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Review: A 53-year-old man was diagnosed with lung cancer, and the doctor admitted frankly: I didn't take the 3 symptoms seriously, and I knew it sooner

author:Dr. Tang has an interesting talk

[1] Liu Min, Chen Liqin.Application analysis of accelerated recovery surgical nursing in patients undergoing thoracoscopic radical lung cancer surgery[J].Guizhou Medicine,2024,48(04):661-663.

[2] Zhu Jing, Qin Danmei, Qian Rong.Based on the effect of tobacco on carcinogenesis, the lung and the large intestine are on the surface[J].Guangming Traditional Chinese Medicine,2024,39(08):1472-1475.

[3] Wang Xiaoxiong, Li Quan, Shen Zhenghai, et al. Xuanwei"Analysis of driver gene mutation in multinodular non-small cell lung cancer[J].Chinese Journal of Cancer Biotherapy,2024,31(04):377-382.)

53-year-old Wang Yajun is a worker, because his family was poor when he was a child, even though Wang Yajun's junior high school grades were among the best and he was very hopeful of being admitted to high school, but because his family had no money to support him to go to school, he sensibly proposed that he could drop out of school to work to support his family, so Wang Yajun told himself that no matter how difficult it was in the future, he would not let his children not be able to go to school because of lack of money.

After raising a family, he learned about the difficulty of making money, and Wang Yajun contracted the bad problem of smoking addiction. In July 2013, that year, his daughter was admitted to university, which was a happy event, but for a while, Wang Yajun couldn't come up with so much money, and often sat alone at the door of the house thinking about how to solve the matter, and unconsciously threw cigarette butts on the ground. Later, a relative was willing to lend him money, and the matter was finally settled. Wang Yajun also had a smile on his face. But the cough was much more frequent than before, and every time I coughed, it was like trying to cough out my lungs.

Review: A 53-year-old man was diagnosed with lung cancer, and the doctor admitted frankly: I didn't take the 3 symptoms seriously, and I knew it sooner

Wang Yajun's daughter felt that her father's cough was too hard, so she went to the pharmacy to buy cough medicine for Wang Yajun. After Wang Yajun ate, the symptoms of cough still did not improve, and Wang Yajun's suppressed cough was often heard in the dead of night. It made my daughter very uncomfortable. insisted on taking Wang Yajun to the hospital for examination the next day. The doctor told him that pulmonary nodules less than 1cm are usually caused by inflammation and are related to his smoking, and told him that he must quit smoking and do further examination. Wang Yajun saw that there was no big problem, so he didn't take it to heart.

On August 29 of the same year, Wang Yajun's daughter was about to enter college, Wang Yajun specially sent her to the station, gave her a red envelope, and told her not to save money. After returning home, it suddenly rained lightly in the sky, but Wang Yajun himself was reluctant to buy an umbrella and went home directly in the rain. That night, I started coughing again, and I had a low-grade fever, and I was dizzy, thinking I had a cold. So I went to a nearby clinic for an infusion. Under the effect of the drug, Wang Yajun's symptoms were also slowly relieved. I still cough occasionally, especially when I smoke. This is an old problem, and Wang Yajun didn't care about it.

On September 29, Wang Yajun took his daughter home from vacation. In just a month, Wang Yajun's daughter found that her father had lost a lot of weight, his clothes were slightly loose, and he kept coughing on the road, thinking that there was too much dust on the road, until he returned home and brought water to moisten his throat, Wang Yajun's cough was better. The daughter finally came back once, and Wang Yajun happily said to his wife that he would cook today and decided to cook his own specialty dishes. There was a lot of smoke in the kitchen, and after Wang Yajun inhaled it, he suddenly burst out of a violent cough, and finally waited for the cough to ease, but he felt a bloody smell in his mouth, and when he spit it out, he saw that it was blood. Wang Yajun felt strange in his heart, he didn't choose to make a statement, cleaned up the scene, and planned to go to the hospital tomorrow.

Review: A 53-year-old man was diagnosed with lung cancer, and the doctor admitted frankly: I didn't take the 3 symptoms seriously, and I knew it sooner

The next day, Wang Yajun went to the hospital alone. While waiting for the CT examination report in the hospital corridor, Wang Yajun couldn't help but worry that his results were not very good, and he wanted to smoke when he was anxious. As soon as the results came out, Wang Yajun immediately took the report to the doctor. However, he was told that he had a lump with irregular margins of 5.2 x 2.3 cm in size at the hilum of his lung. If left unremoved, the mass continues to grow and compress the trachea, causing atelectasis and difficulty breathing. Cytology of the mass is also required to determine whether it is benign or malignant.

