In the past month, 83-year-old Mr. Sun has been bleeding from the nasal cavity. He thought it was caused by the hot weather. He did not expect to be diagnosed with nasal mucosa melanoma after the examination. “Mr. Sun is not only old, but also suffers from various diseases such as diabetes, rheumatoid, myocardial infarction, etc., and is not suitable for surgery and chemotherapy, and genetic testing has not found any suitable targets. After we organized a multidisciplinary consultation, we formulated a “radiotherapy + “Immunotherapy” comprehensive treatment plan. After one month of treatment, Mr. Sun’s nasal tumor was significantly reduced, and various discomfort symptoms were relieved.” On July 13, Jiang Lihua, director of the Second Department of Radiotherapy at the Second People’s Hospital of Dezhou City, said.
It is understood that mucosal melanoma mainly originates from the nasal cavity, sinuses, oral cavity, esophagus, etc. It is more likely to invade blood vessels than skin melanoma, and is more likely to metastasize and recur. For this disease, early surgery is the best choice, but mucosal melanoma has an insidious onset, and the early symptoms are not obvious. If you are not careful, you will miss the opportunity for surgery. Just like Mr. Sun, at first he only had symptoms of nasal congestion, and then he continued to bleed. The old man thought it was caused by getting angry. After delaying it again and again, he not only missed the best treatment time, but also had lymph node metastasis.
“For locally advanced melanoma that cannot be surgically removed, radiotherapy combined with immunotherapy can promote each other’s curative effect and play the role of ‘1+1>2’. Mr. Sun received radiation therapy for only 1 week, and the nasal bleeding disappeared. Stopped. After more than one month of treatment, Mr. Sun’s nasal tumor has shrunk significantly, nasal congestion has been relieved, and there is no more epistaxis. The patient and his family are very satisfied with the treatment results.” Jiang Lihua reminded the patient that although the effect of radiation therapy is very good Good, but patients should also pay attention to related side effects during the follow-up immunotherapy treatment, such as anemia, rash, abnormal thyroid function, liver and kidney damage, etc. If side effects occur, they must continue treatment under the guidance of professional doctors, and must not be blind. Self-medication.
Jiang Lihua reminded that the early symptoms of malignant melanoma in the nasal cavity are mostly nasal congestion, runny nose, nasal bleeding and other symptoms. fire. Therefore, if you have the above symptoms, you must go to a regular hospital for examination. Such patients should pay attention to more rest, pay attention to nutritionally balanced diet, do not eat spicy and irritating food, and to avoid smoking and drinking, they can do some mild outdoor exercise appropriately to improve the immunity of the body and promote physical recovery.
Jiang Lihua, Director of the Second Department of Radiotherapy, Chief Physician. Member of Neuro-Oncology Branch of Shandong Anti-Cancer Association, Member of Head and Neck Cancer Branch of Shandong Physician Association, Member of Geriatric Oncology Professional Committee of Shandong Gerontology Society, Vice Chairman of Dezhou Medical Association Oncology Radiation Therapy Professional Committee, and Dezhou Medical Association No. Member of the three-time medical malpractice technical appraisal expert database, the first batch of young and middle-aged medical experts in Dezhou City, and Dezhou City Health Talent.