Only 4 days from the diagnosis to her death, what disease did the female Guoan fans have?
On April 3, a seat was sprayed with several white snowflakes in the green stands of the Beijing Workers' Stadium.
The snowflakes are in honor of Yang Xue. Yang Xue is a senior female fan of Beijing (Guoan Team), who has supported the Guoan team for many years, rain or shine, and won the "Fan Attendance Award" issued by the club last year. On April 2, Yang Xue died of a sudden illness at the age of 39. The National Security Club permanently sealed her season ticket seat in honor.
Yang Xue's seat was sprayed with snowflakes before her death. Source: Weibo "Workers' Sports Football Story"
Female fans suddenly fell ill
Yang Xue, 39, is a die-hard fan of Beijing Guoan, and she is one of the members of the fan group "Royal Forest Army" when it was officially established in 2005. Yang Xue's husband, Mr. Zhang, works in sports services, and the two often cheer for Guoan together and go abroad to watch games together.
Earlier this year, the couple also watched the Asian Cup together in Qatar. No one expected that the illness had quietly come to Yang Xue's side and suddenly launched a swift attack on her. According to Mr. Zhang's Weibo, after the Spring Festival in February this year, Yang Xue felt back pain, and the results of multiple departments in the hospital were normal. On March 10, Yang Xue also went to Jinan to cheer for Guoan's away game.
On March 12, Yang Xue was re-examined and found a tumor in her body, but many hospitals were unable to identify the type of pathology and could not formulate a treatment plan. It was not until March 29 that she was diagnosed with high-malignant neuroendocrine small cell carcinoma, which was simultaneously induced by squamous cell carcinoma, with dual-track concurrent and multiple metastases, and had already shown signs of respiratory failure.
He passed away 4 days after his diagnosis
When Guoan Club and Beijing fans learned of Yang Xue's sudden illness, they gave her encouragement and support. In the Chinese Super League on March 30, Guoan defeated Wuhan Three Towns 1-0 away, and after scoring a goal, the players held up a jersey with the words "Yang Xue come on" to pray for her. The scorer Abreu told the media after the game that it was the most beautiful goal of his career so far, "I hope to dedicate the goal to that fan (Yang Xue), we will walk all the way, I hope she recovers soon." ”
On the evening of April 2, Mr. Zhang released an obituary, saying that Yang Xue left the world she loved that afternoon, only four days after her diagnosis.
Why are neuroendocrine tumors so dangerous?
Data show that by the end of 2022, neuroendocrine tumors have accounted for the second highest incidence of gastrointestinal malignant tumors in mainland China, second only to colorectal tumors. What exactly is a neuroendocrine tumor, and what are its characteristics?
This kind of tumor can grow all over the body, and it is said that neuroendocrine tumors are tumors that originate from neuroendocrine cells. Neuroendocrine cells are a large class of cells in the body that have neuroendocrine functions and can produce a variety of hormones. It is found all over the body, so neuroendocrine tumors can occur anywhere in the body.
Li Ang, chief physician of the Department of General Surgery, Xuanwu Hospital, Capital Medical University: "Neuroendocrine tumors can occur in many organs of our body, such as the lungs, pancreas, and gastrointestinal tract are the most common sites. ”
Experts say that neuroendocrine tumors are divided into benign tumors, low-grade malignant tumors and significant malignant tumors, the first two tend to develop more slowly and have a relatively low risk compared with other cancer tumors, but the disease can occur everywhere in the body, so the symptoms are varied and easy to be confused with other diseases.
It is difficult to diagnose, and the rate of misdiagnosis and missed diagnosis is high
"In addition to hair and nails, neuroendocrine tumors can grow anywhere in the body, with diverse and non-specific symptoms, such as some patients always have diarrhea and mistakenly think that there is a problem with the intestines, some patients are troubled by stomach problems for a long time, and some patients have sudden hypoglycemia ......," Chen Jie, deputy director of the Department of Gastroenterology of the First Affiliated Hospital of Sun Yat-sen University, said of neuroendocrine tumors, and the most mentioned words are misdiagnosis and high rate of missed diagnosis.
"70%~75% occur in the stomach, intestines, and pancreas, and the age span of the disease is also very large, from the elderly over 70 years old and children of several years old may be sick, and the symptoms are even more diverse. According to Professor Chen Jie, neuroendocrine tumors are divided into two types: "functional" and "non-functional".
Functional tumors secrete different hormones and cause symptoms related to different hormones. Non-functional tumors are mainly non-functional tumors that no longer secrete hormones after tumorigenesis, and 80% of neuroendocrine tumors are non-functional tumors, and some of these tumors grow very slowly. Professor Chen Jie has clinically diagnosed and treated a patient with gastrinoma, the tumor has grown for more than ten years and is less than 1 cm, and some patients may take 5~7 years from the discovery of symptoms to diagnosis.
In addition to being difficult to diagnose, neuroendocrine tumors are often misdiagnosed in clinical practice. For example, an episode of hypoglycemic coma may be misdiagnosed as a neurological disorder, and a gastrinoma may be misdiagnosed as a common peptic ulcer.
"It likes liver metastases, and some patients find liver lesions during physical examination, which is easily misdiagnosed as hemangioma by inexperienced sonographers. During the physical examination, if the sonographer tells you that there are multiple hemangiomas in the liver, but they are growing slowly over the years, you should be alert to the possibility of liver metastases from neuroendocrine tumors. ”
Expert: prone to recurrence and metastasis after surgery
Experts said that neuroendocrine tumors are generally not easy to detect when they appear, sometimes there are no obvious symptoms, and even after surgical resection, the possibility of metastasis and recurrence cannot be ruled out.
Mr. Tian, 58 years old this year, was found to have a rectal neuroendocrine tumor during a physical examination in October last year, and was directly surgically removed after diagnosis, but liver metastases were found during a follow-up examination this year.
Mr. Tian's son said that his father was in good health and did not feel any discomfort. After the disease was discovered, he did not feel particularly obvious. According to the doctor, it is difficult to find out if you do not check your body normally.
Zhu Weihua, chief physician of the Department of Hepatobiliary Surgery, Peking University People's Hospital: "Neuroendocrine tumors in the abdominal cavity need to be checked regularly after surgery, because it may have some liver metastases. ”
Source: Reader client