恕我直言:这种癌症发生时,你竟还以为是犯痔疮!

2016-12-01 周小编 天津医科大学肿瘤医院

本期话题:如何辨识结直肠癌?都说十人九痔,但是,那些自以为犯痔疮的人想不到,或许,这正是一种癌症的早期信号!大众都会以为,痔疮会有便血,但是在肠道肿瘤发生时也会有!如果能及时区分辨认便血的缘由就能尽早发现这种恶性肠道肿瘤!然而,又有多少人一听说做肠镜检查,就蔫儿了呢……恕我直言,结直肠癌的早期症状也有便血。一旦发现便血症状,应尽早到医院检查,确认造成便血的病因,究竟是痔疮,还是结直肠癌要点一便血意

本期话题:如何辨识结直肠癌

都说十人九痔,但是,那些自以为犯痔疮的人想不到,或许,这正是一种癌症的早期信号!

大众都会以为,痔疮会有便血,但是在肠道肿瘤发生时也会有!如果能及时区分辨认便血的缘由
就能尽早发现这种恶性肠道肿瘤!

然而,又有多少人一听说做肠镜检查,就蔫儿了呢……



恕我直言,结直肠癌的早期症状也有便血。一旦发现便血症状,应尽早到医院检查,确认造成便血的病因,究竟是痔疮,还是结直肠癌

要点一便血意味着什么?!

你要在第一时间来辨认便血情况:
如果便血颜色鲜红或排便时滴血、喷血,一般而言就是痔疮;
如果是呈黏液状的血便,或仅为大便表面粘血迹,且便血的现象并不一定每次都发生,这时你要警惕了!

要点二便秘难道不才是结直肠癌的真凶吗?

不要被商业广告所蒙骗!
一周有2-3次通便的人并不需要担心自己会更容易罹患结直肠癌。只是,如果一周只有一次通便,或者出现连续拉肚子的情况,则有可能是另外的疾病的病征,需要特别注意到医院就诊,查清原因。

要点三如何远离结直肠癌?

如果出现排便习惯改变、便血、腹泻、腹泻与便秘交替、局部腹痛等症状,一定要做肠镜!因为肠镜是检测结直肠癌的唯一有效方式!此外,直肠指诊也是诊断直肠癌最重要的方法,80%以上的直肠癌均可以在直肠指诊时触及!

同时在生活中,注重膳食纤维的摄入,改善低纤高脂的饮食结构,拒绝吸烟,保持健康的生活、饮食习惯。

要点四一旦患上结直肠癌,怎么办?

结直肠癌作为一种全身性疾病,仅依靠单一学科和单一治疗手段很难达到理想的治疗效果。若能在第一时间选择有手术、化疗、放疗、靶向治疗等多种方式相联合的多学科会诊(MDT)模式综合诊疗,会大大让患者节约经济成本和时间成本,为患者更好地开展具有针对性的个体化诊疗,以争取最优化的治疗效果!因此一定要前往正规的、专业的科室尽早获得正规治疗。

