The difference between men and "cancer" in the sixties, provincial medical experts do not open a knife to eliminate "timing bombs" for them

Author:Hunan Medical Chat Time:2022.08.02

"I didn't expect to remove the tumor without surgery. Thank you for reducing the pain and burden for me. The hanging heart finally landed!" Mr. Liu, 61, who suffered from huge rectal tumors. After the ESD (endoscopic mucosal stripping) under the colonoscopy, the tumor is completely removed.

This not only avoids the pain and economic burden brought by surgery, but also greatly improves his quality of life. On August 2, Mr. Liu was discharged smoothly.

[Medical staff performed ESD surgery for patients]

Mr. Liu, who lives in Fuling, Zhuzhou, usually loves fat. The number of stools 4-6 times a day, and does not take shape, but there are no symptoms of discomfort.

In the past half a month, Mr. Liu felt weak, and his right lower abdomen was painful.

After examination at the local hospital, it was found that its rectum was 1-5 cm from the anus and a cauliflower-type mass larger than the walnut, which was highly suspected of rectal cancer.

One week ago, in order to clarify the diagnosis, Mr. Liu came to the Hunan Provincial People's Hospital for the Department of Gastroenterology.

Dr. Chen Hui, who was admitted, found that the patient had a huge lateral developmental tumor at 8cm from the anus to the anal tooth line through the intestinal mirror. 1/2 to the whole week.

Due to the high cancerous cancer of this side -made tumor, surgery or endoscopic resection is generally adopted.

Due to the lighter level of the patient's lesions, no obvious infiltration areas have been found, and there are indications for endoscopic treatment.

However, its disease range is large, and the difficulty of endoscopic resection is relatively high.

【Schtryplays in my colonoscopy】

After full evaluation, the medical team led by Liu Peng, the director of the first waters, and Wu Minghao, the director of the digestive second ward, used ESD to successfully remove the mass.

During the surgery, remove the mass of 10.5cm*10cm, and the amount of bleeding is small.

After surgery, the patient recovered well, without bleeding, perforation, infection and other complications, and postoperative pathological prompts were rectal-fluffy tumors. Local cancer but lesions did not affect the mucosal muscle layer. Chemotherapy.

At present, Mr. Liu has recovered.

[Patients can act on their own on the second day after surgery]

Colorectal cancer is one of the common malignant tumors, and its incidence and mortality ranks among the top three of malignant tumors.

Therefore, early resection of adenoma polyps is essential to prevent the occurrence of colorectal cancer.

"Endoscopic mucosal stripping (ESD) is based on endoscopic mucosa injection, and uses a special high -frequency electric knife to completely strip the mucosa where the disease is located."

Director Wu Minghao introduced that generally, the lesions within 2cm can use a relatively simple method of cutting polyps under the endoscopy, and lesions greater than 2cm generally require a complex surgical method of ESD.

However, because surgery will not only cause patients to suffer the pain caused by trauma, if the lesions are close to the anus, the surgery will not be able to keep the anus, and the quality of life will decrease sharply.

Therefore, compared with traditional surgery, ESD technology belongs to minimally invasive surgery of endoscopic, which has the advantages of treating small trauma, fast recovery, low medical expenses, and shortening hospitalization time.

In actual operation, doctors will fully consider the size, shape, infiltration depth, and individual risk factors of the lesion, and select different endoscopic resection methods to improve the feasibility, effectiveness and safety of endoscopic resection.

[After surgery, the medical staff is a patient for the patient]

At the same time, Director Wu Minghao also reminded that 90%of colorectal cancer originated from intestinal polyps. Therefore, it is necessary to do a colonoscopy once before the age of 40. If the lesion is found, it can be removed as soon as possible to avoid cancer.

Usually eat less high -fat, high -calorie foods, quit smoking limit alcohol, take more fresh fruits and vegetables, and exercise moderately.

Early bowel cancer can be cured, so early detection and treatment should be found, and you should not wait for symptoms.

(Edit Rainbow.)

Hunan Medical Chat Special Author: Li Xiulan, a digestive endoscopy room of Hunan Provincial People's Hospital

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