In the past 20 years, tumor treatment has undergone "earth-shaking" changes! Cheng Xiangdong: Starting from popular science, build the first line of defense against cancer

Opening words

In November this year, the 2022 Chinese Oncology Congress will be held
in Hangzhou.
As an important part of the conference, the "Red Boat Leads the Healthy and Strong Country" science popularization trip to China set sail in Jiaxing South Lake and went to the whole country
.
In order to make the science popularization action benefit more citizens, Hangzhou Daily and its new media will launch columns and special topics from now on, interviewing well-known domestic experts on hot issues in cancer prevention and treatment, presenting authoritative and professional knowledge in an easy-to-understand manner, so that scientific concepts and knowledge can fly into thousands of households and consolidate the foundation
of "health and common prosperity".

Cancer is a topic that everyone stays away from, but in fact, cancer is not far
away from us.
According to the latest data from the National Cancer Center, there are about 4.
06 million new cancer cases and 2.
41 million new cancer deaths in the country a year.

As the host of the 2022 Chinese Oncology Conference, the expert team of Zhejiang Cancer Hospital is participating in a huge "national brand" science popularization action with an unprecedented attitude
.
How to do a good job in this popular science action? How to build the first line of defense against cancer and cancer? A few days ago, the reporter interviewed Cheng Xiangdong
, Secretary of the Party Committee of Zhejiang Cancer Hospital (Zhejiang Cancer Center).

Big coffee business card

Cheng to the east

He is a well-known surgical oncology expert and a discipline leader in the field of gastric cancer diagnosis and treatment in Zhejiang Province
.
He is currently the Secretary of the Party Committee of Zhejiang Cancer Hospital (Zhejiang Cancer Center) and the Director of
Zhejiang Cancer Prevention and Treatment Office.

What are the highlights of this year's CCO science popularization action?

"1+1+N": "Three circles" covers the country's first digital science popularization museum

"This year's China Oncology Conference will continue to adhere to the theme of 'Cancer Prevention and Treatment, Win in Integration', and will strive to create four 'most' - the largest number of participants, the largest venue, the highest academic quality, and the widest
social impact in previous conferences.
" In the early summer of June, Cheng Xiangdong issued the "Hangzhou Covenant"
to the national oncology experts and scholars.

In 2021, after several rounds of investigation, review and comprehensive evaluation, the Chinese Anti-Cancer Association handed over the hosting right of the 2022 Chinese Oncology Congress (CCO) to Zhejiang Cancer Hospital
.
"The conference settled in Hangzhou, which is a highlight of the attractiveness of the city, and it is also an affirmation
of the rapid and high-quality development of our hospital in the field of cancer prevention and treatment.
" Cheng Xiangdong said
.

As one of the first four cancer hospitals established in China, Zhejiang Cancer Hospital is the most important cancer prevention and treatment center
in China.
For a long time, the pace of cancer prevention and treatment science has not stopped
.
In July this year, after the "Red Boat Leads the Way and Healthy and Strong Country" science popularization trip to China "set sail" at Jiaxing's South Lake, it set off an upsurge
in the popularization of cancer prevention and treatment throughout the country.

In Cheng Xiangdong's mobile phone, old patients from all over the country continue to send videos and pictures
of science popularization actions.
"If there were experts at my doorstep to screen for tumors, I would have been able to find this disease earlier!" This is the exclamation
of the patient Lao Jin.

As a doctor who has worked in the Department of Oncology for more than 30 years, Cheng Xiangdong deeply felt the pain and regret of patients with one life and one family, as well as the importance of tumor science popularization and screening, "This CCO is not only a conference, tumor prevention and treatment runs through the whole process of 'prevention, screening, diagnosis, treatment, and health', and the five links need to be integrated, but to really improve the effect of tumor treatment, it is more important
to move the threshold forward.
" ”

Cheng Xiangdong summarized the series of actions of science popularization at the 2022 China Oncology Conference as "1+1+N"
.
"The first '1' is a large-scale science popularization activity for cancer prevention and treatment, which is the 2022 CCO science popularization trip to China that is being carried out across the country, we set sail from Jiaxing South Lake, to cover three circles: the first circle is 90 districts and counties in Zhejiang Province (focusing on supporting 26 mountainous counties); The second circle is 31 prefectures, cities and prefectures in 8 provinces and autonomous regions, including Tibet, Xinjiang, Qinghai and Sichuan, which are covered by the National Cancer Regional Medical Center and supported by Zhejiang.
The third circle is relying on the three-level organizational structure of the General Association-Province-Municipal level, 93 special committees and youth councils, starting from 'Zhejiang' and popularizing science throughout the country
.
”

"The second '1' is to prepare for the establishment of the country's first cancer prevention and treatment science popularization museum
.
Divided into two steps, with the help of the digital reform achievements of Zhejiang Province and Hangzhou City, the first construction of a digital museum for cancer prevention and treatment science popularization, which will be launched and open to
the public at the 2022 CCO Science Popularization Conference.
The second step is to build a physical hall for cancer prevention and treatment science, which will be permanently settled in Hangzhou as one of the achievements of 2022CCO, and build Zhejiang into a new highland
for cancer prevention and treatment.
”

"'N' refers to the launch of 20 cancer prevention and treatment science popularization activities
.
For example, the first Zhejiang Province Cancer Prevention and Treatment Science Popularization Competition, the launch of tumor fighter animation symbol collection, etc.
, to achieve full type, full coverage, full time and whole process of dissemination, so that tumor prevention and treatment do not leave dead ends
.
Cheng Xiangdong said
.

What are the characteristics of tumor incidence in Zhejiang Province?

