This is a set of grim numbers: about 787,000 new cases of lung cancer in my country each year, and about 631,000 deaths, which is equivalent to 1.5 people suffering from lung cancer every minute, accounting for about a fifth of all new cases of malignant tumors. One
At present, most of the diagnosis and treatment models for cancer patients in my country are those who are the first to "catch" the patient.
Depending on whether the first visit is surgery or internal medicine, the treatment plan received by the patient is different, and even contradictory
Will new coronary pneumonia transform into lung cancer?
What impact will the normalization of epidemic prevention and control have on lung cancer patients?
This is a new problem in the prevention and treatment of lung cancer triggered by the epidemic
In the past 17 years, Wan Zuocheng and Xiong Gengxiang, who founded the "anti-cancer kitchen", have witnessed the pain of tens of thousands of cancer families who have gone through repeated treatments.
"You won't be able to see it or can't see it in the local area. In the end, you have to come to the cancer hospital." Wan Zuocheng concluded.
"Anti-Cancer Kitchen" is actually an open-air snack bar, opened in an alley separated from the Jiangxi Provincial Cancer Hospital.
Everyone calls it the "anti-cancer kitchen" because the people who cook are all patients and their families from the cancer hospital.
Wan Zuocheng, who is over 60 years old, has become a "half" cancer expert.
According to his observation, lung cancer patients are the most, because "there are so many people who smoke, and this cancer is related to environmental pollution."
The elderly are the most senior, and there are also young and middle-aged people in their 30s and 40s.
They have a common feature, they are basically in the middle and late stages of discovery.
Under the new crown pneumonia epidemic, respiratory health has received unprecedented attention.
When the epidemic was at its worst, Wan Zuocheng closed the "anti-cancer kitchen" and changed to cook by himself, and then delivered meals to patients without contact.
"People who are in a good mood will heal faster." He told Xinhua Daily Telegraph that lung cancer is not contagious. I hope everyone will not discriminate against patients and give them hope to overcome the disease.
The population with lung cancer is showing a trend of "both ends"
This is a set of grim numbers: about 787,000 new cases of lung cancer in my country each year, and about 631,000 deaths, which is equivalent to 1.5 people suffering from lung cancer every minute, accounting for about a fifth of all new cases of malignant tumors. One.
At the Sino-US International Multidisciplinary Forum on Lung Cancer, Academician He Jie, director of the National Cancer Center and director of the Cancer Hospital of the Chinese Academy of Medical Sciences, said that lung cancer has become the "first killer" that seriously endangers the health of our people.
The latest survey conducted by the multidisciplinary team of lung cancer diagnosis and treatment led by him shows that the incidence of lung cancer has risen sharply among people over 40 years old, reaching a peak in the 80-84 year-old age group.
For China, the normalization of epidemic prevention and control will affect the prevention and treatment of a series of lung diseases in the long run.
Lung cancer is undoubtedly the most difficult challenge among them. For 10 consecutive years, the number of cases and deaths has been the highest among malignant tumors, and the incidence of patients is showing a trend of "two heads" among the young and old.
The survey also showed that the incidence and mortality of lung cancer in men in my country are significantly higher than in women.
In addition, the incidence of lung cancer in men in urban areas is lower than in rural areas, while the incidence of lung cancer in women is the opposite.
The multi-center retrospective epidemiological survey conducted by the Office of Cancer Screening and Early Diagnosis and Treatment of the National Cancer Center showed that based on the 10-year data analysis from 2005 to 2014, the prevention and treatment of lung cancer in my country showed the following trends: elderly patients, female patients, The proportion of patients with advanced disease is increasing; the smoking rate is declining, but smoking exposure continues to be high; adenocarcinoma has replaced squamous cell carcinoma as the main pathological type; medical expenses have increased significantly.
With the rapid development of social economy and the aging of the population, the prevention and treatment of lung cancer in my country is also "upgrading."
The former Ministry of Health launched the National Cancer Registry and Tracking Program in 2008, and the number of cancer registries increased from 95 in 2008 to 574 in 2019.
The urban cancer and rural cancer early diagnosis and treatment projects for large-scale high-risk groups were launched in 2012 and 2005, respectively.
Last year, the Healthy China Initiative announced the launch of a cancer prevention and control program for 2030, which clarified a series of "hard targets" such as improving the overall 5-year cancer survival rate.
Authoritative oncologists urged that although medical advances have brought hopes of overcoming diseases, respiratory health is still a public health issue that requires the whole society to work together to deal with it.
Realistic dilemma: the first consultation department decides the treatment plan
This is a heart-wrenching story: A doctor who has been in thoracic surgery for 17 years discovered that his father, who had been a mechanical maintenance worker for half his life, had lung cancer and had lymph node metastasis at the time of discovery.
The father with a history of occupational exposure is a high-risk group of lung cancer, why did he forget it?
Self-blame and distress made the doctor burst into tears.
"Smoking, occupational exposure history, family medical history, and history of chronic obstructive pulmonary disease and diffuse pulmonary fibrosis are the highest risk factors for lung cancer, but in reality the screening coverage is not enough." Authoritative clinical expert, Department of Internal Medicine, Cancer Hospital, Chinese Academy of Medical Sciences Director Wang Jie said that my country's lung cancer screening and diagnosis technology has been substantially improved.
