A 29-year-old female white-collar worker found cancer. Doctor: minor symptoms may have big problems.
It is suggested that Ms. Wang should carry out gastroscopy and Helicobacter pylori detection. Gastroscopy is the most intuitive means to detect upper digestive tract diseases. First, she did the C14 breath test (a method for detecting Helicobacter pylori). But the following gastroscopy found a big problem. No traces of Helicobacter pylori activity were found under gastroscopy, but when Director Chen looked close to the lesser curvature of the gastric antrum. However, it was found that there were two places that were not so coordinated in the whole smooth and flawless gastric antrum region, and the tumor could not be ruled out. "Director Chen immediately changed to a more refined magnifying and stained gastroscope to examine the two lesions." Ms. Wang finally received radical surgery. Surgery and pathology suggest that the cancer is still in its early stage, and gastric signet ring cell cancer is common in young and middle-aged people. Gastric signet ring cell carcinoma is very good at camouflage, but quietly grows and even infiltrates under the mucous membrane. If gastric signet ring cell cancer can be detected and removed as soon as possible, young patients like Ms. Wang.
Source: Qianjiang Evening News
Ms. Wang (not her real name), a 29-year-old white-collar worker in Hangzhou, wants to work overtime while she is young, and it is common for her to have a hungry meal.In the dead of night, she always feels a dull pain in her stomach, and belching pantothenic acid gives her a headache.
This situation has been going on for nearly two months. A few days ago, Ms. Wang was suffering from a sudden stomach pain at work, so she went to the deputy chief physician of the Department of Gastroenterology of Hangzhou Red Cross Hospital to see a doctor.
Director Chen inquired about the medical history in detail, combined with the physical examination, suggested that Ms. Wang carry outGastroscopy and Helicobacter pylori test.
"I just have a small symptom. Do I have to have a gastroscope?" Hearing that the gastroscope was very painful, Ms. Wang hesitated at first.
Director Chen smiled and comforted Ms. Wang that gastroscopy is the most intuitive means to find upper digestive tract diseases, and now there is no pain gastroscope, sleep examination will be done. It was only then that Ms. Wang agreed to cooperate. First, she did a C14 breath test (a method for detecting Helicobacter pylori), which showed negative, but the next gastroscopy found a big problem.
Ms. Zhou's gastric mucosa was smooth, ruddy and peristaltic, and no traces of Helicobacter pylori activity were found under gastroscope, but when Director Chen observed the lens close to the lesser curvature of the antrum.Only to find that there are two uncoordinated "erosion foci" in the whole smooth and flawless area of the gastric antrum.
"We don't rule out the possibility of a tumor!" Director Chen immediately changed to a more refined magnifying staining gastroscope to conduct a detailed examination of the two lesions.
Sure enough, the two lesions were "nowhere to hide" under magnifying gastroscope, suggesting that "Undifferentiated / poorly differentiated carcinoma ". Subsequent pathological examination also confirmed the endoscopic diagnosis:Poorly differentiated adenocarcinoma, some of which are signet ring cell carcinoma.
"Cancer?" Knowing the result, Ms. Wang was like a bolt from the blue. After joint discussion by experts in internal medicine and surgery, Ms. Wang finally received radical surgery.Fortunately, due to early detection and diagnosis, surgery and pathology showed that the cancer was still in its early stage and there was no lymph node metastasis.
Gastric signet ring cell carcinoma is common in young and middle-aged people, and there are more females than males. The cause of gastric signet ring cell carcinoma is not clear, which may be related to life, eating habits and heredity. Some studies suggest that the disease may be related to the exuberant metabolism of estrogen in young women.
Gastric signet ring cell carcinoma is so good at camouflage that it is sometimes difficult to detect by gastroscopy. at first, it does not cause chaos on the surface of the gastric mucosa, but quietly grows or even infiltrates below the mucous membrane. It may be a little bit of erosion on the surface, and it is already late at the bottom.
If gastric signet ring cell cancer can be discovered and removed as soon as possible, patients have a higher chance of long-term survival; by the middle and late stages, the cancer cells will make the stomach contracture, become stiff, form a "leather stomach", and even break through the gastric wall and spread directly to the peritoneum or adjacent organs. it will not only increase the pain of the patients, but also have little hope of cure.
According to Chen, young patients with gastric signet ring cell cancer like Ms. Wang do not encounter a high proportion in clinic, but there is one kind of disease that is the main culprit of gastric cancer, that is Helicobacter pylori.
Helicobacter pylori is classified as a class I carcinogen by the World Health Organization, which has been proved to be closely related to chronic gastritis, peptic ulcer, atrophic gastritis and even gastric cancer. According to authoritative data,More than 95% of patients with gastric cancer were found to be infected with Helicobacter pylori.
"almost all Helicobacter pylori infections can cause gastritis, resulting in abdominal distension, indigestion, acid regurgitation, abdominal pain and other symptoms, so small symptoms of the stomach must not be ignored." Chen stressed that eradication of Helicobacter pylori can reduce the risk of gastric cancer.. It is worth mentioning that Helicobacter pylori does a lot of harm, but the proportion that really develops to gastric cancer is only 1%, so there is no need for excessive panic, timely detection and early treatment.
Doctors warn that early digestive tract tumors often have no special symptoms.Gastroenteroscopy is the best method for early detection and diagnosis of digestive tract tumors.The Code for diagnosis and treatment of gastric Cancer (2022 Edition) points out that those who meet any of the following items should undergo gastroscopy regardless of whether they have symptoms or not:
(1) the age is over 40 years old, male or female
(2) population in areas with high incidence of gastric cancer
(3) Helicobacter pylori infection
(4) patients with precancerous diseases such as chronic atrophic gastritis, gastric ulcer, gastric polyp, postoperative gastric remnant, hypertrophic gastritis, malignant anemia and so on.
(5) first-degree relatives of patients with gastric cancer
(6) there are other high risk factors of gastric cancer (high salt, pickled food, smoking, heavy drinking, etc.).
Source: Chao Chao journalist he Lina, correspondent Zhang Chi, Chen Jingyi.