Incidence rate: coastal is higher than inland, lung and colorectal cancer are higher in urban than rural areas

Every Monday morning is Cheng Xiangdong's clinic hours
.
He and his team of doctors always take the trouble to explain the condition to the patient's family, and when the patient leaves, they always have to remind that if someone around them has stomach cancer, the family must remember to do digestive tract tumor screening
.
"Tumors are not hereditary diseases, but tumors have a certain family cluster.

If more than two people in the family have digestive tract tumors, they should be vigilant and do digestive tract tumor screening
in time.
Cheng Xiangdong said
.

"The incidence of cancer in Zhejiang Province is 22.
55% higher than the national average, but the mortality rate is 11.
65% lower than the national average, "one high and one low" indicates that tumor patients in Zhejiang Province have been better diagnosed and treated, and the top 10 cancers are lung cancer, female breast cancer, thyroid cancer, colorectal cancer, stomach cancer, prostate cancer, liver cancer, and Cervical, pancreatic and esophageal cancers
.
Speaking of the incidence of cancer in the province, Cheng Xiangdong analyzed from the cancer spectrum: the tumor incidence spectrum in our province presents the characteristics of Zhejiang and increasingly shows the trend of Westernization; The incidence of cancer is higher in coastal areas than inland, and lung and colorectal cancer is higher in urban areas than in rural areas
.

The "Healthy China Action (2019-2030)" pointed out that the current technical means can detect most common cancers early, such as the use of gastrointestinal endoscopy can detect digestive tract tumors, low-dose spiral CT can detect lung cancer, ultrasound combined with mammography can detect breast cancer
.

Zhejiang Province takes the lead in building a complete provincial, municipal and county three-level cancer prevention and treatment network in the country, and the Zhejiang Provincial Cancer Prevention and Control Office has laid out tumor screening projects for key cancers and key populations, and improved the standardized screening and diagnosis and treatment level of medical and health personnel at all levels, especially grassroots medical and health personnel
, through quality control and professional training.

Taking colorectal tumors as an example, since 2020, Zhejiang Province has carried out colorectal cancer screening for key populations, which is also the first provincial-wide cancer screening project
in China.
In the past two years, a total of 4.
586 million people have been screened, nearly 300,000 colonoscopies have been performed, 3,110 cases of colorectal cancer and 31,947 cases of advanced adenomas have been detected, with a detection rate of 12.
1%.

Cheng Xiangdong said with emotion: "What doctors specializing in oncology want to tell you most is that tumor prevention and treatment must be early, through screening and early diagnosis and early treatment, early detection, early diagnosis, early treatment, can cure many precancerous lesions and early cancer, long-term adherence can reduce the burden of
cancer disease.
" ”

What are the breakthrough points in cancer treatment in the past 20 years?

High-precision equipment and innovative diagnosis and treatment modes allow more patients to achieve precise treatment

Let patients not only survive, but also live well - this is the mission of Zhejiang Cancer Hospital to take the lead in building a national cancer regional medical center and building "three highlands" of
talents, technology and equipment.
The reporter noted that in the latest national three-level public hospital performance evaluation national monitoring index score list, Zhejiang Provincial Cancer Hospital ranked 4th among national cancer specialized hospitals, and was rated as the highest grade of specialized hospitals - A grade, ranking the "first square"
of national cancer specialized hospitals.
In order to allow more people to enjoy high-quality medical resources at their doorstep, the hospital has included the opening of campuses in the eastern, western, southern, northern and central parts of Zhejiang into its development plan
.

In the interview, Cheng Xiangdong especially talked about one point: In the past 20 years, tumor treatment has undergone "earth-shaking" changes, from the previous single treatment mode such as surgery and chemotherapy to the era of
precision treatment.

Zhejiang Cancer Hospital is the first in the country to open an organ preservation clinic to preserve the organ function
of tumor patients under the premise of ensuring the treatment effect.
Cheng Xiangdong took the treatment of gastric cancer as an example to explain: in the past, the treatment of early cardia cancer was total gastrectomy, although the treatment effect could be achieved, but the patient lost the stomach, and his life was greatly affected; "A few years ago, we invented a new surgical method, 'Giraffe (Giraffe) reconstruction' with proximal gastrectomy, which can not only maximize the preservation of the stomach for the patient, but also solve the reflux problem
.
”

"Precision treatment is a systematic engineering, to accurately prevent, accurate screening, accurate diagnosis, accurate judgment, these links not only require doctors' technology, but also need to use high-end hardware
.
" Cheng Xiangdong pointed out to the reporter that from the window of his office, the heavy ion medical center and science and education building with investment of 1.
15 billion yuan and 251 million yuan respectively are rising, and the heavy ion medical center will be equipped with the "heavy weapon of the country" - the most optimized, safe and advanced heavy ion therapy device system independently developed by the Institute of Modern Physics of the Chinese Academy of Sciences, which can realize the "stereotactic blasting of tumors"
。 At the same time, the hospital has also introduced the fourth generation of top-equipped "Da Vinci" surgical robot, the first M6 Cyberknife in East China, the first DSA+CT composite operating room in the province, the "Chaser" PET-CT, and the first MR simulator in the province.
.
.
These high-precision instruments have played a huge role
in tumor treatment.

"Surgical innovation and treatment methods have advanced rapidly, and new immunological and targeted drugs have also been widely used in clinical practice, which has brought great help
to many patients, especially middle and advanced patients.
" Cheng Xiangdong said that although there is still a long way to go in cancer prevention and treatment, with the rapid development of domestic cancer research and clinical practice, the balanced layout of high-quality medical resources, the popularization of cancer prevention and treatment science is more deeply rooted in the hearts of the people, and the goal of improving the five-year survival rate of cancer patients is ahead, we are full of confidence
.