When Wang Yajun heard the news, he couldn't believe it. Hurriedly asked the doctor, "Why did it change from 1 cm to 5 cm three months ago, is it wrong?!" The doctor turned on the computer to show Wang Yajun the comparison between the last examination and this time, even if Wang Yajun was not studying medicine, he could see the difference. Wang Yajun looked embarrassed, and the doctor advised him to be admitted to the hospital for examination as soon as possible.

Wang Yajun's wife found out that he had been looking lost since he went home today, and she was very worried about him. walked up to Wang Yajun and said, "We are a family, shouldn't we face difficulties together?" Looking at his wife's gentle eyes, Wang Yajun repeated the doctor's words. After saying that, the husband and wife fell silent together. After a while, his wife said slowly: "Isn't there still a half chance that it will be benign? I'll accompany you then!" Wang Yajun looked at the wrinkles in the corners of his wife's eyes and secretly wiped away the tears in the corners of his eyes.

Review: A 53-year-old man was diagnosed with lung cancer, and the doctor admitted frankly: I didn't take the 3 symptoms seriously, and I knew it sooner

Both of them tacitly agreed not to tell their daughter. After her daughter returned to school, his wife accompanied Wang Yajun to the hospital. As expected, cytology showed that it was small cell lung cancer. Contrast-enhanced CT scan is also performed to metastasize to the stomach, in which case surgery is not effective. Small cell lung cancer is highly malignant, the disease develops rapidly, and metastasis occurs in the early stage, so most people are diagnosed with advanced disease. But this cancer is sensitive to chemoradiotherapy and can now be treated with chemoradiotherapy to prolong survival.

As soon as Wang Yajun heard that he could only choose chemotherapy and radiotherapy, he was immediately disheartened, he didn't want to be a burden to his family, and no matter how persuaded by his wife, he was unwilling to undergo chemotherapy. also put down the cruel words, if he was persuading him, he would rather die a hundred times. The wife was also in pain, but she still asked the doctor with the last glimmer of hope, there is no other way than radiotherapy and chemotherapy? The doctor could only speak slowly, you found it too late, there must have been symptoms before, most of them have three common symptoms, but you didn't take it to heart, which will lead to this irreversible situation......

One is a dry cough

Irritating dry cough is a common symptom in the early stages of lung cancer, which is caused by impaired lung function caused by cancer cells destroying lung tissue, compressing or blocking the airways. It is also important to understand the difference between a common dry cough and a dry cough caused by cancer.

Common dry cough may be physiological cough, or it may be related to colds, bronchitis and other reasons, is caused by inflammation and stimulation after bacterial or viral infection, can be treated with antibacterial, antiviral drugs, the symptoms will slowly disappear, the course of the disease is short, ordinary dry cough may have phlegm, wheezing, sneezing, runny nose and other symptoms.

Review: A 53-year-old man was diagnosed with lung cancer, and the doctor admitted frankly: I didn't take the 3 symptoms seriously, and I knew it sooner

The dry cough caused by lung cancer, after treatment with ordinary cough drugs, can not make the cough disappear, mainly because of the presence of cancer cells, its course of disease is long, and the tumor continues to grow to the lumen of the lungs, resulting in central or cavitary lesions will involve blood vessels, resulting in blood in sputum, hemoptysis, hemoptysis and other manifestations, accompanied by chest pain, fever, weight loss and other symptoms.

The second is chest tightness and shortness of breath

As the tumor grows, it can compress nearby organs. When the trachea and heart are compressed, chest tightness and shortness of breath will occur. Lymphatic metastases may occur, and lymph nodes may enlarge and compress the adjacent trachea or bronchi, which can also cause chest tightness and shortness of breath. Compression of the trachea can cause obstructive pneumonia, and infection can also cause chest tightness and shortness of breath.

The third is chest pain

There are often two causes of chest pain in lung cancer, one is that a lung cancer mass can block the bronchial tubes, causing obstructive pneumonia, and inflammatory irritation can cause pain. Tumors in the dead lungs can invade the nerve fibers in the pleura, intercostal nerves, and bronchial tissues, which can cause chest pain. Chest pain may be dull, dull, and worsen with breathing and coughing.

Fourth, fever

Review: A 53-year-old man was diagnosed with lung cancer, and the doctor admitted frankly: I didn't take the 3 symptoms seriously, and I knew it sooner

There are two common conditions for lung cancer fever. First, in the process of rapid proliferation, the tumor will also undergo ischemia and hypoxia and necrosis, and in the process of necrotic cell absorption, it will stimulate the body and cause fever, and a large number of inflammatory cytokines will be released, resulting in an increase in body temperature, but the general body temperature remains below 38 °C, which is a low-grade fever.

Second, lung cancer patients are particularly susceptible to infection by bacteria, viruses and other pathogens due to their poor body resistance, resulting in fever symptoms.

When you experience uncomfortable symptoms, it may be your body that is alerting you, so if you find yourself unwell, you should see a doctor immediately to avoid missing the best time for treatment.