“Overworked and fat” is actually a tumor? ! This tumor is closely related to smoking, and even more frightening is…

Quit Smoking Quit Smoking

In recent years

We are increasingly aware of the health hazards of smoking

But quitting smoking is so hard

Many people quit multiple times

It always fails

Today

The editor will give you another reason to quit smoking

This tumor

It’s all about smoking!

The 41-year-old uncle is “stressed and fat”?

It’s actually a tumor

The 41-year-old brother Qian (pseudonym) has hardly slept well in the past few years. He came to Zhejiang from Sichuan with his fellow villager at the age of 18. Although his education is not high, he has a flexible mind and diligent hands and feet. He has done a lot of business. Later, he opened a small company and settled in Hangzhou, and his life has gradually returned to the right track.

However, due to the impact of the epidemic in recent years, Brother Qian’s business has become more and more difficult, and his cigarettes have become more and more fierce. He has been secretly learning to smoke since he was thirteen years old. When he was in business, because of socializing and pressure, he had at least one pack of cigarettes a day. In the past few years, he has been up early, gnashing his teeth and insisting, sometimes even smoking more than 2 packs a day, his teeth are browned by the smoke, but he still can’t wipe his clenched brows.

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Since the end of last year, Brother Qian felt like he was “getting fatter”. It stands to reason that he has been unable to eat or sleep, so he should be getting thinner and thinner, but at that time he found that his face was “bulging” on both sides, and when he touched it with his hands, it seemed like there was a lump, but No pain, no itching, and no other symptoms. Friends joked that he was “overworked and fat”, and Brother Qian, who was overwhelmed by business, didn’t take it to heart.

In July this year, Brother Qian found that his face was more swollen on both sides. At the repeated request of his wife, he came to the first phase of the headquarters of the First Affiliated Hospital of Zhejiang University School of Medicine near his home. , found the expert clinic of Zhao Wenquan, deputy chief physician of oral and maxillofacial surgery.

After physical examination, imaging examination, etc., Brother Qian has a tumor on each side of his cheek, the size of an egg on the right side, and the size of a ping-pong ball on the left side , so he looked like a “facial fat”. Combining the results of various examinations and knowing that Brother Qian has a smoking history of nearly 30 years, Deputy Chief Physician Zhao Wenquan considered that Brother Qian may be suffering from a tumor called “Worthing’s tumor”.

What is a Worthing tumor?

About smoking?

What is a Worthing tumor? I have never heard of it either.

Deputy Chief Physician Zhao Wenquan explained to Brother Qian patiently that Worthing’s tumor, also known as adenolymphoma, is one of the common benign salivary gland tumors, most of which occur Lymph nodes in or around the parotid gland. In layman’s terms, when the parotid gland and the lymphoid tissue in the parotid gland are developing, the glandular tissue “lost” to the lymphoid tissue. When the lymph node forms a capsule, the glandular tissue is wrapped in it. When a tumor develops, it becomes a Worthing tumor.

The cause of Worthine tumor is currently unknown, but it is clear that its occurrence is closely related to smoking, and more than 80% of Worthine tumor patients have a history of smoking

strong>, and it is a long-term and relatively large amount of smoking history. Therefore, the disease mostly occurs in middle-aged and elderly men.

Although Worthing’s tumor is basically a benign tumor that can be removed surgically, due to the intricate nerves in the parotid gland, each nerve affects the patient’s facial expressions, and the tumor may often compress the nerve or adhesion to nerves, When the nerve is separated during the operation, the nerve may have an injury response. If the nerve directly passes through the tumor or the adhesion is severe, the nerve may not even be preserved, which may cause the patient’s eyes to be slanted, the patient’s mouth to be slanted, the inability to make normal expressions, or even facial paralysis.

After completing various preoperative examinations, Deputy Chief Physician Zhao Wenquan performed partial parotidectomy for Brother Qian, carefully separating the nerve and tumor, and finally completed the operation successfully and completely removed the tumor.

Smoking is extremely “mouth friendly”

Do this every year

“We all know that smoking has a great impact on the lungs and blood vessels. In fact, smoking is also very harmful to the oral cavity.” Chief Physician Zhu Huiyong, director of the Department of Stomatology, said, “Smoking will cause oral cavity damage. Mucosal disease, gum disease, etc. leukoplakia is an oral disease closely related to smoking, which is an obvious white lesion that cannot be diagnosed as any other disease, some oral cavity diseases Leukoplakia can progress to oral cancer.”

Also, smokers are more likely to experience lip burns from the heat of smoking, which can lead to lip cancer.

Experts said that oral diseases are not only related to teeth that everyone understands. In fact, the gums, tongue, other parts of the oral cavity, and parotid glands all need our attention. Of the more than 3,000 operations performed by the Department of Stomatology of the First Hospital of Zhejiang University every year, about 20% are for the treatment of parotid gland-related diseases. It is recommended that everyone should have an oral examination and teeth cleaning once a year, especially for smokers. It is recommended to have an oral examination every six months to a year for early screening and early prevention.

More importantly, it is recommended to quit smoking and drinking! Eat less spicy, hot, and cold foods that can easily irritate the oral mucosa to reduce the risk of disease.

Expert Outpatient Arrangement of the First Hospital of Zhejiang University