Source: Qianjiang Evening News
According to media reports, on August 23, the famous director Chen Musheng died of nasopharyngeal cancer at the age of 58.
According to insiders, Chen Musheng went to the hospital for examination due to physical discomfort during the filming of the movie "Fury War" last year, only to find that he had advanced nasopharyngeal cancer.
Due to the terminal illness of nasopharyngeal cancer, coupled with the rapid spread of cancer cells directed by Chen Musheng, two days ago, Chen Musheng was just transferred to hong Kong Sanatorium and Hospital under the help of his friends Shum Kin Hoon and Yang Shoucheng, but he did not expect to die so soon, and his relatives, friends, friends and fans were very sad.
Chen Musheng's popular films
In recent years, public figures diagnosed with nasopharyngeal cancer have also appeared frequently: South Korean star Kim Woo-bin, feathering star Lee Jong-wai and so on.
After the news of the death of director Chen Musheng came out, many people wanted to know, what causes nasopharyngeal cancer?
These factors are susceptible to nasopharyngeal cancer
Su Lizhong, director of the Department of Otorhinolaryngology of Zhejiang Provincial People's Hospital, introduced that Zhejiang is a high incidence area of nasopharyngeal cancer, and in Zhejiang, Wenzhou has the highest incidence.
Generally speaking, middle-aged people in their forties and fifties are more likely to get it, and the probability of men getting sick is two to three times that of women, and now, the trend of rejuvenation is becoming more and more obvious, in the department of otolaryngology of Zhejiang Provincial People's Hospital, the youngest patient is only in their teens.
Nasopharyngeal cancer is inherited on the one hand, and dietary habits on the other. The indispensable pickles, pickled fish and cured meat on the table of Zhejiang people are the main reasons why we are prone to nasopharyngeal cancer.
"Studies have found a close relationship between ammonium nitrite and nasopharyngeal cancer." Su Lizhong said that among these pickled foods, they are rich in ammonium nitrite.
From an environmental point of view, we have to talk about the EBV, epstein-barr virus is easy to induce nasopharyngeal cancer, its relationship with nasopharyngeal cancer, similar to the relationship between HPV virus and cervical cancer, which is the most widely infected herpes virus, but also the first discovered carcinogenic virus, mainly through droplet transmission, kissing and mouth-to-mouth feeding and other behaviors to increase the probability of transmission.
One in ten patients misdiagnosed for more than 1 year
"The rate of initial misdiagnosis of nasopharyngeal carcinoma is high, and the phenomenon of delayed diagnosis of patients is common, and most patients are diagnosed late." Professor Chen Xiaozhong, director of the Department of Head and Neck Radiotherapy at the Cancer Hospital of the National University of Science and Technology, said, "We have conducted a retrospective study of 416 patients with nasopharyngeal cancer who have been continuously treated in the hospital, and only one-quarter of the patients have been diagnosed within 1 month of onset, and nearly one in ten patients have been delayed for more than 1 year. ”
Chen Xiaozhong said that the reason why nasopharyngeal cancer has such a high misdiagnosis rate is that on the one hand, the public does not understand the disease of nasopharyngeal carcinoma, on the other hand, the clinical symptoms are diverse, lack of characteristics, and the nasopharynx is secret and difficult to check. ”
For example, some patients with headaches will go to the brain surgery department, but will not think of going to the five senses to see; for example, poor eye vision, ordinary people think that it is only caused by inflammation or fatigue, and will go directly to the ophthalmology examination.
Early symptoms lack characteristics, so once diplopia and headache develop, the disease progresses to the middle and late stages. If there are common symptoms of nasopharyngeal cancer such as neck lumps, sucking bloody nose, unilateral tinnitus and ear tightness, you must seek medical attention in time. In addition, nasopharyngeal cancer will also start with non-nasopharyngeal symptoms such as headache and neuralgia.
