Patient: Mr. Wu
Age: 61 years old< /p>
Reason for referral: dull pain in the lower abdomen, accompanied by mild fever, decreased appetite
Hospital: Wenzhou Central Hospital
The doctor’s diagnosis: suffering from three primary cancers
Wendu News reporter learned from Wenzhou Central Hospital today that 61-year-old citizen Wu Laobo found out three primary cancers during the inspection process – lymphoma, bladder and lung cancer. Doctors said that due to more timely treatment, he still has the possibility of long-term survival.
Uncle Wu has not had a physical examination for many years. In August last year, he went to the Wenzhou Central Hospital for a check-up due to dull pain in the lower abdomen, mild fever and loss of appetite. Abdominal CT showed that the intestinal wall of the small intestine in the lower abdomen was obviously thickened, the retroperitoneal space and multiple lymph nodes in the abdominal cavity were swollen, and some of them were fused into a mass. Doctors initially diagnosed him with lymphoma. Uncle Wu was transferred to the Department of Hematology and Chemotherapy for further treatment. The doctor later found that in addition to a mass in the abdominal cavity, there were also nodules on the left wall of the bladder and the lingual segment of the upper lobe of the left lung.
After careful examination, the biopsy of Wu Laobo’s bladder nodules and abdominal lymph nodes showed that they were primary malignant tumors. After the bladder tumor was removed, Uncle Wu received chemotherapy. After 6 cycles of chemotherapy, the re-examination showed that the curative effect was good. A subsequent examination found that the nodule in the lingual segment of the upper lobe of Wu Laobo’s left lung was larger than before. After consultation with the doctor, the possibility of lung cancer was determined, and then another operation was performed to remove it. Postoperative pathological section, diagnosed as primary malignant tumor.
At present, Mr. Wu is in the late stage of lymphoma treatment, and he can enter the follow-up observation period after completing the last cycle of chemotherapy.
Wu Shenghao, chief physician of the Department of Hematology and Chemotherapy of Wenzhou Central Hospital, said that multiple primary malignant tumors refer to independent malignant tumors that occur in related or unrelated parts of the body. Patients with more than two primary cancers at the same time are relatively rare. As for the cause of primary cancer, Wu Shenghao said, it may be related to gene mutation, or it may be related to the body’s immune system, dysfunction and other factors. “In the daily metabolism of human cells, some may die, and some may go wrong. If there is a problem with the immune system of the human body, it is equivalent to that the cancer cells may become cancer if they are not caught by the ‘police’. The patient’s cancer recurrence or another cancer, to a certain extent, is related to the weakening of the immune system’s monitoring function. related.” Wu Shenghao said.
Wang Chunxia, Wendu reporter
Editor Sun Lipeng
Layout Shao Hairuo
Review Lin Jianjing
Producer Chen Neuhui< /p>