Original title: The incidence of gallbladder cancer in China is on the rise, and early diagnosis is key.
Gallbladder cancer is the most common malignant tumor of the biliary system. According to experts, gallbladder cancer is not only insidious, but also develops rapidly and has a poor prognosis, and most of them are already in the advanced or advanced stage when they are discovered, so early diagnosis is crucial.
Hao Chunyi, Chief Physician of the Second Department of Hepatobiliary and Pancreatic Surgery, Peking University Cancer Hospital: Gallbladder cancer should be an organ in the biliary system where malignant tumors often occur.
Mr. Li, 60, who discovered gallbladder stones two years ago, underwent gallbladder-sparing surgery to remove gallstones because he did not fully listen to the doctor's advice, but recently he had problems with his gallbladder again.
Gao Jie, Chief Physician of the Department of Hepatobiliary Surgery, Peking University People's Hospital: After this time, the irritation and friction of the stones on the gallbladder seem to be more serious, and the changes in the upper quality of the gallbladder and the occurrence of gallbladder cancer are a very typical example. For patients like this, he has the corresponding indications for surgery, and it is still recommended to remove the gallbladder at one time, which is safer and safer.
Experts remind that about 85% of gallbladder cancer patients have gallstones. In addition, gallbladder polypoid lesions, chronic cholecystitis, obesity, and diabetes are all risk factors for gallbladder cancer. Patients with gallbladder cancer may have symptoms such as a painful lump in the right upper quadrant, abnormal gastrointestinal tract, jaundice and itching, fever and weight loss.
Gao Jie, Chief Physician of the Department of Hepatobiliary Surgery, Peking University People's Hospital: The malignancy of gallbladder cancer is very high, and with the update of advanced technology, the current 5-year survival rate has reached about 15%. When I first graduated [20 years ago], less than a third of [gallbladder cancer] patients were operational. [At present] we can go through some systems**, including chemotherapy, targeted drugs, immuno**, the late stage to the intermediate, the intermediate hopefully to the early, and then surgical resection, which we call transformation, can also reach almost 30%. If it can be treated accordingly at an early stage, its survival rate is greatly improved.
Experts once again emphasize that although the current clinical efficacy of gallbladder cancer is not good, it is not difficult to prevent it. Regular color ultrasound can detect gallbladder lesions as soon as possible; Once gallbladder stones and gallbladder polyps are found, go to the hospital for diagnosis and treatment in time; When gallbladder disease has progressed to a certain stage, it is necessary to remove it surgically according to the doctor's instructions.
*: CCTV.