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Thyroid cancer, lung cancer, and breast cancer become the top three high-risk cancers in Hangzhou

Source: Network Date: 2013-08-19 17:07 Click: Font size: [ small medium large ]
Abstract: Professor Zhang Xianning and a third-class hospital in Hangzhou have performed preventive thyroidectomy on more than 50 patients with multiple endocrine adenoma type 2A. The smallest one is only 5 1/2 years old. Thyroid RET gene test requirements: in immediate family

Original title: Thyroid cancer, lung cancer, breast cancer become the top three high-risk cancers in Hangzhou

Top three: thyroid cancer, lung cancer, breast cancer

After more than half of 2013, how many cancer patients were screened out by the physical examination centers of Hangzhou's major hospitals? Recently, I learned from Shao Yifu Hospital of Zhejiang University Medical College, Zhejiang University Medical College Second Hospital, and Zhejiang Hospital that the three hospitals have received nearly 100,000 physical examinations this year (more than 33,000 Shao Yifu Hospital, Zhejiang Second Hospital). More than 45,000, Zhejiang Hospital 21,000), a total of 162 confirmed and suspected cancer cases were screened out, involving 11 types of tumors, of which thyroid cancer topped the list with 59 cases, followed by lung cancer with 56 cases and breast cancer ranked third. 10 cases.

High lung cancer detection rate

Related to the increase in people doing chest CT

According to the "2012 China Cancer Registry Annual Report" issued by the China Cancer Registry, lung cancer ranks first in terms of morbidity and mortality in the country. From the statistics of the three hospitals, the detection rate of lung cancer is also very high, especially It was 43 cases of confirmed and suspicious (not yet confirmed to a specialist) medical examinations at Run Run Shaw Hospital. Fang Lizheng, the director of the general medical department of Shao Yifu Hospital and the director of the Health Promotion Center, said that more and more people choose low-dose spiral CT for physical examination, which has increased the detection rate of lung cancer.

Director Fang Lizheng said that because of the low sensitivity of chest radiography (X-ray film), she would recommend low-dose spiral CT for people over 40 years of age when formulating a personalized medical examination package, especially High-risk groups such as smoking history and family history. In fact, developed countries such as Europe, the United States, and Japan, as early as 2006, CT has replaced chest X-rays as a routine means of screening for lung cancer. Low-dose chest spiral CT screening can reduce lung cancer mortality by 20%, and its radiation dose is very low, only 1/5 of X-rays.

Zhang Weijuan, director of Zhejiang Hospital Health Management Center, also said that CT is most sensitive to peripheral lung cancer. Enhanced CT is 90% sensitive to lesions greater than 3 mm and 95% sensitive to lesions greater than 1 cm. "In the past, especially the unit physical examination, chest radiographs were used to screen for lung diseases, but now with the publicity of the media, more and more people realize that low-dose spiral CT for lung cancer is more effective in screening lung cancer. Therefore, In the past two years, the lung cancer detection rate has gradually increased. "

The two directors reminded that when preparing the next year's physical examination package, it is better to arrange a chest CT examination for employees over 40 years old instead of taking chest X-rays.

Thyroid cancer these two years

Highest cancer detection rate in physical examination

In recent years, more and more people will have related diagnoses such as "thyroid nodules" and "thyroid enlargement" on their medical reports. Director Zhang Weijuan of Zhejiang Hospital said: "Thyroid disease is a common health problem during physical examinations. Taking the medical examination of our hospital staff as an example, more than half of the 644 people who participated in the physical examination had thyroid problems, ranking first on the list of the top ten health problems. It is a problem of hyperlipidemia, overweight, breast disease, etc. "

Zhejiang Hospital counted all the people in their hospital physical examination, and found that thyroid cancer ranked among the top ten in the cancer spectrum in 2010, just then ranked tenth, and in 2012 it entered the top five, and it topped the list in the first half of this year. There are 14 cases, which is 6 more cases than the second lung cancer.

According to statistics from the International Health Center of the Second Hospital of Zhejiang Medical University, the incidence of thyroid cancer is also a bit scary. In the first half of this year, 37 cases have been found, which is 2 more than the same period last year.

Shao Yifu Hospital Fang strived to say, "In recent years, the detection rate of thyroid cancer has indeed been very high. There is a reason for technological progress, and it is also related to people's increasing attention to their own health and B-ultrasound. Technically, screening The methods are becoming more and more sophisticated, and even small cancers below 1 cm can be detected, and most of these lumps are not touched by hand. Experienced hospitals, the results of thyroid B-ultrasound are consistent with postoperative pathological reports. Degrees, it can reach more than 95%. "

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