Tumor Integration "Symptoms" When its at the time ｜ The Sea Election of the Central Region of the Case Contest was announced, and three players in Henan, Beijing, and Hebei entered the final

Author:Medical newspaper Time:2022.08.25

Tumor Integration "Symptoms" When the Case Speech Contest in the Central Region Mestern Sea Election/

Recently, the "Tumor Integration," Symptoms' "project was sponsored by the National Health and Health Commission Population Cultural Development Center, the Science Popularization Professional Committee of the China Anti -Cancer Association, and the doctor's newspaper, and the doctor's network. One of the sectors is the sea election of cases in the five regions of the central, northern, western, east, and southern regions. Through the selection, the promotion players of each region marine competition will enter the national finals.

On August 20, the Central Sea Election of the Central District kicked off in Shijiazhuang. Eight players from Beijing, Hebei, Henan, Shanxi, and Hubei participated in the competition. Among them, three contestants from Henan Cancer Hospital Wang Fangzheng, Tian Haiying, People's Hospital of Daxing District, Beijing, and Guo Ziru in Xingtai People's Hospital entered the National Finals Essence

Professor Zhixiu, a special guest of the conference and the Capital Medical University Lung Cancer Diagnosis and Treatment Center, highly recognized the significance of this case contest for the symptoms of tumor patients. He pointed out that on the basis of "daring to say cancer and admitting cancer", clinicians must not only pay attention to the treatment of cancer, but also pay attention to the management of patients. How to better practice the "patient -centric" diagnosis and treatment concept, how to better take into account anti -tumor treatment and the quality of life of patients, and make more patients benefit, it is the essence of tumor integration medicine.

Professor Chen Xiaobing, chairman of the conference and Henan Cancer Hospital, pointed out that when young talents in the field of tumor are practicing the concept of tumor integration, they have rich experience in clinical practice. , Screening, diagnosis, treatment, and rehabilitation, how to better transform clinical research into practice is the main point of this case competition.

Professor Li Jing, chairman of the conference and Professor Li Jing of Hebei Medical University Traditional Chinese and Western Medicine College/Hebei Medical University Fourth Hospital. This case competition not only shares the standardized treatment process of cancer patients, but also the essence of the symptoms of the patients. In the process, many patients with temperature, feelings, and deep humanistic stories have emerged in the process.

According to Mr. Shi Ziwi, general manager of Yangzijiang Pharmaceutical Group Hebei Kangyou Pharmaceutical Co., Ltd., the company has always adhered to the core values of high -quality, benefiting the people, innovation, and goodness, and practiced corporate mission to seek for enterprising and protecting all beings. Patients provide better diagnosis and treatment. In recent years, it has made due contributions to the development of domestic cancer -related fatigue disease diagnosis and treatment, and contributes to the "Healthy China 2030".

The meeting was chaired by Professor Zhang Ruixing, Fourth Hospital of Hebei Medical University. Before the competition, he read and explained the main rules of the case competition.

Highlights

2022.08.20

One

"Sharing of advanced gastric cancer cases"

Participants: Wang Jianzheng Henan Cancer Hospital

Case points: Female 35 years old, diagnosed as cardiac-gastric hypocruminated adenocarcinoma abdominal cavity.

Symptoms: Overall layout of treatment and symptoms, and ensure that the quality of life of patients does not decrease while the disease progresses. From only 3 months to 18 months, after severe cancer pain, malnutrition, moderate anemia, four -degree bone marrow transplantation, peritoneal effusion, hyparmanemia, and adverse reactions of immunotherapy The quality of life has been greatly improved.

Professor Liu Junli of Xingtai People's Hospital commented:

Comments: Clear expressions, simple, complete diagnosis and treatment flow diagrams, and humanistic treatment methods with humanism

Question: In real clinical experience, how to identify the fatigue of patients is caused by physical factors or psychological factors?

Answer: Before surgery is psychological fatigue, and personal life has no effect; after surgery, the brain trauma, large lesions, and damage to the function are identified as physical fatigue.

Case 2

"Sharing of New Auxiliary Treatment of Breast cancer"

Participants: Guo Ziru Xingtai City People's Hospital

Key points: Patients are diagnosed with breast infiltration of cancer, and postoperative chemotherapy combined with dual target therapy.

