Mr Wang of 42 years old lies on sickbed of division of tumour of hospital of Zhejiang province people, to oneself next a series of operations, put the level that change cure anxiety-ridden, "I ability is many 40 years old, how have to alvine cancer, terminal still? Terminal still??
Those who make Mr Wang vexed is, before only half an year, his check-up state everything is normal, especially thing of mark of a few tumour is unusual without, how to have time of half an year only, does terminal tumour search came?
The tragedy of Mr Wang is not Gu exemple, in each check-up center of large hospital and tumor division, the patient that those value tumor mark thing only and ignores corresponding and video examination is not scarce, after their diagnose cancer, can cannot help complain: Why is examination of content of mark of the tumour when check-up regular? When does tumor run?
Reporter collect data of family of the check-up of a few hospitals, tumour, the tumor mark content in saying check-up well for everybody this thing, what concern do it and tumour have after all?
1
Of tumor mark content " camouflage "
Let him fail to discover alvine cancer early
Mr Wang is the middle-level leader of a state-owend enterprise, the figure cuts him thin the job is very busy, nevertheless Mr Wang is paid attention to very much everyday food, the job is again busy also should assure on time a day of 3 eat.
Before half an year, the unit organized check-up, had entered middleaged Mr Wang to treat annual check-up as final examination, and this exam result is very right, besides lung a little nodal need is checked further outside, the defect that begins to appear with age person was done not have on his body.
This among them, include tumor mark thing, the tumour that Mr Wang detects indicates content shares 5, these index are inside normal limits.
Such check-up result, let Mr Wang be at ease large half an year, till a month before, mr Wang appeared frequent bellyacke, thinking is him of gastric ministry defect, ate gastric medicine a few days to had disappeared, this ability thinks of to go up the hospital makes an inspection.
Until after making alvine looking glass, the doctor just discovered tumor in the intestines of Mr Wang, vivid check shows this has been malignant tumor.
"The check-up before half an year is no problem completely, had alvine cancer how suddenly? " Mr Wang that sees a result became foolish eye, turned over check-up report to look carefully again, tumor indicates other people is normal, show check is normal also, how does alvine cancer come after all?
Zhejiang saved the doctor of people hospital to ask the medical history of Mr Wang carefully, cannot help shaking however had a head, "You too carelessness, actually your alvine cancer can be discovered earlier. Actually your alvine cancer can be discovered earlier..
So the father of Mr Wang is an alvine carninomatosis person, translate his pathology report, the tumor cell niche that discovers two people agrees exceptionally.
"Mr Wang has alvine cancer familial history, this defect should pay close attention to more when check-up, add alvine lens to inspect an item for instance. " Hu Peiying of stimulative center director says health of hospital of Zhejiang province people, unfortunate is, mr Wang belongs to the crowd that tumor indicates content is not sensitive, this detects the report that do not have a law gives the tumor case inside body, the check-up report sheet before half an year looks very healthy, had buried actually played hidden trouble.
2
Tumor is in move more
Tumor indicates other people is normal still
On Mr Wang body, tumor indicates content resembles is in put to good use " camouflage " , the Mr Wang afterthought that after after letting, knowing, becomes aware not is reached, and more on the wool grandma body that exaggerated example produces in 71 years old, the tumour inside her body has been in move more, but tumor mark content still is inside normal limits.
In tumour of traditional Chinese medical science of hospital of Hangzhou city tumour in integrated division ward, wool grandma is being accepted change cure, bedside accompanies the filial fine understand without being told that protect to be being protected.
"2 years ago, my mom is ineffable occurrence vagina bleeds, the hospital checks diagnose on is cancer of the film inside the uterus, we were accepted very quickly operation and turn the treatment such as cure, lung and abdominal and lymphatic move can appear again inside short now time. " in the old mother heart that children look at demon of equipment catch a disease catch a disease to torment total under cover self-condemned, if can take check-up seriously before, especially the examination of tumor index, can discover a problem earlier probably, accept cure earlier to perhaps won't produce move. Later still is Ding Jiyuan of this division director an explanation when make the rounds of the wards just lets them be at ease.
"Take annual check-up seriously to do not have a fault, but also cannot view tumor index solely, in the tumor patient that comes up against in me 10 therein having 3 tumour index almost is normal, your mother is that 3 1 therein. When first time of the old lady 2 years ago will make treatment, 15 tumour index checks complete set to do not have as a result unusual. Most patient arrived terminal basically can go up to be behaved somewhat in tumor index, but your mother already was in move more nowadays, tumor index still is all and normal. " Ding Jiyuan says.
The picture originates visual China
3
Look from big data
The relation of tumor mark content and tumor diagnose
If see tumor mark thing only, the tumor condition inside how many human body can you discover? The reporter understands these data from the check-up center of 4 hospitals:
Will view the data that the tumour in the crowd indicates thing is unusual above all, zhejiang university college of medicine is accessary Doctor Tong Yuling introduces family of medicine of whole family of the 2nd hospital, person-time of hospital annual check-up makes an appointment with 100 thousand people, among them content of fish tumour mark exceeds what be worth 2 times above normally to occupy 6% above. With was in October exemple, 8100 person-time check-up, 520 people discover tumor index is unusually elevatory.
