Text/Yangcheng Evening News all-media reporter Zhang Hua
Photo/Visual China
Cao Jingxing, a well-known media personality, died in Shanghai in the early morning of February 11 due to illness, which made countless people sigh. Cao Jingxing's friend revealed that in August 2020, Cao Jingxing found stomach cancer during a physical examination in the hospital. At the beginning of 2022, he unfortunately relapsed and died. From the time of diagnosis to death, it took just over a year.
Stomach cancer is a high incidence of malignant tumors worldwide, according to the World Health Organization's International Agency for Research on Cancer (IARC) released the latest global cancer burden data in 2020, the number of newly discovered stomach cancer cases in mainland China in 2020 is 480,000, and 370,000 deaths. Because most patients are found too late, they are already middle and advanced stomach cancer when they are diagnosed, and the survival period is not long.
The high incidence of stomach cancer in mainland China is related to stress, unclean diet, and irregularity
Every year, the newly diagnosed stomach cancer cases in the mainland account for nearly 40% of the world's cases, why is the prevalence of stomach cancer in the mainland so high? Qin Shukui, a professor at the People's Liberation Army Bayi Hospital, pointed out that the causes of stomach cancer are more complicated, so far it can only be said that there are some reasons for important factors, such as having a lot to do with eating habits, we love to eat sauerkraut, pickled food, etc., and the nitrosamine content in these foods is relatively high, which is likely to be one of the causes of stomach cancer.
Qin Shukui believes that the vast majority of tumors, especially stomach cancer, are mainly caused by environmental factors, which account for 80%-85%, and genetic and other factors account for only 10%-15%. Common factors that can cause stomach cancer in young people include: poor eating habits; frequent eating out; worrying quality of meals; and irregular life.
"Clinically, it has been found that a considerable number of gastrointestinal diseases are related to the fast pace of life, stress, unclean or irregular diet." Sha Weihong, chief physician of the Department of Gastroenterology of Guangdong Provincial People's Hospital, said, "In Guangdong, the incidence of esophageal cancer, stomach cancer and colorectal cancer is also relatively high. The public can not ignore this kind of disease, especially young people, in the diet should choose clean, fresh food. Eating more fresh vegetables and fruits can help reduce the occurrence of stomach cancer, because the vitamin C in it plays a role in health care, eliminates the reactive oxygen species produced in the stomach, and is conducive to reducing the risk of stomach cancer. ”
Nearly 50% of newly diagnosed stomach cancers are associated with Helicobacter pylori infection
The incidence of stomach cancer is high in the mainland, and there is another disease associated. Sheng Jianqiu, chief physician of the Department of Gastroenterology of the Army General Hospital, pointed out that stomach cancer is closely related to Helicobacter pylori infection. It is understood that the infection rate of Helicobacter pylori in the mainland is about 60%, and the infection rate in Guangdong is estimated to be the same as or slightly lower than that of the whole country.
Sheng Jianqiu believes that in the mainland, nearly half of the newly discovered stomach cancers every year are related to Helicobacter pylori infection, more than 90% of duodenal ulcers and about 80% of gastric ulcers are caused by Helicobacter pylori infection, and the risk of gastric cancer in Helicobacter pylori infection can increase by 4-6 times compared with normal people.
Recently, the U.S. Department of Health and Human Services released the 15th edition of the Carcinogen Report, which added 8 new carcinogens. Chronic infection, including Helicobacter pylori, is classified as a definitive carcinogen. Therefore, if Helicobacter pylori is found during the physical examination and there are symptoms such as bad breath, abdominal pain, loss of appetite, and acid reflux, treatment should be carried out.
Gastroscopic screening is recommended for high-risk populations
Previously, according to Mr. Cao's own account, he had had two gastroscopies in the past decade, the most recent one was five years ago, but he did not find stomach cancer until the physical examination in August 2020. Cao Jingxing, who was already in the advanced stage at the time of diagnosis, asked in the "Intestinal Long Strategy" program: "Can stomach cancer like mine be detected earlier?" ”
It should be known that the prognosis of gastric cancer is closely related to the clinical stage, and the 5-year survival rate of early gastric cancer is 90%, while the 5-year survival rate of intermediate and advanced gastric cancer is less than 30%, and the survival of gastric cancer in the early and late stages is very different. Sha Weihong said that in order to detect stomach cancer early, high-risk groups are required to undergo gastrointestinal endoscopic screening. She believes that anyone over the age of 40 who meets one of the following criteria should be screened for stomach cancer:
1. Suffering from chronic atrophic gastritis, gastric ulcers, gastric polyps and other precancerous lesions of the stomach;
2. First-class relatives of gastric cancer patients;
3. There are other risk factors for stomach cancer (such as liking to eat pickled foods, smoking, alcoholism, high oil, high salt, etc.). (For more news, please pay attention to Yangcheng Pie pai.ycwb.com)
Source | Yangcheng Evening News Yangcheng Pie
Editor-in-charge | Xue Renzheng