Symptoms: Inverse reactions of chemotherapy: stop vomiting management, neurotoxicity, numbness at the end of the limbs, pain and allergies. Patients have a strong resistance to chemotherapy, and patiently persuade them to continue treatment. The prevention and treatment of bone marrow transplantation did not affect chemotherapy extension. Cardiasis and liver and kidney toxicity are normal. Significant hair loss, after six cycles, the treatment effect is obvious. Patients reach PCR.

Perception: At the same time, pay attention to the efficacy, and should pay more attention to the patient's toxic and side effects; more, listening, more, multiple contacts, more comfort, more comfort and encouragement patients are also part of the treatment.

Professor Li Jing commented and asked:

The speaker has clear ideas and complete expressions. This case has the treatment effect of reaching the PCR after local treatment and integrated treatment. At the same time, the dose needs to be adjusted in time after the patient's drug toxicity and side reaction.

Three

"A review and thinking of EGFREX20INS mutations NSCLC cases"

Participants: Tian Haiying, Beijing Daxing District People's Hospital

Key points: 57 -year -old female patient, diagnosed with left lung adenocarcinoma brain metastasis in February, headache increases for 2 days, using non -drug means to correct fatigue. After targeted therapy, patients with severe cancer and medicinal rashes have been severe for one month.

Symptoms: According to the "Consensus of Cancer -related Fatigue Diagnosis and Treatment of Chinese Experts", the patient's disease has been effectively controlled through oral Poditinib to combine Zhengyuan Capsules. Patients reduce long -term hospitalization and maintain good physical fitness, emotion and basic social interaction. ECOG score 2 points. Professor Li Jing commented and asked:

Evidence -based medicine is perfect, the entire process of diagnosis and treatment is clear, and the thinking of integrating its own diagnosis and treatment mode during diagnosis and treatment.

Question: The first -line targeted drugs are good. Why should the second line change the chemotherapy plan?

Answer: The patient uses Pogetinib to cause intracranial high pressure. It is suspected to be metastasis of the meninge, and then converted to chemotherapy scheme. At the same time, after targeted treatment, the patient's fatigue increased, and the combined use of the proprietary Chinese medicines, the symptoms of fatigue improved.

"Immune pneumonia individualized therapy"

Participants: Li Xiaobing Hubei Provincial Oncology Hospital

Case information: Female patients are 59 years old and are diagnosed with small cell lung cancer. The treatment plan is the EP solution combined with immunotherapy.

Symptoms: The main toxic and side reactions of the patient are bone marrow suppression and digestive tract reactions. After hormone treatment, hormone refractory immune pneumonia is triggered. Clinical treatment is often required to increase the emphasis on symptomatic support treatment.

Professor He Jingli of the Fourth Hospital of Hebei Medical University commented:

Case reports are smooth, logically clear, graphic, and clear, and clearly analyzed and analyzed by treatment.

Question: What is the diagnosis basis for immune pneumonia?

Answer: Combined with the history of the patient's medication, as well as comprehensive diagnosis such as new symptoms, imaging evidence, and grinding glass -like changes in the lungs after treatment.

5th

"Human Heart Temperature-Sharing Cases of Primary Liver Cancer Treatment"

Participants: Yuan Xiaoyi Xinxiang Medical College First Affiliated Hospital

Key points: Patients undergo two liver cancer surgery, and intrahepatic metastases occur. Anti -tumor treatment is used for immune combined targeted therapy.

Symptoms: Decreased thyroid function, hypertension, and fatigue. After multiple disciplines, nutritional support and psychological support. The quality of survival of patients has improved significantly.

Professor Zhang Ruixing commented and asked:

Strong speeches and case stories are fascinating, and humanistic care is fully reflected in treatment.

Question: After two operations, do the use of Sorafini in MDT, does the radiotherapy department put forward the opinions of local treatment?

Answer: Because patients and family members resist surgery and local treatment, they will not consider it. At the same time, considering that the patient is in the rapid progress of the tumor, the second -line Lenavetinib was initiated due to the serious sideline response of Sorafini. At the same time, the use of Zhengyuan Capsule to reduce the adverse reactions of related fatigue caused by immune combined targeted therapy.

