy, which is performed under sedation or anesthesia. The following groups of people are recommended to undergo colonoscopy screening: People with anorectal symptoms for two weeks, that is, any of the following symptoms lasting for more than two weeks: ① Changes in bowel habits (constipation, diarrhea, etc.); ② Changes in stool shape (thin stool); ③ Changes in stool properties (blood in stool, mucus in stool, etc.); ④ Pain in a fixed part of the abdomen; First-degree relatives with a family history of colorectal cancer; People who have undergone treatment for colorectal adenomatous polyps; Patients with long-standing ulcerative colitis; People after colorectal cancer surgery; First-degree relatives aged 20 years and older with a family history of familial adenomatous polyposis (FAP) and hereditary non-polyposis colorectal cancer (HNPCC). Experts suggest that colorectal cancer screening should be moved forward to the age of 45. Even if you do not feel any discomfort, if you have never had a colonoscopy after the age of 45, you should have a colonoscopy. If conditions permit, it can be moved forward to 40 years old. Don't give up on rectal examination easily and fecal occult blood test For people with no relevant symptoms and no family history, if the first colonoscopy does not reveal any special circumstances, a second one can generally be done about 5 years later. During this period, rectal digital examination and fecal occult blood test can help screening. Yang Jingge, chief physician of gastrointestinal surgery at the First Affiliated Hospital of Jinan University, introduced that about 70% of colorectal cancer cases in my country are rectal cancer, and about 70% of these are low rectal cancer. In other words, nearly 50% of colorectal cancers can be felt through rectal digital examination. Now, many people's annual physical examination packages include rectal digital examination. Don't give up the examination because you feel embarrassed. In addition, fecal occult blood test is also a convenient and effective initial screening method. If the test is persistently positive, it may indicate bleeding from peptic ulcers, malignant tumors of the peptic tract, etc. How to prevent it? Improve your lifestyle As for how to prevent colorectal cancer, although we cannot change genes, we can reduce the probability of colorectal cancer by improving our lifestyle habits. For example, we should maintain good work and rest habits, exercise moderately, stay optimistic and happy, and stay up late less; maintain good eating habits, eat regularly, eat less salt, less spicy food, eat less pickled food, quit smoking and drinking; stay away from severely polluted areas and avoid occupational exposure. Health is your own and I hope everyone can pay attention to it! |
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