Will see discovery of the tumour in check-up lead again, regard tumor specialized subject as the hospital, zhejiang province tumour is in this year January - altogether undertook check-up for 10782 person-time in October, discover lung grinds vitreous tubercle 52 people, 4a of mammary gland tubercle kind 49 people, the pathological changes before palace neck cancer 48 people, thyroid nodal 4a kind 41 people, liver takes a sexual pathological change 5 people, diagnose is malign tumor 26 people, among them cancer of thyroid tit shape 13 people, lung cancer 6 people, cancer of the liver 3 people, breast cancer 1 person, rectum cancer 1 person, skin cancer 1 person, ovarian cancer 1 person.
The picture originates visual China
So, of tumor mark content unusual with diagnose what concern is there between tumor? Zhejiang saved people hospital to make count, this year 1 to October check-up number 69725 people, the check-up of each person has at least 4 tumour to indicate content is checked in the formula, in the check-up of nearly 70 thousand person, 99 people diagnose gives tumor, "And the tumor mark thing that has 10 people only among them is remarkable and elevatory. " Hu Peiying of stimulative center director says health of hospital of Zhejiang province people.
In other words, the tumor mark content of another 89 people did not appear great and unusual, and they are to pass CT, B to exceed respectively, gastric bowel lens video learn those who discover a problem to detect.
Content of 10 tumour mark has apparently unusual tumor patient in, 3 lung cancer, 3 cancer of the stomach, 2 pancreatic cancer a prostate, cancer of a rectum. Additional, because tumor indicates content appears,have 829 people great and unusual be informed technically by check-up center, of course, this has cancer of 10 people diagnose only among them.
Look tumor to indicate content is mixed detect a concern between tumor is not big, so how is the hospital to handle constant of those mark content different to occupy? The data that comes from one hospital of Hangzhou city makes clear, finished check-up up to now 2018 57136 people, there is full-time personnel to be in according to criticality in unusual to having index person group 1, pay a return visit of the phone inside 10 days, suggest they are checked further to relevant specialized subject. Check-up crowd the Communist Party of China discovers what tumor indicates thing is unusual to have 12226 person-time this year (note: One person a few calculate high a few times) , at present already pay a return visit 40544 person-time (note: Inspect an illness to need one person to be met for many times pay a return visit) , have tumor of 133 people diagnose up to now, the others still is continueing to follow in visitting.
4
Light sees tumor mark thing cannot diagnose tumour
Why to check even
See the count of center of check-up of a few hospitals, we reached it seems that a conclusion: Tumor indicates the relationship of content and diagnose tumour is not close.
But if so, why do we undertake this respect is checked even?
"Tumor mark thing is unusual did not mean cancer, got cancer tumor to indicate other people is not unusually certain also. " Zhejiang university college of medicine is accessary Dr. Chen Jiaqi says internal medicine of tumour of the 2nd hospital.
Chen Jiaqi emphasizes, tumor indicates content has referenced sense only on tumor diagnose, why do we make the inspection of tumor mark content in check-up even? Because be in clinical in, different mark thing, having different sense.
The picture originates visual China
5
How should we handle the tumor mark matter in check-up?
Since the concern that exemple and data showed to tumor indicates content and tumour detect is not big, with what manner should we handle the tumor mark matter in check-up then?
The year after year of incidence of a disease of tumor is elevatory nowadays, everybody also takes the relevant examination of tumor seriously more in check-up, but cannot stare at the look in tumor index only, this just assists one of diagnosed methods, should combine B to exceed however, CT, nuclear magnetic resonance video learn an examination to evaluate ability integratedly more scientific.
Director Pan Yunfeng of center of one hospital check-up says Hangzhou town: "Because tumor index is elevatory and some people are random heart, sleep not anxious, angst is excessive; And some people are undeserved return a responsibility, dread disease avoid as taboo cure, did not see a doctor by the requirement. These two kinds of manners are incorrect. To tumor index, our principle is: Appreciably of individual tumour index is elevatory, did not get tumor certainly. Should face up to, take seriously, reason is treated, sometimes inflammation also can be brought about elevatory, cross half moon left and right sides to check so and dynamic observation, combine other examination ability to be diagnosed clearly. Heighten of duple to tumor index above, undertake the gender lifts, a few point to the index that is the same as a system to lift at the same time, perhaps have tumor familial history, the person that have factor of tumor Gao Wei, clinical meaning compares these a few kinds of situations big. Clinical meaning compares these a few kinds of situations big..
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How to do the check-up that prevent cancer?
Teach you to understand check-up report sheet
Good complete an inspection not easily, take a report however water of a mist? Uric ketone body, cholesterol, triglyceride... what meaning are these index? Teach you how to read check-up report sheet.
