Organ preservation or life preservation is no longer a multiple choice question
April 15-21 is the 28th National Cancer Prevention and Control Publicity Week. The theme of this year's publicity week is "Early Action for Cancer Prevention and Control".
Talking about cancer does not have to be discolored, cancer can be prevented and cured.
As early as many years ago, the World Health Organization pointed out that tumor is a chronic disease, improve the quality of life, and learn to coexist with cancer.
This idea is being talked about by more and more people.
"In tumor treatment, we are committed to improving the survival rate of patients. We used to say that we should live longer, but now our point of view is that we should not only survive for a long time, but also have a good quality of life." Cancer Hospital Affiliated to the University of Chinese Academy of Sciences ( Cheng Xiangdong, Secretary of the Party Committee of Zhejiang Cancer Hospital), said, "For many cancer patients, if they want to improve their quality of life after treatment, they need to consider organ preservation during tumor treatment."
"Anus Preservation Clinic" opened in March
they began to systematically explore
What is organ preservation?
Simply put, it is to preserve the organ function of tumor patients on the premise of ensuring the therapeutic effect.
"For example, patients with low rectal cancer can preserve their anus, patients with breast cancer can preserve their breasts, and patients with early gastric cancer can preserve their stomachs," Cheng Xiangdong explained.
In early cancer treatment, due to the influence of various factors such as medical technology, treatment concept, and social consensus, the disease itself is often emphasized, and the quality of life of patients after surgery is not very concerned.
Up to now, in daily outpatient clinics, Cheng Xiangdong often encounters some patients and their family members, and requires a larger surgical resection area, feeling that this can achieve the effect of completely eradicating the tumor.
"With the improvement of the level of tumor treatment, in many cases, there is no necessary connection between the two. And with the prolongation of the patient's life cycle, at this time, if the disease treatment has a better effect, but the quality of life cannot be guaranteed, It is also very painful for patients. At this stage of tumor treatment, we have the ability to find the best balance between the two." Cheng Xiangdong said.
In March this year, the Cancer Hospital of the National University of Science and Technology opened an "anus preservation clinic", and the hospital began a systematic and beneficial exploration of organ preservation.
"Preserving the anus in low rectal cancer is a worldwide problem. For patients with low rectal cancer, anus preservation and life preservation have always been a single-choice question. We hope to provide a new treatment plan, so that life preservation and anus preservation are no longer either one or the other. Give patients one more opportunity to retain the anus." Zhu Ji, vice president of the Cancer Hospital Affiliated to the University of Chinese Academy of Sciences and chief physician of the Department of Abdominal Radiotherapy, has seen too many patients with low rectal cancer. "For many patients, losing the anus will cause psychological problems. Trauma, great social distress."
The premise of organ preservation is early detection
Therefore, early screening and early treatment are very important.
The improvement of the level of medical technology and the pursuit of quality of life by patients have made organ preservation necessary and operable in tumor treatment.
"To achieve organ preservation requires early detection of tumors, so early screening and early treatment is very important. In addition, it also has high requirements on doctors, comprehensive consideration of the patient's condition, and the ability to keep pace with the times and provide precise treatment." Cheng Xiangdong, a well-known expert in oncology surgery in my country and a subject leader in the field of gastric cancer diagnosis and treatment in Zhejiang Province, took the treatment of gastric cancer as an example: in the past, the treatment for early-stage cardiac tumors was total gastrectomy. Although the treatment effect was achieved, the patient lost his stomach. life was greatly affected.
It was later developed into partial gastrectomy, but the patients were prone to reflux after surgery. "A few years ago, we invented a new surgical method, the 'Giraffe (giraffe) reconstruction' of proximal gastrectomy, which can maximize the It can preserve the stomach and solve the reflux problem.”
Next, UCAS Cancer Hospital will further and systematically implement the concept of organ preservation in the fields of head and neck, breast, lung, esophagus, stomach, colorectal surgery, gynecology, bone and soft tissue, etc., hoping to bring more benefits to cancer patients. Scientifically effective treatment.
The monitoring data of Zhejiang Province in 2020 shows that cancer is still the first cause of death among residents in our province.
Cancer has its terrifying side, but it is no longer a terminal illness. Just like "early action, early detection, and early prevention" mentioned in the theme of this year's Cancer Prevention and Treatment Week, cancer patients can still return to normal life.
"We also hope that in tumor treatment, the concept of organ preservation and function preservation can be more recognized and accepted by the whole society, and we hope that tumor patients can seize the best time window for treatment, avoid detours, and achieve systemic disease as soon as possible. , Systematic organ preservation in the hospital, and through standardized treatment, not only can we live longer, but also live better." Cheng Xiangdong said.