Chen Xiaozhong said that in recent years, the incidence of nasopharyngeal cancer in Zhejiang has been relatively stable, from 4 to 5 in 100,000. "If nasopharyngeal cancer is treated early, the cure rate is about 90-95%, and I have followed patients here for more than 20 years, more than 30 years." But if it is delayed to the later stage, the cure rate is a little worse. However, overall, the accumulation of experience in treatment options such as chemotherapy and radiotherapy over the years is still very effective for the treatment of nasopharyngeal cancer. ”
Early nasopharyngeal carcinoma often has the following symptoms: abnormal nosebleeds, (more common in the morning), unilateral ear tightness, tinnitus, refractory otitis media, headache; cervical lymphadenopathy.
"When a neck lump appears, pay special attention to the possibility of nasopharyngeal cancer, and timely control the symptoms related to early nasopharyngeal cancer." Chen Xiaozhong said.
Experts remind that nasopharyngeal cancer is common in 7 major red flags. If the following symptoms persist for more than 2 weeks, be sure to check for them as soon as possible.
There are these 7 signals, hurry to the hospital!
1. Headache
Nasopharyngeal lesions invading the bone, nerves, blood vessels, etc. of the base of the skull will cause persistent unilateral headache, of which the frontal, temporal, apical, and occipital areas are more numerous. If the disease progresses to an advanced stage, persistent headache can easily be mistaken for neuralgia.
2. Tinnitus, tight ears, hearing loss
Lesions often occur in the pharyngeal crypt or posterior wall of the nasopharynx, where the tumor compresses or violates the Eustachian tube causing unilateral tinnitus, hearing loss, or secretory otitis media.
3. The snot is bloody
Most patients retract from the nasal cavity to suck out the bloody snot and spit it out from the oropharynx, which is easy to cause missed diagnosis and misdiagnosis.
4. Nasal congestion
Mechanical nasal blockage occurs due to tumor blockage of the nasal cavity and posterior nostrils, and late tumor enlargement can cause nasal congestion on both sides.
5. Cervical lymphadenopathy
Mainly the lymph nodes in the upper depths of the sternocleidomastoid muscle are enlarged, the lump is firm and non-tender, and it is not easy to be pushed. As the tumor progresses, it can compress the glossopharyngeal nerve, vagus nerve, paraneuryngeal nerve, and sublingual nerve, resulting in inability to lift the soft palate, difficulty swallowing, paralysis of the vocal cords, and atrophy on one side of the tongue and shift toward the affected side.
6. Cranial nerve symptoms
The tumor spreads into the skull through the ruptured hole, and facial numbness, diplopia, blurred vision, droopy eyelids, and strabismus may occur. Metastatic lymph nodes deep in the neck can compress the nerves at the base of the skull, and there is hypoesthesia in the throat and soft palate paralysis.
7. Distant metastasis of tumor
Metastasis of nasopharyngeal cancer can invade tissues such as the eyes, brain, bone, lungs, and liver, especially the lungs, liver, and bone. If some bones in the body are fixed stubborn pain, recurrent blood sputum with chest pain, hepatomegaly, severe vision loss, etc., cancer metastasis should be vigilant.
How to improve the detection rate of early NASOPharyngeal cancer?
1. Regular inspection
High-risk groups with family history should go to a specialist hospital for routine examination every six months or one year.
2. Receive signals from the body in time
If there is no obvious precipitating blowing or sucking blood, it should be promptly checked.
3. Always pay attention to the neck
Developing the habit of touching the neck and seeing if the lymph is abnormal can also help detect NASOPHARY early.
Su Lizhong suggested that elderly Zhejiang people, especially those with a family history of nasopharyngeal cancer and those who love to eat pickled foods, can add a nasal endoscopy or an EBV examination to the annual physical examination, which is quite necessary.
Chen Xiaozhong said that after the diagnosis of nasopharyngeal cancer, the psychological blow to patients and their families is often relatively large, but in fact, there is no need to talk about nasopharyngeal cancer discoloration. Nasopharyngeal carcinoma is one of the most effective tumor diseases, and the 5-year survival rate of patients undergoing induction chemotherapy followed by simultaneous chemoradiotherapy is very high.