What does urinary calculus 0.3×0.4 mean?

In just one month from diagnosis to death, MD unfortunately died of cancer! Recently, the “Economic Observer” reported that Cao Xiaobin, senior manager of the government affairs center of Beijing Kexing Biotechnology Co., Ltd., passed away at the age of 45 due to ineffective treatment of bile duct cancer. Cao Xiaobin graduated from the Chinese Center for Disease Control and Prevention, majoring in epidemiology and health statistics, with a doctoral degree. He had worked in the Center for Disease Control and Prevention for many years, and unfortunately died of cancer just a few months after entering the new company. What is even more surprising is that he already felt unwell in mid-March and went to the hospital for examination. He did not expect to die on April 17 due to ineffective treatment of bile duct cancer in just one month.

cholangiocarcinoma may sound unfamiliar, but it is more dangerous than pancreatic cancer, with a 5-year survival rate of less than 5%! As a doctor of medicine, Cao Xiaobin can’t prevent bile duct cancer, so how should ordinary people deal with it?

First, most people are diagnosed at an advanced stage, and many people do not know enough about cholangiocarcinoma!

Su Xiangyu, Deputy Chief Physician, Department of Oncology, Zhongda Hospital Affiliated to Southeast University pointed out that cholangiocarcinoma includes intrahepatic cholangiocarcinoma, hilar cholangiocarcinoma and distal cholangiocarcinoma , is a highly malignant tumor of the digestive system derived from bile duct epithelial cells. The annual incidence of cholangiocarcinoma in my country is about 40,000. Most of the patients are diagnosed at an advanced stage, and the 5-year survival rate is less than 5%. The incidence of cholangiocarcinoma is relatively rare compared with other cancers, and it has also caused many people to have insufficient awareness of cholangiocarcinoma.

These incentives may induce the occurrence of bile duct cancer and must be avoided as much as possible in daily life.

1. Hepatitis

After the body is infected with the hepatitis virus, the normal regulatory mechanism of cells will be affected, which may increase the risk of cancer.

2. Unclean diet, liver fluke infection

Unclean diet, such as eating freshwater fish, drinking polluted water, etc., may lead to liver infection Flukes, Clonorchis sinensis, etc., these may induce cholangiocarcinoma.

3. Hepatolithiasis

The site where hepatolithiasis is likely to occur, the risk of cholangiocarcinoma Risk also increases. Because gallstones and chronic inflammation will continue to stimulate the erosion of bile duct epithelial ulcers and shedding of epithelial cells, it is easy to induce cholangiocarcinoma. In addition, gallstones may also induce biliary obstruction, and the poor discharge of lithocholic acid will accumulate in the gallbladder, which may also cause cancer.

4. Congenital bile duct dilatation

This disease easily induces bile stasis, calculi and pancreatic juice reflux, and increases the risk of bile duct canceration.

5. Bile duct adenomas

Chole duct adenomas generally exist in the intrahepatic bile ducts, among which villous adenomas are the most common, accounting for about 63% of the disease It will turn into gallbladder cancer.

6. Biliary surgery

Patients who undergo duodenal sphincter formation and choledochojejunostomy are prone to cholestasis and stones after operation As well as pancreatic juice reflux, the risk of developing cancer will increase to a certain extent.

The occurrence of cholangiocarcinoma is something that no one wants to see. If cholangiocarcinoma can be detected early, the probability of survival will be greater. Some unpleasant symptoms, be sure to seek medical attention in time.

Second, these symptoms should be paid attention to

1. Jaundice

Elevated serum bilirubin will lead to yellow staining of the skin and iris, and the bile duct will be compressed after suffering from bile duct cancer. Once the bile duct is blocked, it is easy to cause jaundice, which is also bile duct cancer. One of the most important early symptoms.

2. Abdominal pain

Abdominal pain can be manifested as slight upper abdominal discomfort after eating, subxiphoid pain, back pain, right upper quadrant cramping Pain, etc., which is caused by cancer invading nerves, usually occurs before and after jaundice.

3. Fever

Bile duct cancer can cause bile duct obstruction, induce inflammation and cause body heat, but this symptom occurs relatively infrequently.

4, other

cholangiocarcinoma may also cause weight loss, Body itching, fatigue, loss of appetite, nausea and vomiting and other symptoms, and the main physical signs include ascites, gallbladder enlargement and liver enlargement. Third, money is hard to cure! The best way is to prevent

cholangiocarcinoma is a very malignant disease. Once it is diagnosed, even rich people cannot guarantee a good prognosis. The main clinical cure for cholangiocarcinoma is surgery, but many patients lose the opportunity for surgical treatment when they are diagnosed. There are also some patients who can undergo surgery at the time of diagnosis, but the recurrence rate after surgery has also reached 80%.

To treat the disease of cholangiocarcinoma, prevention must be better than cure. It is recommended to do these five things in life. 1. Healthy diet

The diet should focus on light, easily digestible, protein-rich foods, and can eat more freshfruits and vegetables, lean Meat, aquatic products, soy products, etc., to meet the body’s nutritional needs. At the same time, pay attention to eating less spicy, greasy and high-fat foods, and pay more attention to drinking more water every day. In particular, pay attention to dietary hygiene, eat less sashimi, and prevent liver flukes.

2. Keep exercising

Exercise can help speed up the body’s metabolism, promote the speed of excretion of metabolic wastes in the body, and at the same time help improve the body’s immunity, which is good for preventing diseases. Daily activities such as swimming, running, and walking can be performed. Note that exercise must be adhered to for a long time. Fishing for three days and netting for two days will not achieve good results.

3. Maintain a good sleeping position

When a person is in a lying position, it is recommended to The lateral position and supine position are mainly used to prevent compression of the gallbladder.

4. Regular physical examination

Physical examination is one of the important means to prevent the occurrence of cholangiocarcinoma. Annual physical examination can detect in liver function in time. >Bilirubin and tumor marker CA19-9, once abnormality is found, further examinations can be carried out in time, such as abdominal color Doppler ultrasound, CT, cholangiography, etc.

5. Stay away from tobacco and alcohol

Tobacco and alcohol are carcinogens, and long-term exposure to these substances will increase the risk of cancer in the body, including Cholangiocarcinoma, cancer prevention needs to start from staying away from tobacco.

The occurrence of cancer is related to many factors. Preventing cancer needs to change from the above habits. You also need to pay more attention to your physical condition on a daily basis, and seek medical attention in time if you find any abnormalities, without delay.

References:

[1] What is the cause of bile duct cancer? Expert Answers of Hepatobiliary Surgery”. Life Times. 2020.3.20

[2] “What is Cholangiocarcinoma? How to prevent it? Doctors will give you popular science”. Minnan General Surgery and Minimally Invasive. 2021.12.18

[3] “Early Symptoms and Prevention Methods of Cholangiocarcinoma”. Bijie Cancer Hospital subscription number. 2019.9.6