It's not this fishbone, this stomach cancer will probably be delayed!

Case provided: Director Wang Honglan, Endoscope Room, People's Hospital of Jiaohe City, Jilin Province

Sister Lu, 44 years old this year, is a neighbor of my mother's house.
She is in good health and she doesn't have any stomach discomfort.

On August 15, 2021, Sister Lu accidentally swallowed a fishbone while eating fish
.

I felt a bit sore in my throat for several days, and I felt a foreign body when I swallowed.
I had a laryngoscope, but I couldn't see the fishbone
.

The doctor considered that the fishbone should be deeper and performed a CT examination of the lungs, and found a fishbone stuck in the middle of the esophagus, so she came to our endoscopy room for help
.

Fishbone pierced into the esophagus (not in this case)

So she underwent gastroscopic foreign body removal surgery, and successfully removed a fishbone about 2.
5cm in length
.

Considering that since she was also anesthetized and on an empty stomach, I helped her get a gastroscopy by the way
.

I really didn't know if I didn't check it, and I was surprised when I checked it
.

A suspicious lesion less than 1 cm in length came into view
.

At that time, adenocarcinoma was suspected, so he was carefully examined, and the pathology showed that adenocarcinoma was not excluded
.

At the beginning of September, she went to a large-scale provincial and city-level tertiary hospital to get a new biopsy, and the pathology replied:

High-grade intraepithelial neoplasia (early cancer), immune markers support adenocarcinoma
.

At that time, the doctor recommended endoscopic mucosal dissection (ESD), but Ms.
Lu chose surgery
.

On September 17, 2021, a partial gastrectomy was performed in a superior hospital, and the operation was successful
.

Pathology of large specimens after surgery showed:

High-grade intraepithelial neoplasia, with some moderately poorly differentiated adenocarcinoma cells
.

This case can be said to be very fortunate, as Sister Lu herself said: "If it weren't for the stuck fishbone, I would never have thought of having a gastroscopy
.

Actually like thisGastric cancer can be removed radically under endoscopy without surgery or chemotherapy;

If one and a half years later, there is lymphatic vascular infiltration, or even organ metastasis, the treatment will be very difficult.
Not only will the cost be huge, the patient's quality of life will decline, and the prognosis will be poor
.

For early-stage cancers like Lv, the 5-year survival rate reaches 90%-97%, and it has been reported that intramucosal cancer can reach 100%; while advanced gastric cancer is only about 15%
.

According to statistics from the National Cancer Center in 2017 , there are 680,000 new cases of gastric cancer and 498,000 deaths each year
.

85%~90% of cases are already in the advanced stage or even the advanced stage when they are diagnosed, and the 5-year survival rate is less than 30%
.

If there is lymphatic or organ metastasis, only 8%-30% can live to 5 years
.

Gastric cancer is divided into four stages.
At different stages, the survival rates of gastric cancer patients within 5 years are:

92% in stage I, 77% in stage II, 46% in stage III, and 8% in stage IV
.

Why is this? The main reasons can be summarized in two aspects:

One is that more than 70% of gastric cancers have no symptoms in the early stages , and even individual advanced stages have no typical symptoms.
Even if there are some minor problems, they are often ignored;

The second is the lack of awareness of screening .
What do you think you can eat and drink? Just like Sister Lu, it is not a fishbone, this gastric cancer is bound to be delayed into an advanced or even advanced stage
.

As for the “stomach cancer warning signals” circulated on the Internet, such as stomach pain, nausea, anorexia, heartburn, melena, weight loss, and abdominal masses, they are actually symptoms of advanced or even advanced cancer
.

More than 85% of patients with gastric cancer diagnosed clinically are advanced and late, and less than 15% of early-stage cancers
.

These second- and third-stage gastric cancers are almost always tested when typical symptoms appear.
This is the main reason why most gastric cancers are at an advanced stage as soon as they are discovered
.

Early-stage gastric cancer, most of which have undergone a targeted physical examination when they are asymptomatic, or are accidentally discovered
.

Gastroscope is the gold standard for detecting early gastric cancer

Gastroscopy is a tube with a high-definition camera, which enters the esophagus, stomach, and duodenum from the mouth to observe the mucosal conditions very intuitively.
Most of the current gastroscopes have magnification and staining functions, and you can easily find 1-2mm Small cancers and precancerous lesions can also detect masses outside the stomach cavity
.

This kind of early pathological changes cannot be detected by CT, color Doppler ultrasound, and NMR
.

Once polyps, tumors, early cancer, bleeding, etc.
are found, related treatments under gastroscopy can be performed
.

Early cancer is limited to a thin piece of mucosa, without infiltration or metastasis.
The mucosa of the lesion can be peeled off, and it can be done under gastroscopy without surgery, without chemotherapy, with little pain, good recovery, and high survival rate.
, The cost is also low, and it does not affect the quality of life
.

This is the meaning of timely gastroscopy
.

No matter how good the treatment is, no matter how good the doctor is, and no matter how expensive the drugs are, they are not as good as "early detection
.

A gastroscope before the age of 40 can effectively prevent gastric cancer

Since the age of high incidence of gastric cancer is after 55 years old, and the formation of gastric cancer also takes 5-15 years, therefore, 40 years old is a key point.
Even if there are no symptoms, a gastroscopy is required to truly prevent the disease
.

1.

2.

Including abdominal discomfort, swelling, pain, heartburn (heartburn) and the acid regurgitation, dysphagia, stems choke, belching, hiccup and the like

3.

4.

Helicobacter pylori infection is the main cause of intestinal gastric cancer

5.

6.

7.

Chronic atrophic gastritis (especially accompanied by intestinal metaplasia and dysplasia), adenomatous polyps, gastric ulcers, hypertrophic gastritis, EB virus infection, verrucous gastritis, etc.
are pre-cancerous diseases of the stomach and should be regular every six months to one year Undergo gastroscopy
.