Sixth

"Sharing Species of Treatment-Cancer Cancer Disclosure Treatment Application Examples"

Participants: Fourth Hospital of Su Yuhe Hubei Medical University

Case points: Female patients are 53 years old and are diagnosed with infiltrated duct cancer in the right breast cancer. The cancer metastasis can be seen in the right axillary lymph nodes.

Symptoms: After treatment, patients gradually appear fatigue, anorexia, and aggravating sexuality and affecting daily life. Patients do not pay attention. After comprehensive assessment, the patients and exercise therapy were given symptomatic treatment, and the symptoms of fatigue were significantly improved.

Professor Bai Wenqi of Shanxi Cancer Hospital commented:

The speaker's logic is clear and the diagnosis and treatment process is complete. However, the discussion process lacks more detailed evidence -based evidence.

Seven

"Sharing of Kidney Cancer Cancer Transfer Case"

Participants: Lin Xinyi Shanxi Provincial People's Hospital

Key points: It is found that the chest mass is more than 3 years. After multi -course treatment, the diagnosis of the right lung metastasis (the source of the kidney nipple cancer) is performed after the treatment.

Symptoms: Two -level sounds, thyroid dysfunction, etc.

Professor Meng Aihong at the Second Hospital of Hebei Medical University commented:

The case is complete and detailed, the patient's condition is complicated, and the pathological results are not perfect.

Eight cases

"Sharing of diagnosis and treatment of a patient with a brain tumor"

Participants: Liang Jianfeng Peking University International Hospital

Key points: 43 -year -old female patient, the head nuclear magnetic shows a dual -querous leaf position, and the fatigue assessment before surgery is acceptable. After the left -quota dual -volume resection, the patient was fatigue.

Symptoms: Postoperative evaluation patients have severe physical fatigue. Based on the experience of previous treatment fatigue, patients were given to the treatment of Chinese medicine. On the first day, the patient felt sweaty and exhausted after the activity. On the fifth day, the patient had no sweat, and sat up to the event.

Professor Chen Xiaobing commented and asked:

Comments: Clear expressions, simple, complete diagnosis and treatment flow diagrams, and humanistic treatment methods with humanism

Question: In real clinical experience, how to identify the fatigue of patients is caused by physical factors or psychological factors?

Answer: Before surgery is psychological fatigue, and personal life has no effect; after surgery, the brain trauma, large lesions, and damage to the function are identified as physical fatigue.

2022.08.20

Concluding conference

Professor Chen Xiaobing

Professor Chen Xiaobing pointed out that the contest of this case shows the personal style of young doctors, and at the same time, each contestant reports the theme of symptoms management. He concluded that the eight players selected from the comprehensive hospitals and specialist hospitals in the central region, including residents, attending physicians, and deputy chief physicians. Symptoms of cancer and brain tumors. In the case of cases, the contestants both reflect the standardized treatment of tumors and the humanistic care of tumor patients. Fully interpreted the profound significance of "tumor integration, symptoms are then", and at the same time, eight patients have been treated with a win -win situation for treating tumors and symptoms. Professor Li Jing

This case speech contest is no longer just explaining the "cold" content of medical history and treatment plan, but incorporating the concept of "patient -centric" into the whole process. It reflects the core of advanced tumors, especially difficult cases, and pay more attention to the core of patients' high -quality life quality. People -oriented and patient benefits are the core of tumor integration therapy. This competition comprehensively interpreted the concept of tumor integration, and comprehensively reflects the significance of the combination of traditional Chinese and western medicine in clinical applications.

Take a photo with the experts with the contestants

8 special lines in the north, Guangzhou -Hangzhou 4 places have been launched! The train will be equipped with 22 academicians including Academician Zhong Nanshan/Master of Chinese Medicine/National Medical Medicine, 145 Hospital Management Experts, and 1,582 medical elites of 1,220 public welfare tour posters. Passengers "intimate contact"! At the same time, the general poster video will cover 13,000 TVs on the subway and platforms on the 1st, 5th, 5th, 8th, 13th and Batong lines in Beijing, and the platform will be played many times a day. It is expected that the number of viewing will exceed 100 million!