出镜嘉宾
结直肠肿瘤科  科主任   孔大陆
结直肠肿瘤科  医    生   胡冬至
结直肠肿瘤科  医    生   郑    磊

导演 
周小编

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  1. [GetPortalCommentsPageByObjectIdResponse(id=1312797, encodeId=b00c1312e9702, content=<a href='/topic/show?id=f781e113065' target=_blank style='color:#2F92EE;'>#痔疮#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71130, encryptionId=f781e113065, topicName=痔疮)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2f5a410, createdName=zxxiang, createdTime=Sat Dec 03 04:25:00 CST 2016, time=2016-12-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159654, encodeId=6d5715965419, content=这个标题,,,相当动人啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K4PNicOvbHfgIficrsEKztlD5yv1UnCFhnFmFU9yv1RHLflMRibWrppbsiccfMB8tT9HCkAr3zL2zVml/0, createdBy=89da1604922, createdName=䖝二, createdTime=Fri Dec 02 11:01:32 CST 2016, time=2016-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159558, encodeId=f8571595581d, content=讲的挺好!, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5nmIH5IQqCKjJgSCuicPWUWOUcdqt1ROPnEiaOYN4pSHibDv8la3OxNLalvuvUXn8clpJlrpuyTpckgt9OPkeSSdT/0, createdBy=8fd71930726, createdName=半夏微凉, createdTime=Fri Dec 02 05:41:39 CST 2016, time=2016-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159549, encodeId=b94615954934, content=简单明了,一看就懂, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2dcf1613323, createdName=xiehhtt, createdTime=Fri Dec 02 05:28:08 CST 2016, time=2016-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159432, encodeId=1ab815943201, content=很有意思的文章,涨知识,也打开我的误区!非常精彩!, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=76491981781, createdName=1e184d7bm65(暂无匿称), createdTime=Thu Dec 01 14:08:05 CST 2016, time=2016-12-01, status=1, ipAttribution=)]
    2016-12-03 zxxiang
  2. [GetPortalCommentsPageByObjectIdResponse(id=1312797, encodeId=b00c1312e9702, content=<a href='/topic/show?id=f781e113065' target=_blank style='color:#2F92EE;'>#痔疮#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71130, encryptionId=f781e113065, topicName=痔疮)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2f5a410, createdName=zxxiang, createdTime=Sat Dec 03 04:25:00 CST 2016, time=2016-12-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159654, encodeId=6d5715965419, content=这个标题,,,相当动人啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K4PNicOvbHfgIficrsEKztlD5yv1UnCFhnFmFU9yv1RHLflMRibWrppbsiccfMB8tT9HCkAr3zL2zVml/0, createdBy=89da1604922, createdName=䖝二, createdTime=Fri Dec 02 11:01:32 CST 2016, time=2016-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159558, encodeId=f8571595581d, content=讲的挺好!, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5nmIH5IQqCKjJgSCuicPWUWOUcdqt1ROPnEiaOYN4pSHibDv8la3OxNLalvuvUXn8clpJlrpuyTpckgt9OPkeSSdT/0, createdBy=8fd71930726, createdName=半夏微凉, createdTime=Fri Dec 02 05:41:39 CST 2016, time=2016-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159549, encodeId=b94615954934, content=简单明了,一看就懂, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2dcf1613323, createdName=xiehhtt, createdTime=Fri Dec 02 05:28:08 CST 2016, time=2016-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159432, encodeId=1ab815943201, content=很有意思的文章,涨知识,也打开我的误区!非常精彩!, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=76491981781, createdName=1e184d7bm65(暂无匿称), createdTime=Thu Dec 01 14:08:05 CST 2016, time=2016-12-01, status=1, ipAttribution=)]
    2016-12-02 䖝二

    这个标题,,,相当动人啊

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1312797, encodeId=b00c1312e9702, content=<a href='/topic/show?id=f781e113065' target=_blank style='color:#2F92EE;'>#痔疮#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71130, encryptionId=f781e113065, topicName=痔疮)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2f5a410, createdName=zxxiang, createdTime=Sat Dec 03 04:25:00 CST 2016, time=2016-12-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159654, encodeId=6d5715965419, content=这个标题,,,相当动人啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K4PNicOvbHfgIficrsEKztlD5yv1UnCFhnFmFU9yv1RHLflMRibWrppbsiccfMB8tT9HCkAr3zL2zVml/0, createdBy=89da1604922, createdName=䖝二, createdTime=Fri Dec 02 11:01:32 CST 2016, time=2016-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159558, encodeId=f8571595581d, content=讲的挺好!, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5nmIH5IQqCKjJgSCuicPWUWOUcdqt1ROPnEiaOYN4pSHibDv8la3OxNLalvuvUXn8clpJlrpuyTpckgt9OPkeSSdT/0, createdBy=8fd71930726, createdName=半夏微凉, createdTime=Fri Dec 02 05:41:39 CST 2016, time=2016-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159549, encodeId=b94615954934, content=简单明了,一看就懂, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2dcf1613323, createdName=xiehhtt, createdTime=Fri Dec 02 05:28:08 CST 2016, time=2016-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159432, encodeId=1ab815943201, content=很有意思的文章,涨知识,也打开我的误区!非常精彩!, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=76491981781, createdName=1e184d7bm65(暂无匿称), createdTime=Thu Dec 01 14:08:05 CST 2016, time=2016-12-01, status=1, ipAttribution=)]
    2016-12-02 半夏微凉

    讲的挺好!

