Home » Distressed! “Xiaomin Jia” Chen Zhuode’s kidney cancer is highly likely to be late. This disease is difficult to detect early-Hangzhou News Center-Hangzhou Net

Distressed! “Xiaomin Jia” Chen Zhuode’s kidney cancer is highly likely to be late. This disease is difficult to detect early-Hangzhou News Center-Hangzhou Net

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Distressed! “Xiaomin’s Family” Chen Zhuode’s kidney cancer has a high probability of being late. This disease is difficult to detect early.

City Express News Have you watched the recently hit TV series “Xiaomin’s House”? Zhou Xun and Huang Lei starred as a middle-aged couple for the third time, playing Liu Xiaomin and Chen Zhuo respectively in the play, and the show has not diminished since its airing.

And these two days are approaching the finale, “Chen Zhuo gets cancer” is on the hot search, causing the audience to regret repeatedly. Chen Zhuo and Xiao Min, the sweet middle-aged “CP”, finally turned around and married. Chen Zhuo’s start-up company is getting better, but he accidentally found kidney cancer during the physical examination, and his happy life just started. Having suffered a heavy blow, it is no wonder that many viewers want to “send blades” to the screenwriter.

Some netizens said: I don’t know if Yang Di’s mother, who was so angry that Jin Bo was going to take Xiaoyao Pills in the drama, would take Suxiao Jiuxin Pills after learning the news?

In the play, after Chen Zhuo learned of the kidney cancer results, he asked the doctor himself, “Is there any help?” The doctor replied, “Actively cooperate with the treatment, the success rate is still quite high.” However, for Chen Zhuo’s report, we asked the people of Zhejiang Province. Chief physician Qi Xiaolong, director of the urology department of the hospital, saw it and said the truth was not optimistic.

The most common type of kidney cancer

The cause of the disease is not clear

First, let’s first understand what “clear cell renal cell carcinoma” Chen Zhuo suffers from is.

Director Qi Xiaolong introduced that this is the most common type of malignant tumor in kidney cancer, accounting for about 80% of kidney cancer, and it is highly prevalent in people aged 40-60. Zhejiang Provincial People’s Hospital accepts 150-200 kidney cancer patients every year, most of them are clear cell renal cell carcinoma like Chen Zhuo. In general, the incidence of kidney cancer in the population is 78 per 100,000, not as common as lung cancer and gastric cancer.

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Why do people get kidney cancer? Like Chen Zhuo in the play, he is optimistic and cheerful, and he does not seem to be under pressure at work. How could he get cancer?

“The cause of clear cell renal cell carcinoma is not yet clear, and it is not yet possible to explain which factors are related to this. In fact, most of the causes of renal cell carcinoma have not been found. It seems that it is not very related to the disease. Only the very rare hereditary kidney cancer is confirmed to be genetically related.” Qi Xiaolong said.

Tumor 11cm+ local spread

Poor Chen Zhuo has a high probability of advanced kidney cancer

In the play, Chen Zhuo tells Xiao Min that he is in the middle stage of kidney cancer, but Qi Xiaolong carefully analyzed Chen Zhuo’s diagnosis report in the lens. When he saw the tumor with a diameter of 11cm, combined with the doctor’s statement in the play, “the tumor has signs of spreading locally. “, he said, this high probability is already late!

Generally speaking, clear cell renal cell carcinoma has no symptoms in the early stage, so it is difficult for the patient to find it. It can only be found by abdominal B-ultrasound and abdominal CT during physical examination. Tumors below 1 cm are basically invisible by B-ultrasound. Some tumors are endophytic and similar in density to the kidneys. B-ultrasound is difficult to accurately diagnose; relatively speaking, tumors that grow outward, bulging out of the kidney like ginger Good to find out.

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Abdominal CT can capture small-diameter tumors, but people generally do not do this during physical examinations, and the body is asymptomatic and will not take abdominal CT for no reason. This makes it difficult to detect and diagnose kidney cancer at an early stage. Director Qi Xiaolong’s clinical patients encountered pain, hematuria and other symptoms when they came to see a doctor. Often the tumors were as large as five or six centimeters or seven or eight centimeters, and at least they were mid-stage renal cancer.

“In a situation like Chen Zhuo, if there is no metastasis, the puncture may be defined as mid-term, but he has already metastasized, and it is estimated to be late.”

To this end, Qi Xiaolong reminds everyone that if you are worried that you may have hidden dangers in this area, you can ask your doctor for a B-ultrasound during the physical examination, or you can go to an outpatient clinic for a separate B-ultrasound examination to achieve early detection, early diagnosis, and early diagnosis. treat.

Surgery is the first choice of treatment

Early patients can survive long-term

No matter what kind of cancer, the sooner you find the treatment, the better.

Director Qi Xiaolong said that patients with early clear cell renal cancer can achieve long-term survival through surgical removal of the tumor. When he first worked for nine years, he encountered an early patient in his 40s. He successfully performed an operation under the conditions at the time. Now more than 20 years have passed, Qi Xiaolong has been following him up, and the patient in his 60s is still doing the same. Life is very good.

Qi Xiaolong has received the youngest patient with clear cell renal cell carcinoma who is only in her 30s. She is a female. Fortunately, she found a 2cm tumor during the physical examination of the unit, which belongs to the early stage of kidney cancer. It is assisted by the Da Vinci robot. Under the operation, the tumor was completely removed while the kidney was preserved, and the recovery was quite good, with little impact on future life.

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As for mid-stage patients, if the cancer cells have not metastasized, the lesion can be removed by surgery, and there is no problem with 5-10 years of survival.

Once it is late and cannot be operated on, the prognosis will be much worse. For advanced patients, depending on the specific situation, some can shrink tumors through targeted, immune or chemotherapy treatments and then see if there is a chance of surgery. For example, in the drama, the doctor of Chen Zhuo suggested that he do chemotherapy plus targeted therapy first.

“It’s a pity that some patients don’t come to see the doctor after they develop symptoms. I have a patient with low back pain for a year and never went to the hospital for examination. Later, PET-CT showed that the tumor cells had metastasized to the whole body and lost the opportunity for surgery. The result of the puncture was clearly advanced clear cell renal cancer.”

Poor Chen Zhuo, only a few days after he had lived happily in his middle age, he was accidentally diagnosed with cancer. I hope he can work hard to overcome the illness with the company of his family and love!

Source: Metropolis Express Author: Reporter Zhang Yuxin, Correspondent Yang Taoyu Editor: Zhang Di

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