The story "Bian Que Meets Cai Henggong" has been passed down through the ages and is well-known to every family. In the story, Bian Que visited Cai Henggong three times, pointed out where Cai Henggong was ill, and advised him to get treatment as soon as possible. However, Cai Henggong firmly believed that he was not sick and thought that Bian Que was alarmist. Later, when Bian Que came back, he found that he was seriously ill, so he had to turn around and ran away to Qin State overnight. Cai Henggong delayed his illness due to taboos and doctors, and died soon afterwards.
As in the story, there are many diseases in real life that have no obvious symptoms of discomfort at the beginning, and often fail to attract people's attention. When the body is unwell, they are found to be very serious when they are checked in the hospital. Some have even missed the most. Optimal treatment time. Colorectal cancer can be said to be an "outstanding representative" among them, a veritable invisible killer.
▲ The development process of bowel cancer
The history of colorectal cancer is relatively long. From hyperplastic polyps to precancerous adenoma and then to cancer, the whole process takes about 7 to 15 years. The first 1 to 10 years is a transitional period for polyps precancerous lesions. Individual differences are different, and the transition time is also different.
Next, through a clinical case and its colonoscopy report, we will observe and feel how small intestinal polyps have gradually developed into cancers that can take away human life and health.
A middle-aged woman went to the doctor due to abdominal pain. The colonoscopy first saw polyps and then found colon cancer in the sigmoid colon. The intestinal cavity was narrow and the colonoscopy barely passed. Multiple polyps of varying sizes were seen in the sigmoid colon, descending colon, and transverse colon on the oral side. Another colon cancer was found in the liver flexure of the colon. The intestinal cavity is narrow, and the colonoscopy has been unable to pass. Biopsy was taken from two cancerous sites and the endoscopy was returned.
▲ Sigmoid colon cancer
The most notable thing in the medical history is that of the four siblings, the elder brother suffered from rectal cancer, and the younger sibling died of rectal cancer. At present, he has been diagnosed with double primary colon cancer and liver metastasis. What a misfortune for this family!
▲ Polyps in the rectum
Some people say that genes are bad, and some people say that environmental pollution is too heavy, but these are facts that we cannot change, or that we cannot change in the short term. What we can do is to detect early, diagnose early, and do a good job of publicity. If one of the siblings finds the disease, everyone will check the body and have a colonoscopy. Maybe it will not be delayed to the late stage. Furthermore, if we could check the body and have a colonoscopy 10 years ago, the family can still talk about family affairs and enjoy the family happiness. Unfortunately only if.
▲Sigmoid colon polyp (currently benign)
▲Colon splenic flexure polyp (developmental type)
Patients with early tumors have no obvious symptoms, and symptoms of blood in the stool are somewhat similar to hemorrhoids, and often fail to attract attention, thus losing the opportunity for early detection. Until the middle and late stages, patients have more obvious symptoms such as abdominal lumps, continuous abdominal pain, weight loss, etc. Begin to take it seriously.
▲Transverse colon adenoma
Adenomatous polyps have a certain cancer rate, ranging from 5% to 40%, depending on the nature and size of the adenoma. Therefore, removal of adenomatous polyps is generally recommended. Resection of polyps has the risk of bleeding and perforation, which depends on the size, shape, location of the polyp, the operating experience of the surgeon and nurse, and the specific methods adopted, as well as the postoperative diet, activities, and medication.
It takes a long time to develop from a polyp to cancer. Some data show that it is generally more than 5-10 years, but some develop faster. This is related to the nature, size, number and general condition of the polyp found. Therefore, it cannot In general. Even after a polyp is removed, regular review is required.
▲ Colon cancer
Many people are very afraid of colonoscopy. They are afraid of pain, drinking laxatives, or detecting problems. It takes a lot of determination to be a colonoscopy. No matter how persuaded, some people are unwilling to do colonoscopy. For people over 45 years old who are unwilling to do colonoscopy, Zhongshan Sixth Hospital recommends that you can choose the fecal genetic testing product "Changanxin", which can be completed at home, safe and non-invasive, and more convenient to help everyone pay attention to intestinal health and detect intestinal changes early.
Cancer does not grow in a day, just as Rome is not built in a day. The most effective way to prevent colorectal cancer is to have regular physical examinations, early screening, and removal of adenomatous polyps. When it develops into cancer, even advanced bowel cancer, not only will it be traumatic, painful, and have a low cure rate, its treatment costs will also be greatly increased.
Just as Bian Que said: Diseases are in the body, where the soup is ironed; in the skin, where the needles and stones are; in the stomach and intestines, where the fire is at the same time; in the bone marrow, where the life belongs, helpless!