Old Li got esophageal cancer last year. During hospitalization, his wife Aunt Wang secretly asked the attending doctor: “Doctor, tell me the truth, how long can my old Li last?” The doctor patted Aunt Wang’s shoulder: “Aunt, youI ca n’t answer this question as a doctor, but I can tell you that the five-year survival rate of esophageal cancer is almost 30%, and Lao Li ’s condition is not too bad. We will do our best to rest assured. ”“ FiveYear? Are you saying that Lao Li can only live for 5 years? How should I tell Lao Li, my goodness! “Aunt Wang heard a doctor’s words and collapsed, after all,” survival “and” five years “are connectedTogether, it always feels like there is not much time left.Why should doctors use the five-year survival rate as an evaluation indicator?Five-year survival rate ≠ five-year five-year survival rate is a common concept in the medical world, but for cancer patients, this is a major problem related to the continuation of life.Because, the 5-year survival rate is often used as a measure of the effectiveness of cancer treatment.Patients who hear the 5-year survival rate often mistakenly believe that they can only live for 5 years, which is a large limit.In fact, the 5-year survival rate is only a medical statistic, it does not refer to specific patient cases.This indicator means that when the doctor tells the patient that the cancer at the lesion has been completely removed, the operation is quite successful. This is not yet a cure, it can only be said that the condition has been alleviated and controlled (stable).In layman’s terms, the five-year survival rate of cancer can be understood as: the proportion of patients who have survived for more than five years after a certain cancer has been treated.In fact, after the diagnosis of cancer, people who have lived for more than five years can be seen everywhere. The five-year survival rate of early breast cancer even exceeds 95%. You do n’t have to panic about the five-year survival rate.How long can I live with cancer?It is mainly related to 5 factors. 1. Tumor types Some experts once pointed out that the current 5-year survival rate of malignant tumors in China has increased by 10% compared with 10 years ago.Among them, the five-year survival rate of uterine cancer rose to 72.8%, thyroid cancer rose to 84.3%, cervical cancer rose to 59.8%, and esophageal cancer rose to 30.3%.The 5-year survival rate of esophageal cancer is even higher than that of some developed countries.The five-year survival rate of cancer varies depending on the type, but no matter what kind of cancer, the overall situation is optimistic.2. No matter what kind of cancer is the clinical pathology stage, the 5-year survival rate difference between TNM stage I and stage III is very obvious.In advanced cancer patients with metastasis, even if the metastatic site is surgically removed and chemotherapy is used, the long-term survival rate is not high.It can be seen that early detection, early diagnosis, and early treatment are extremely important to improve the efficacy.3. Whether radical resection can achieve radical resection is one of the key factors that determine the prognosis.Taking osteosarcoma as an example, the survival rate of patients undergoing radical amputation surgery at 3 and 5 years is significantly higher than that of patients undergoing limb salvage surgery.For patients, radical resection of tumor lesions is still necessary.4. A large number of clinical practice results of adjuvant chemotherapy confirmed that preoperative adjuvant chemotherapy can improve the resection rate of the primary tumor.In the postoperative adjuvant chemotherapy, gastric cancer is taken as an example. After radical resection of gastric cancer, the shed abdominal cancer cells form micrometastasis, which is one of the main risk factors for postoperative abdominal tumor recurrence and metastasis.It can be seen that postoperative adjuvant chemotherapy can improve the treatment effect and increase the 5-year survival rate.5. The older the patient, the lower the immunity and the worse the prognosis.In addition, cancer patients have a higher incidence of anxiety and depression negative emotions after surgery, and these negative emotions will cause patients to lose confidence in treatment and face treatment negatively, which is not conducive to prolonging the survival of patients.The five-year survival rate is just a reference, not decisive. If you take the five-year survival rate as an absolute, you can only say that you do not have enough knowledge about cancer.Doctors are not predictors. The five-year survival rate is just a statistical concept and does not necessarily refer to a patient ’s life and death outcome.The five-year survival rate is an estimate of the overall population, which is not decisive for individuals.Because of individual differences, even if the five-year survival rate is only 5% of pancreatic cancer, patients may survive more than five years after surgery (clinical cure), and anyone can become that 5%.And to be the 5%, it is important to do the following 3 points!Active cooperation with patients is a criterion that patients must follow.The treatment of cancer patients is relatively complicated, on the one hand, it requires medical staff to be skilled, on the other hand, it also requires close cooperation between patients and their families.Doctors, patients and their families are all comrades standing on the same front. Only by working together, trusting and cooperating with each other, can the therapeutic methods achieve its best results.After successful surgery and chemotherapy, it is not without worries. Cancer patients should still pay attention to regular review.Generally speaking, in the first year after surgery, it should be reviewed every three months; within 2 years after surgery, it should be reviewed every six months; more than 2 years after surgery, 1 or 2 detailed physical examinations and laboratory tests should be done every year;More than 5 years after surgery, you can consider to review every 1 year.Rehabilitation period is the key to winning the game. Patients receive standardized treatment and follow the doctor’s instructions to review on time. They should also pay attention to avoid the impact of specific high-risk factors in life.For example, breast cancer patients should pay attention to weight control, lung cancer patients should not smoke, patients with digestive system should not drink alcohol, and people with low immunity should not stay up late and fatigue.All in all, although cancer is terrible, it is still a disease that can be prevented and treated.The World Health Organization has long proposed that one-third of cancers can be completely prevented; one-third of cancers can be cured by early detection; one-third of cancers can prolong life, reduce pain, and improve quality of life through current medical methods..Improving the five-year survival rate, and even achieving long-term survival, is not a dream.References:  Shield of Ankang, Cancer Mo Neng [N]. 21st Century Business Herald, 2013.
 Deng Biyong, Qiu Bing, Deng Biqiang. Multivariate regression analysis of osteosarcoma survival rate [J]. Anhui Medicine, 2016, 06: 1127-1130.  Liao Yulin, Xu Hongtao, Zhou Yu. Nutritional status and psychologyThe influence of factors on the half-year survival rate and quality of life of patients with gastric cancer [J]. Modern Doctor of China, 2016, 10: 30-33. Reprinting without author authorization is prohibited