Xing Nianzeng: See through the disguise of urinary system tumors. It is low-key, so you have to be high-key!

In many people's impressions, urinary system tumors are a relatively niche tumor. In fact, urinary system tumors are not what everyone thinks, "a disease that only men get", or "a niche disease with a very low incidence rate". The truth is that urinary system tumors are a disease that both men and women can get, and it is not a niche disease.

Tumors occurring in any part of the urinary system are considered urinary system tumors, including kidney, renal pelvis, ureter, bladder, urethra, prostate, etc. The three most common types are prostate cancer, bladder cancer, and kidney cancer. The incidence of prostate cancer in men ranks second in the world and is also among the top ten tumors in my country. Therefore, urinary system tumors should not be ignored, and we should learn more about this type of tumor.

The continuous development of diagnosis and treatment technologies will enable more patients to live longer and better

Although the incidence rate is increasing, Professor Xing Nianzeng has witnessed the development of urinary system tumor diagnosis and treatment technology in his more than 30 years of medical practice. The diagnosis and treatment methods and means are endless, which have brought longer survival to more and more patients and improved their quality of life. In particular, in the past 10 years, a big step forward has been taken in treatment, such as targeted therapy and immunotherapy. Some patients with advanced stages can be treated with internal medicine to reduce the stage, thus obtaining the opportunity for surgical cure.

In the field of urinary system tumors, the National Cancer Center/Chinese Academy of Medical Sciences took the lead in formulating and drafting national diagnosis and treatment guidelines for kidney cancer, bladder cancer, and prostate cancer, making the treatment of urinary system tumors more standardized. Professor Xing Nianzeng also saw the actual clinical problems of advanced bladder cancer during the diagnosis and treatment process. In these patients with advanced stage, the tumor has "grown roots" and has taken root in the bladder muscle. Usually, the treatment principle for this situation is to remove the bladder.

However, bladder removal does not mean that the 5-year or 10-year survival rate can reach 100%. There may still be some lymph node metastasis after surgery.

How to improve the survival rate of patients with advanced bladder cancer? This is what Xing Nianzeng and his team are working hard to overcome. The clinical research he is doing is also relatively early in the world. It is aimed at neoadjuvant treatment of advanced bladder cancer. Through neoadjuvant treatment for a period of time and then surgery to improve the survival rate of patients.

Currently in this study, it was found that after chemotherapy and immunotherapy, about 50% of patients had no visible tumors in postoperative pathology, which improved the survival rate of these patients.

Although the incidence of testicular tumors has been gradually decreasing in recent years, it is still a type of tumor that cannot be ignored. After all, tumors growing in this location may affect fertility, especially for young men. Due to privacy issues, most people with testicular cancer are reluctant to go to the hospital to see a doctor.

Some time ago, Professor Xing Nianzeng treated a young man in his 20s with testicular cancer. When he came to the hospital, the disease was in a relatively advanced stage and had metastasis to the retroperitoneal lymph nodes. Chemotherapy could not eliminate the retroperitoneal metastatic lesions, so he found Xing Nianzeng with the last glimmer of hope.

After examination, Xing Nianzeng believed that the young man had a chance of surgery, and that the problematic retroperitoneal lymph nodes could be removed through surgery. Although the operation was very difficult, he was still confident that he could do it well. The young man was worried about affecting his fertility, so he hesitated again and again, but in the end he received laparoscopic retroperitoneal lymph node dissection from Xing Nianzeng.

Although the whole operation was thrilling, the retroperitoneal lymph node dissection required the tumor to be removed one by one along the large blood vessels, and the process was very dangerous, just like "picking the teeth of a tiger", the operation was successfully completed under the superb technology of Professor Xing Nianzeng's team, the tumor was removed very cleanly, and the young man's reproductive function was not affected. Now the young man has returned to normal life and work, and the whole family is very grateful to Xing Nianzeng for his meticulous treatment.

Early diagnosis and treatment of urinary system tumors is crucial!

Having a tumor can have an impact on your psychology, but in fact many tumors can be very effective if detected and treated early, and will not affect your life and quality of life. It is also important to understand the cause of the disease.

Professor Xing Nianzen said that people do not know enough about the causes of urinary system tumors. For example, obese people with metabolic disorders are a high-risk group for kidney tumors. Another example is smoking. The first thing that comes to mind when people smoke is lung cancer. In fact, smoking is also an important cause of bladder cancer.

Many urinary system tumors have no symptoms in the early stages. Many people discover them accidentally during physical examinations, or their family members check up on them and find out that they have a tumor. Therefore, urinary system tumors can be detected through physical examinations, especially for people over 50 years old. For example, a B-ultrasound can show whether there is a kidney tumor, or PSA, a tumor marker specific to prostate cancer, can be checked.

In order to harm you, urinary system tumors always disguise themselves as low-key, but for our own life and health, we must treat it in a high-profile manner, have physical examinations, and take it seriously!

(Written by Zilin)

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