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In addition to pancreatic cancer, liver cancer is recognized worldwide "cancer of the King"
.
According to the latest statistics of the World Health Organization, there are more than 700,000 liver cancer diagnosed patients worldwide each year, of which China accounts for 56%.
This means that in countries with statistical data in the world, all newly diagnosed liver cancer patients each year add up to no one in China.
There are many countries, and China's liver cancer prevention and control pressure is huge
.
"About 420,000 patients in China die of liver cancer each year
.
" Professor Liu Lianxin, Vice President of the Surgeon Branch of the Chinese Medical Doctor Association, Secretary of the Party Committee of the First Affiliated Hospital of the University of Science and Technology of China (hereinafter referred to as the "First Affiliated Hospital of the Chinese University of Science and Technology"), and hepatobiliary surgery expert We have made an "addition and subtraction" method, and the number of newly diagnosed liver cancer and death cases in China is almost the same
.
This means that the treatment of liver cancer in our country is far from reaching people's vision of "conquering cancer" or "coexisting with cancer"
.
How does the treatment level of liver cancer in my country compare with international ones? What are the latest clinical treatment developments? What else can we work on to build a cancer prevention and control system? In mid-October, Hefei, Anhui, during the interval of "Chronic Disease Health Management-Cancer Screening and Early Diagnosis Training Project", a reporter from the Physician Daily and Professor Liu Lianxin had a valuable face-to-face exchange
.
The interview video of Professor Liu Lianxin faces the problem: Being at the forefront of the world and uneven development coexist.
Like the treatment of many diseases, the treatment of liver cancer in a vast country like China is also facing the status quo of uneven development
.
"Like a pyramid," Liu Lianxin said, for example, at the top of the pyramid, China's hepatobiliary tumor treatment technology takes the lead in the world, and the treatment level of some top domestic medical institutions is not inferior to that of developed countries in the world
.
In the diagnosis of liver cancer, Chinese scholars have proposed the diagnostic role of alpha-fetoprotein.
In addition, they have proposed the unique diagnosis and treatment staging of liver cancer in China, and improved the surgical resection technology of liver cancer
.
In terms of surgery, Chinese doctors have a pair of dexterous hands, and they are also known to be hard-working and world-leading
.
The adjuvant therapy of liver cancer, such as interventional therapy, targeted therapy, immunotherapy and other emerging fields, is being explored by Chinese medical scientists unremittingly.
The "Chinese power" in the field of liver cancer treatment research has attracted international attention
.
"The level of comprehensive treatment for liver cancer in China is leading in the world," Liu Lianxin pointed out.
But looking down from the top of the pyramid, the uneven development of diagnosis and treatment and the low level of homogeneity are still indisputable facts, which are mainly reflected in three aspects.
.
First, the common people's awareness of liver cancer diagnosis and treatment is seriously lagging behind.
Many people still believe that liver cancer is incurable.
There are traditional concepts such as "cured is not as good as incurable", and "people go faster if the knife is cut"
.
The second is the lack of necessary preparation and experience for early diagnosis and treatment of liver cancer
.
Many liver cancer patients in China develop from chronic hepatitis.
“Especially those infected with hepatitis B and C viruses have not been screened for liver cancer,” said Liu Lianxin.
This has led to the loss of treatment opportunities when liver cancer is discovered, and the overall treatment effect is not good.
Ideal
.
Third, irregular treatment is still common
.
"Based on this, we have formulated China's liver cancer treatment standards," said Liu Lianxin.
Under the guidance of the National Cancer Center, and under the leadership of Academician Fan Jia of the Chinese Academy of Sciences, the liver cancer quality control expert committee was established to vigorously promote the standardized diagnosis and treatment of liver cancer and continue to strengthen network quality control.
Surveillance allows more Chinese liver cancer patients to benefit from standardized diagnosis and treatment
.
Renewal concept: Nutritional support is the cornerstone of cancer treatment.
"Learning to live with cancer.
" The academic world's cognition of cancer has gradually shifted to chronic diseases, but humans have not stopped for a moment to overcome liver cancer
.
At present, the application of a series of new concepts and new technologies in the diagnosis and treatment of liver cancer has significantly improved the prognosis of patients, and has also brought broader prospects for the treatment of liver cancer
.
In addition to translational therapy, comprehensive therapy, targeted therapy, immunotherapy, and treatment methods other than tumors, they all provide new ideas and possibilities for the treatment of liver cancer
.
Liu Lianxin said that clinicians should pay particular attention to nutritional support treatment when constantly updating the knowledge map
.
"Previously called nutritional support, now we collectively call it nutritional therapy
.
" Liu Lianxin said that the change in terms truly reflects that medical staff's understanding of the role of nutrition in cancer treatment is deepening through clinical practice
.
The theoretical basis of nutritional therapy is that the patient's physical condition determines whether he or she can accept tumor treatment.