Currently, low-dose spiral CT (LDCT) is a relatively accurate screening technique, and high-resolution CT is one of the most important diagnostic techniques.
The application of new technology realizes accurate diagnosis of lung cancer, making early prevention, early detection, early diagnosis and early treatment possible.
A middle-aged patient left a deep impression on Wang Jie: When seeing a doctor, he handed a thick stack of CT chest radiographs and medical records, which wrote various treatment plans from different hospitals and different doctors.
The more he was treated, the more he felt at a loss, and with the panic, he almost collapsed.
This is a dilemma generally faced by cancer patients.
At present, most of the diagnosis and treatment models for cancer patients in my country are those who are the first to "catch" the patient.
Depending on whether the first visit is surgery or internal medicine, the treatment plans that patients receive are different, and even contradictory.
"Under such a treatment mode, patients may receive repeated examinations, non-optimal treatment, or miss the best treatment opportunity." Wang Jie said.
Later, the middle-aged patient underwent a collective consultation with a multidisciplinary team.
Experts recommend that patients undergo a neoadjuvant treatment first, not surgery first.
After completing the neoadjuvant treatment, the patient's tumor shrank significantly, and the mediastinal lymph nodes shrank simultaneously.
The operation was successfully completed, and the follow-up standard treatment was completed according to the postoperative pathology report.
Wang Jie said that precision prevention and multidisciplinary diagnosis and treatment are the key to promoting lung cancer prevention and treatment in my country.
Through the collective efforts of the multidisciplinary diagnosis and treatment team, the treatment of cancer patients can be more accurate, timely and standardized, and the prognosis of patients can be significantly improved.
The high incidence and low five-year survival rate make lung cancer treatment a worldwide problem.
At the China-US International Lung Cancer Multidisciplinary Forum, many domestic and foreign academicians and experts stated that whether it is the old method of "chemotherapy + surgery" or new technologies such as immunotherapy and targeted therapy, improving the overall efficacy of lung cancer lies in the promotion of multidisciplinary diagnosis and treatment models. (MDT).
Since 2018, my country has launched a pilot multidisciplinary diagnosis and treatment of tumors. The pilot tertiary general hospitals and tumor specialist hospitals are required to establish standardized MDT operating procedures and gradually expand the scope of disease types.
This year, the Chinese Medical Doctor Association established a professional committee for multidisciplinary diagnosis and treatment of oncology to promote the construction of MDT in specialized hospitals and grassroots hospitals, and implement the oncology diagnosis and treatment model of "multidisciplinary participation and collaboration between higher and lower levels".
As the chairman of the Oncology Multidisciplinary Diagnosis and Treatment Committee, Wang Jie believes that the MDT model has become the norm in the European and American medical systems, but only some tertiary general/specialist hospitals in my country have established MDT, and the utilization rate is not high; None of the hospitals have established MDT.
There is still a long way to go to solve the chronic diseases of cancer patients such as disordered admission, poor treatment and prognosis.
"In the future, it is hoped that based on the oncology multidisciplinary diagnosis and treatment platform, the industry can carry out more series of projects that can be implemented, training the concept of multidisciplinary collaboration among lung cancer doctors, and further improve the level of doctors at different levels." Wang Jie said.
The relationship between new coronary pneumonia and lung cancer is unclear
Will new coronary pneumonia transform into lung cancer?
What impact will the normalization of epidemic prevention and control have on lung cancer patients?
This is a new problem in the prevention and treatment of lung cancer triggered by the epidemic.
Wang Jie said that lung cancer is easy to cause pneumonia, and chronic obstructive pneumonia and lung cancer may also have a certain correlation, but the relationship between new coronary pneumonia and lung cancer "lack of scientific evidence in a short time."
"The only thing that is clear at present is that if a cancer patient is infected with new coronary pneumonia, then the chance of severe illness is increased." She suggested that cancer patients should take protective measures to better protect themselves during the epidemic.
It is worth noting that as the epidemic has increased people's health awareness, many people have found lung cancer or small lung nodules during physical examinations.
Among them, young patients under the age of 40 are growing rapidly.
Wang Jie said that only 10% to 20% of lung nodules are early stage lung cancer, so don't be overly nervous.
Even lung cancer, as long as active treatment, can also achieve chronic disease survival.
Starting at 4 o'clock in the morning every day, I have been busy until 9 o'clock in the evening, day after day.
Wan Zuocheng said that he is like a clock that moves slowly, but he has to keep going because "you want to let them eat and stick to it."
Time means hope for cancer patients.
Duan Jianchun, deputy chief physician of the Department of Internal Medicine at the Tumor Hospital of the Chinese Academy of Medical Sciences, said that data research in the past 10 years has shown that the trend of "two-headed" lung cancer incidence has brought an increasingly heavy medical burden to patients' families and society.
During the implementation of the 14th Five-Year Plan, China should first carry out tobacco control and environmental pollution control, strengthen related occupational protection, and increase health and cancer prevention education for the entire population.
The prevention and treatment of lung cancer should be better than "when the disease does not occur".
The self-blaming thoracic surgeon waited for hope: his 80-year-old father, who was over 80 years old, stood up again and continued to fight the disease bravely after receiving the multidisciplinary precision treatment.
(Reporter Qu Ting)