Xiaoli (pseudonym) couldn't have imagined that she had a physical examination every year, and there was no problem every time, but she was suddenly diagnosed with advanced breast cancer!
Xiaoli had two breast examinations at the physical examination center, and the results showed that there were breast nodules of about 1 centimeter, but the physical examination center told her that there was no risk of cancer, so Xiaoli did not take it seriously.
However, just half a year later, Xiaoli was diagnosed with breast cancer, and it was at an advanced stage, and she had missed the best ** time, resulting in Xiaoli having to cut all her breasts!
Why do I have a physical examination every year, but I can't even find out such a serious disease?
1. The "sudden" detection of cancer is likely to be a sign that you cannot understand cancer
Cancer is certainly not "sudden", but has been there for a long time, but it was suddenly detected one day, and there are three reasons why cancer was "suddenly" detected
1. Physical examinations are frequent, but only routine
Many people say that the results of the physical examination have been normal, but it is just some routine physical examination, for exampleBlood pressure measurement, urine and urine test, blood check, ultrasound, film, electrocardiogramWait, check if there are any chronic diseases such as high blood pressure, high blood sugar, and high blood lipids.
Therefore, many people may be confused, thinking that the general health examination results are normal means that they do not have tumors, and of course, some people who check the full set of tumor markers and get normal physical examination results, they will also think that such examination results are normal, that is, they do not have cancer.
Actually,In clinical practice, many cancer patients have normal tumor markersMoreover, the electrocardiogram, chest X-ray, urine and urine tests, and blood draw results are all normal, but this does not mean that there is no cancer in his body.
2. Physical examination has limitations
There are limitations and loopholes in physical examinations, which can lead to some potential health problems not being adequately detected and diagnosed.
For example:Chest x-ray is not a substitute for chest CTFor the detection of early-stage lung cancer, the sensitivity, clarity and contrast of chest x-ray are relatively low, so it cannot be effective in detecting early-stage lung cancer;
Gastric tablets are also more restrictive than gastroscopyGastroscopy is the most reliable way to detect early gastric cancer, but it will make people more uncomfortable, and many people choose to avoid this type of examination, which will also reduce the accuracy.
3. These words on the physical examination report may be cancer, and many people can't understand them
Abnormal routine blood tests:
It mainly includes white blood cells, red blood cells, and platelets. There are two types of thisOne is the presence of a significant abnormality, which may be malignancy；The second is if the indicator rises or falls slightly, then there is no need to worry too much.
Ultrasonography abnormality:
Ultrasonography is common, such as ultrasonography and color ultrasound. But if these words appear in the ultrasound report, it may be a malignant tumor:hypoechoic or very hypoechoic, solid nodules, untidy (angulated, burred, etc.) or unclear margins, irregular morphology, aspect ratio greater than 1, microcalcifications (gravelly calcifications), abundant blood flow signal.
CT examination abnormality:
In particular, CT is rarely done for routine examinations and is mainly used for lung cancer screening. There are three main types of lung nodules found by lung CT:
Solid nodules (relatively safest), partially solid nodules (relatively most dangerous), ground-glass nodules (relatively second safer). IfPulmonary nodules are burrgy, have irregular margins, grow rapidly, and have a realistic component of ground-glass interiors, it is necessary to have a high degree of suspicion of malignancy.
Abnormal blood biochemistry:
It mainly includes liver and kidney function, blood glucose, blood lipids, cardiac enzymes, electrolytes, etc., such asLiver function aminotransferase and bilirubin abnormalities, alkaline phosphatase is significantly elevated, and serum calcium is significantly elevated.
Second, these tests make people shy, but don't hide from them
Hangzhou ** reported a 50-year-old lady who found blood in her stool 2 months ago, mistakenly thought it was hemorrhoids and went for outpatient hemorrhoids surgery, but the symptoms of blood in the stool and ** pain were not relieved after the operation, so she went to the hospital for treatmentDiagnosed with rectal cancer
The doctor said: For patients with blood in the stool like Ms. Tang, proceed**Digital examinationIt is a very necessary and effective test method.
Tumors within 8 cm of the anus can be detected by digital examination.
However,"In outpatient clinics and physical examinations, more than 80 percent of people will refuse. ”
Some people said that their unit organized a collective physical examination, but when colleagues saw the "** finger examination", almost all of them gave up this examination.
It is precisely because people are afraid to carry out this kind of "privacy check" because of psychological disorders that many cancers can escape "detection" and conquer the city in the body.
I advise you that if you don't want to be confused about cancer, the following 5 physical examination items, no matter how shy you are, don't "hide":
1. **Inspection
Digital rectal examination is a simple, quick, and less invasive testMore than 80% of rectal cancersIt can be examined, and in addition to this, it is also possible to identify prostate problems in men.
2. Stool examination
80% of colorectal cancer patients are positive for fecal occult blood, and through stool examination, gastrointestinal tumors including colorectal cancer, enteritis, dysentery, parasites, hemorrhoids, gastrointestinal bleeding and other diseases can be screened.
3. Breast examination
Through breast palpation, we can understand breast firmness, tenderness, mass presence and nature, etc., to help identify breast diseases, which is a powerful aid to breast ultrasound.
4. **Inspection
* The disease is very hidden, and the doctor will examine the internal and external *** through inspection, palpation, secretion sampling, etc. It is recommended that adult women have a routine examination once a year, and the best time for the examination is 3 to 7 days after the end of menstruation, which can help to detect **inflammation, cervical lesions and other ** diseases in time.
5. Electrocardiogram examination
ECG is non-invasive, economical, convenient, and can help identify heart diseases earlyAvoid a single cardiovascular accidentof occurrences.
3. These four types of high-risk groups should be specifically examined
If you are one of the following 4 groups, you are at high risk of cancer and need to have specific tests done so that you can be fully and accurately screened for potential health problems:
1. Long-term stomach discomfort, family history of gastric disease, middle-aged or aboveGastroscopy
The gastroscopy procedure may be uncomfortable, but it is accurate for early lesions of stomach cancer.
2. Long-term smokers, people over 40 years old, and people engaged in special occupations (radiation, asbestos, dust), etcCT scan of the chest
Although chest CT is higher than chest x-ray**, it is more sensitive and accurate in detecting early-stage lung cancer.
3. Middle-aged or above, people with a family history of bowel cancer, and those with inflammatory bowel diseasesColonoscopy
Although colonoscopy is painful, it can also more accurately screen for early bowel cancer.
4. Patients with abnormal symptoms of thyroid gland and thyroid disease in the familyThyroid ultrasound
Color ultrasound** is non-invasive and provides detailed images of the thyroid gland.
Physical tests may not always detect cancer, but they can help detect underlying cancer or other health problems early. It is recommended that you choose the appropriate physical examination items according to your own situation and conduct regular screening.
References: 1] "Cancer is found to be normal in physical examination every year? Doctor: These "words" in the physical examination report may be cancer! 》.Health Times. 2024-02-03
2] "If you don't do these 4 tests in the physical examination, it is equivalent to doing it in vain, and you don't know if you have cancer".Observation from the clouds. 2024-02-06
3] "5 physical examination items don't "hide" and don't do it, many people regret it! 》.Health Times. 2023-11-27
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