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1312797, encodeId=b00c1312e9702, content=<a href='/topic/show?id=f781e113065' target=_blank style='color:#2F92EE;'>#痔疮#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71130, encryptionId=f781e113065, topicName=痔疮)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2f5a410, createdName=zxxiang, createdTime=Sat Dec 03 04:25:00 CST 2016, time=2016-12-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159654, encodeId=6d5715965419, content=这个标题,,,相当动人啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K4PNicOvbHfgIficrsEKztlD5yv1UnCFhnFmFU9yv1RHLflMRibWrppbsiccfMB8tT9HCkAr3zL2zVml/0, createdBy=89da1604922, createdName=䖝二, createdTime=Fri Dec 02 11:01:32 CST 2016, time=2016-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159558, encodeId=f8571595581d, content=讲的挺好!, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5nmIH5IQqCKjJgSCuicPWUWOUcdqt1ROPnEiaOYN4pSHibDv8la3OxNLalvuvUXn8clpJlrpuyTpckgt9OPkeSSdT/0, createdBy=8fd71930726, createdName=半夏微凉, createdTime=Fri Dec 02 05:41:39 CST 2016, time=2016-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159549, encodeId=b94615954934, content=简单明了,一看就懂, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2dcf1613323, createdName=xiehhtt, createdTime=Fri Dec 02 05:28:08 CST 2016, time=2016-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159432, encodeId=1ab815943201, content=很有意思的文章,涨知识,也打开我的误区!非常精彩!, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=76491981781, createdName=1e184d7bm65(暂无匿称), createdTime=Thu Dec 01 14:08:05 CST 2016, time=2016-12-01, status=1, ipAttribution=)]
    2016-12-02 xiehhtt

    简单明了,一看就懂

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1312797, encodeId=b00c1312e9702, content=<a href='/topic/show?id=f781e113065' target=_blank style='color:#2F92EE;'>#痔疮#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71130, encryptionId=f781e113065, topicName=痔疮)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2f5a410, createdName=zxxiang, createdTime=Sat Dec 03 04:25:00 CST 2016, time=2016-12-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159654, encodeId=6d5715965419, content=这个标题,,,相当动人啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K4PNicOvbHfgIficrsEKztlD5yv1UnCFhnFmFU9yv1RHLflMRibWrppbsiccfMB8tT9HCkAr3zL2zVml/0, createdBy=89da1604922, createdName=䖝二, createdTime=Fri Dec 02 11:01:32 CST 2016, time=2016-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159558, encodeId=f8571595581d, content=讲的挺好!, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5nmIH5IQqCKjJgSCuicPWUWOUcdqt1ROPnEiaOYN4pSHibDv8la3OxNLalvuvUXn8clpJlrpuyTpckgt9OPkeSSdT/0, createdBy=8fd71930726, createdName=半夏微凉, createdTime=Fri Dec 02 05:41:39 CST 2016, time=2016-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159549, encodeId=b94615954934, content=简单明了,一看就懂, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2dcf1613323, createdName=xiehhtt, createdTime=Fri Dec 02 05:28:08 CST 2016, time=2016-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159432, encodeId=1ab815943201, content=很有意思的文章,涨知识,也打开我的误区!非常精彩!, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=76491981781, createdName=1e184d7bm65(暂无匿称), createdTime=Thu Dec 01 14:08:05 CST 2016, time=2016-12-01, status=1, ipAttribution=)]
    2016-12-01 1e184d7bm65(暂无匿称)

    很有意思的文章,涨知识,也打开我的误区!非常精彩!

    0

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2017版NCCN临床实践指南更新的要点解析-直肠癌

2016年11月23日,NCCN在线发布了2017版结肠癌和直肠癌临床实践指南,和2016年V2版对比,出现了很多目前临床热点问题的推荐更新,在结肠癌临床实践指南里加入了有争议的左右半肠癌分子靶向药物推荐方案。最重要的是直肠癌临床实践指南,对临床上具有争议的恶性息肉处理、T3直肠癌治疗方法、mCRC新辅助化疗方案、免疫治疗、转移灶毁损性治疗方法选择等给出了明确的更新推荐。以下是笔者对2017版