If the public has 8 major symptoms, they should pay attention to and further check; from left to right are Dr. Lin Hongxin, Dr. Yang Chunhao, Dr. Huang Shengjie, and patients surnamed Li.

(Photo by reporter Lin Huiqin)

[Reporter Lin Huiqin/Taipei Report] The National Health Administration of the Ministry of Health and Welfare released the latest cancer registration report today. Colorectal cancer has ranked first in the incidence of cancer in the country for 15 consecutive years. In 2020, there were 16,829 new cases, which is a drop from 17,302 in the previous year. , Doctors are worried that the number of people screened during the epidemic will drop, which will lead to a decline in the number of people. There may be a counterattack after the epidemic. They remind that if there are 8 major symptoms, you should pay attention to them and further check. The cure rate in the first phase can reach more than 95%, and the fourth phase will be relayed A variety of treatment modes can also prolong survival.

Yang Chunhao, chairman of the Society of Colorectal Surgery of the Republic of China and president of the Affiliated Hospital of Yangming Jiaotong University, said that cancer registration from 2016 to 2019 showed that the number of people diagnosed with colorectal cancer showed an increase, but the number of people diagnosed with colorectal cancer showed a decline in 2020 when the epidemic was raging. The fear of going to the hospital, the reduction in the number of people being screened, and the failure to detect some cases early are not real declines. It is expected that the epidemic will slow down and the number of new cases may increase significantly after normal screening levels are restored.

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Yang Chunhao pointed out that the reasons for the new occurrence and growth of colorectal cancer are mainly related to the westernization and refinement of diet, changes in living habits, family genetic medical history, the rise of public health awareness and the number of screening tests.

Yang Chunhao reminded that if there are 8 major symptoms such as abdominal distension and abdominal pain, bloody stool with mucus, obvious change in bowel habits, frequent diarrhea or constipation, smaller stools, weight loss, anemia, and possible palpable lumps, further examination should be done. If it is colorectal cancer , when there are abnormalities, it may have broken through the first period.

Yang Chunhao mentioned that the cure rate of patients with the first stage of colorectal cancer can reach more than 95% under surgical treatment, so early diagnosis and treatment are very important.

At present, the National Health Administration subsidizes fecal occult blood tests for people aged 50 to 74 every 2 years. According to statistics, 1 out of 2 people with a positive screening test has colorectal polyps, and 1 out of 22 people has colorectal cancer, but the cases are as high as 40% is the first phase, which is an important tool for early detection.

For high-risk groups, Yang Chunhao suggested that those with a family history of colorectal cancer should have a colonoscopy every 5 years after the age of 40; people with hereditary non-polyposis colorectal cancer should start every 2 years from the age of 20 to 25 Accept 1 colonoscopy; patients with clinically suspected or genetically confirmed adenomatous polyposis syndrome should undergo colonoscopy every 1 year from the age of 10 to 12.

In case of colorectal cancer, Huang Shengjie, deputy secretary-general of the Colorectal Cancer Concern Association of the Republic of China and chief physician of colorectal surgery in Taipei Veterans General Hospital, pointed out that at present, surgery, radiation, targeting, chemotherapy, and immunotherapy can be used. The average cure rate in the first three stages is up to About 70%, if it is the fourth stage, as long as different modes of relay treatment are correctly adopted according to the genetic characteristics and tumor performance, there is still a chance to remove the tumor.

Lin Hongxin, secretary-general of the Colorectal Cancer Care Association of the Republic of China and chief physician of colorectal surgery in Taipei Veterans General Hospital, further mentioned that based on the experience of the hospital, up to 67% of advanced colorectal cancer metastases are metastasized to the liver. The median was 17.10 months, and it could reach 49.93 months with resection combined with ablation.

60-year-old Mr. Li is a patient with the fourth stage of colorectal cancer, and found that there were 3 tumors metastasized to the liver. However, after chemotherapy and targeted relay therapy, the tumor was shrunk and removed, and two tumors were successfully removed. 4 years and 9 months, no signs of recurrence.

He also shared that when encountering this incident, it is inevitable that he will feel nervous, but he will follow the doctor's plan for treatment, face it bravely, and make a little progress every day, which will bring hope of happiness.

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  • colorectal cancer

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  • Bloody stools

  • Colonoscopy

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