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CANCER

What are the common advanced symptoms of cancer?

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A review of 8000 cases of common solid tumors in the UK, with the exception of neck masses, and other specific symptoms are relatively low … Early diagnosis interventions are increasingly becoming part of the global cancer control strategy.Many cancer types are detected early and the 5-year survival rate is more than 90%.But no matter what I hear everyday or various medical science popularizations, there is often a sentence: a certain cancer has no specific symptoms in the early stage, and the diagnosis is middle to advanced stage … In the face of advanced cancer, various treatment strategies are quite effective in improving the survival prognosis.limited.A recent article in The Lancet revealed the relationship between the symptoms of 20 common cancers and the diagnostic stage of 12 cancers.What are the symptoms of advanced cancer?Is it specific?In this study, the researchers analyzed 12 types of solid tumors (bladder cancer, breast cancer, colon cancer, endometrial cancer, laryngeal cancer, lung cancer, melanin) in the UK’s National Cancer Diagnostic Review Database of the United Kingdom in 2014.Cancer, oral or oropharyngeal cancer, ovarian cancer, prostate cancer, rectal cancer, kidney cancer).The researchers analyzed 20 common clinical symptoms, and used logistic regression to analyze the correlation between stage (TNM stage IV and I-III) and symptoms, and assessed this for each symptom individually and with other symptoms.Correlation.The study excluded 1,291 patients diagnosed with leukemia, lymphoma, myeloma, or brain cancer from 12,927 cancer patients, 2717 patients with unknown disease stage, 896 patients with missing disease stage information, and 26 patients younger than 24Patients aged 7 years were included in the final analysis of 7997 patients.Among the 12 patients with stage IV solid tumors screened, the most common stage IV clinical symptoms were breast masses (n = 1260), and the least common clinical symptoms were neck masses (n = 105).However, in 80% of patients, the diagnosis is stage IV when a neck mass is present alone or accompanied by symptoms.Among them, those with stage IV symptoms exceeding 50% alone: ​​hemoptysis (56%), chest infections (54%), back pain (58%), and chest pain (60%).More than 50% of the accompanying symptoms in stage IV are: hoarseness (54%), fatigue (50%), weight loss (51%), cough (57%), hemoptysis (53%), chest infection (56%)), Back pain (62%), chest pain (62%).About one-third of patients (34%, 2685/7997) were diagnosed with stage IV with two or more symptoms.Most (> 80%) present with symptoms at the relevant site at diagnosis, such as breast lumps (breast cancer), abnormal moles (melanoma), postmenopausal bleeding (endometrial cancer), lower urinary tract symptoms (prostate cancer), Hemoptysis, dyspnea, chest infections, chest pain, cough (lung cancer).In contrast, some have less specific symptoms, such as abdominal pain, changes in gastrointestinal habits, back pain, fatigue, and weight loss.After statistical calibration, neck swelling, chest pain, and back pain are associated with an increased chance of diagnosing stage IV cancer, while abnormal moles, breast lumps, menopausal abnormal bleeding, and rectal bleeding are relatively more likely to be diagnosed as stage IV cancer.low.This conclusion seems to be far from our usual cognition.The reason may be that in the United Kingdom, cervical cancer, breast cancer, and bowel cancer are national screening programs. Symptoms related to these three cancers include abnormal bleeding during menopause, breast masses, and rectal bleeding.The diagnosis was confirmed, so there was less correlation between the diagnosis of stage IV tumor symptoms.However, more than 90% of cancers in the United Kingdom are diagnosed through non-screening methods. Finding more effective early screening methods is currently being actively pursued by all countries.The American Cancer Society (ACS) will also publish guidelines for early cancer detection, data and trends for cancer screening rates, and select issues related to cancer screening.In the 2019 update of the ACS Cancer Screening Guidelines, standardized screening is recommended for breast, cervical, colorectal, lung, and prostate cancer.What can be done to prevent cancer?China’s Health Commission also launched this year’s Health China Action-Cancer Prevention and Implementation Plan (2019-2022), and formulated guidelines for early diagnosis and early treatment of key cancers.Organize a unified technical guideline for screening and early diagnosis and treatment of key cancers such as gastric cancer, esophageal cancer, colorectal cancer, cervical cancer, breast cancer, and lung cancer with high incidence and mature screening methods and technical solutions.National application.▍ Changing unhealthy lifestyles can prevent cancer: 1. Smoking, obesity, lack of exercise, unreasonable dietary habits, alcoholism, stress, psychological stress, etc. are all risk factors for cancer and should be avoided as much as possible.2. Smoking cessation, alcohol restriction, balanced diet, moderate exercise, and good mood can effectively reduce the incidence of cancer.3. The occurrence of cancer is a cumulative process of risk factors related to the human life cycle.Cancer prevention and control is not just a matter for the elderly. We must pay attention to cancer prevention as early as possible, develop a healthy lifestyle from an early age, avoid exposure to cancer-causing factors such as tobacco and alcohol, and reduce the risk of cancer.▍ Cancer is not contagious, but some carcinogenic factors are contagious: 1. Reduce exposure to bacteria (such as Helicobacter pylori) and viruses (such as human papillary virus, hepatitis virus, EB virus, etc.) that are closely related to the occurrence of cancer.2. By maintaining personal hygiene and a healthy lifestyle, vaccination (such as hepatitis virus vaccine, human papilloma virus vaccine) can prevent infection of related bacteria and viruses, thereby preventing the occurrence of cancer.▍ Standardized cancer screening can detect cancer early: 1. Use low-dose spiral CT to detect lung cancer; 2. Ultrasound combined with molybdenum target can detect breast cancer; 3. Gastroscopy can check gastrointestinal cancer.▍ Pay attention to the danger signals of cancer appearing in the body: 1. Abnormal lumps appearing on the superficial part of the body; 2. The moles and warts on the surface of the body deepen or increase rapidly in a short period of time;Pain, etc .; 4. Persistent ulcers on the skin or mucous membranes; 5. Persistent indigestion and loss of appetite; 6. Changes in stool habits and traits or blood; 7. Persistent hoarseness, dry cough, blood in sputum; 8Hearing abnormality, nosebleeds, headache; 9, abnormal vaginal bleeding, especially contact bleeding; 10, painless hematuria, poor urination;
11. Unexplained fever, fatigue, and progressive weight loss; the above symptoms should be promptly diagnosed in the hospital.The above content is only authorized by 39Health.com for exclusive use, please do not reprint without authorization of the copyright party.

ouyangshaoxia

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