Text/Figure Yangcheng Evening News all-media reporter Zhang Hua
Correspondent Li Yang
The wind comes, the rain goes, no matter the cold and heat, the sanitation workers in Guangzhou stick to their posts. Recently, Guangzhou suffered from extremely cold weather, which allowed us to experience the hardships of urban beauticians. On February 22, the Guangzhou Municipal Bureau of Urban Management and Comprehensive Law Enforcement System Trade Union, together with the Guangdong Zhong Nanshan Medical Foundation and Shanxin Physical Examination, provided public health examination services for 100 "outstanding urban beauticians" in Guangzhou, and provided free health public health physical examination services for outstanding sanitation worker representatives for lung cancer, COPD and pan-tumor early screening.
100 "Excellent City Beauticians" in Guangzhou received public welfare physical examinations
Sanitation workers over the age of 35 are recommended to be screened for lung diseases every year
According to the reporter's understanding, the event invited the 34th 100 "Excellent City Beauticians" sanitation representatives in Guangzhou to participate. Zhu Rong, an "excellent urban beautician" from the Tianhe Sanitation Second Institute, told reporters that he has been in a sanitation post since he joined the work in 1993. This nearly 30 years of work experience has made him feel that good health is very important. "We work outdoors for 8 hours a day, and we will inevitably be exposed to dust, which still has a certain impact on respiratory health, so the protection is more strengthened, and the frequency of physical examinations will increase accordingly."
After the physical examination, the organizer also arranged breakfast intimately
It is reported that from 2021 to now, Zhu Rong has accepted three free physical examinations arranged by the unit. "This physical examination is different, and it has specially increased the early screening of lung cancer, COPD and pan-tumor." Zhu Rong said: "Doing such a physical examination is very intimate for us. ”
According to statistics, at present, the benevolent physical examination has provided free physical examination for more than 8,000 cases of the masses, of which sanitation workers account for about 2,000 cases. Preliminary statistics have found that the detection rate of COPD is as high as 15%. Due to the nature of the work of urban sanitation workers, they are more likely to suffer from respiratory diseases. Therefore, experts recommend that sanitation workers over the age of 35 should undergo annual physical screening for lung disease.
He Mengzhang, deputy chief physician of the Department of Respiratory Medicine of the Second Affiliated Hospital of Guangzhou Medical University, introduced the current incidence of lung nodules
Do not panic if you find a lung nodule, more than 95% is benign
Lung cancer is a malignant tumor with a high incidence worldwide. In 2020, the number of new cancer cases in mainland China was about 4.57 million, of which the number of lung cancer cases was about 820,000. The "Guidelines for Screening and Early Diagnosis and Early Treatment of Lung Cancer in China" shows that the number of lung cancer cases and deaths in China accounts for 37% and 39.8% of the world, respectively, which is much higher than the proportion of Chinese population accounting for 18% of the global population.
In the past 10 years, due to the increasing application of CT in the lungs, the discovery of lung nodules has increased significantly than before, He Mengzhang, deputy chief physician of the Department of Respiratory Medicine of the Second Affiliated Hospital of Guangzhou Medical University and head of the clinical treatment expert group for new coronavirus pneumonia, introduced that the current incidence of lung nodules is 20%-30%, it can be said that the high incidence of lung nodules is closely related to the discovery of early lung cancer.
The screening results of a multi-center asymptomatic population in Shanghai suggested: 14506 subjects were included, a total of 6830 lung nodules were detected, and the detection rate was 29.89% 238 postoperative cases of lung nodules in 178 subjects were lung cancer (incidence rate was 1.23%), of which 225 cases of lung adenocarcinoma and 81.09% of early lung cancer.
Expert-recommended management procedures after the discovery of pulmonary nodules
Director He Mengzhang introduced that a small number of lung nodules are malignant (3%-5%), such as lung cancer, metastatic cancer, lymphoma, sarcoma, etc., and the vast majority of lung nodules are benign nodules, infectious granulomas, pneumonia, bronchial cysts, etc. He suggested that small nodules under 5 mm can be managed in primary hospitals, and if there are no symptoms, the chest CT should be reviewed annually; 5-10 mm small nodules should go to hospitals with experience in diagnosis and treatment and consult specialists with diagnostic experience (respiratory medicine, thoracic surgery); and 10 mm-30 mm lung nodules should be diagnosed and treated by experienced specialists as soon as possible. (For more news, please pay attention to Yangcheng Pie pai.ycwb.com)
Source | Yangcheng Evening News Yangcheng Pie
Editor-in-charge | Liu Xinyu