The simple understanding is that only with good physical condition and organ function can various treatments be fully effective
.
Liu Lianxin said that this is especially important for liver cancer patients
.
During clinical consultation, many liver cancer patients are already in a state of cachexia.
“Without a good body, patients cannot support comprehensive treatment at all, and even a single treatment such as surgery, radiotherapy and chemotherapy cannot be completed.
It is a pity
.
” Before nutrition therapy It has always been an area that clinicians have neglected.
Among the people, misunderstandings about nutritional support have always existed
.
There is a belief that the better the food, the faster the tumor will grow
.
In this regard, Liu Lianxin pointed out that tumors will indeed grab nutrients indefinitely in order to achieve rapid growth, and even survive anaerobic metabolism
.
However, as a clinician, you should be more aware that for cancer patients, poor physical function cannot bear the complications and side effects of treatment
.
Nutritional therapy is the basis of tumor treatment.
Only by maintaining the function of the body and other organs can tumor treatment be effective
.
Current studies have confirmed that continuous enteral nutrition/oral nutrition supplementation in the nutritional support treatment of cancer patients can significantly improve the nutritional status of patients, reduce complications, reduce hospitalization time and costs, improve clinical treatment effects and improve overall prognosis
.
"We now have nutrients for tumor treatment and some treatment methods for tumors.
Only when the body's function score reaches a certain index, the latest treatment methods can be used
.
" Liu Lianxin said, the First Affiliated Hospital of China University of Science and Technology is currently established.
Many oncology MDT teams of digestive tract tumors, gynecological tumors, etc.
have nutritionists involved in the whole process to provide tumor patients with nutrition treatment.
I hope that more tumors and surgeons will pay attention to nutrition The concept of treatment is popularized to the public, which will win more opportunities for the treatment of cancer patients
.
Primary concern: growth of cancer "warning doctors" team "Cancer is not only a problem in clinical medicine, it is one of the major public health problem"
.
Liu Lianxin told reporters that in accordance with the Healthy China strategy, the country is taking a series of effective measures to improve the cancer prevention and treatment system, strengthen the training of grassroots cancer screening and early diagnosis talents, and improve the level of cancer prevention and health management
.
Beginning in 2020, the "Chronic Disease Health Management-Cancer Screening and Early Diagnosis Training Program" subsidized by the central government will be piloted in 10 provinces across the country.
In 2021, the program will be expanded in 20 provinces across the country
.
Anhui Province is one of the first 10 provinces and cities to be piloted.
The First Affiliated Hospital of China University of Science and Technology is the only technical unit and training base in Anhui Province
.
"It is the second year that we have organized this project.
Based on the experience of last year, the hospital has selected more than 30 subjects from 17 disciplines including General Surgery, Thoracic Surgery, Hematology, Tumor Radiotherapy, Gastroenterology, and Health Management Center.
Three experts, experts from the National Cancer Center of the United Nations and experts from Anhui Province formed a team of teachers to jointly design courses
.
"
Although the management tasks of medical education and research are arduous, Liu Lianxin, like last year, took half a day to teach the students and communicate with their counterparts at the grassroots level.
This year's lecture is "The Discovery and Treatment of the King of Cancer"
.
"A single spark can start a prairie fire
.
The colleagues who come to participate in the training are the grass-roots cancer'early warning doctors'
.
In a sense, they are the first line of defense for cancer prevention and treatment, and they are also the future and hope of cancer prevention and treatment
.
" Liu Lianxin said that the hospital is planning to build an Anhui training network, improve the long-term training mechanism, build an academic exchange platform, and train more professionals for the cause of cancer screening and prevention in Anhui through the five-year project
.
"I hope that colleagues will cherish the opportunity to learn and apply what they have learned to practical work
.
Only when the prevention and treatment threshold is moved forward can we achieve early detection, early diagnosis and early treatment
.
" Everyone stands on the shoulders of pioneers
.
As a hepatobiliary surgeon, Liu Lianxin believes that it is under the pioneering of the older generation of hepatobiliary surgeons such as Academician Wu Mengchao, Academician Tang Zhaoyou, Academician Huang Zhiqiang that the innovative development of latecomers has made the diagnosis and treatment of liver cancer in China reach the international leading level
.
Similarly, as a hospital administrator, Liu Lianxin has his own understanding of the new mission
.
"As a doctor trained by the country, we should not only treat every patient wholeheartedly and fulfill the responsibility of saving the dead and heal the wounded, but also care about the country and the health of the people, in order to promote common progress in the field of cancer prevention and treatment, including liver cancer, and serve the people.
The masses build a copper wall and iron wall to stop cancer and contribute their own strength
.
"Typesetting: Cai Zengrui Editor: Cai Zengrui Review: Power to Advance the Industry | The 7th Medical Scientist Summit (2022) is here! For more information, please click: Waiting for your recommendation|The 2021 Chinese Medical Book Selection has entered the final stage of solicitation! More than 630,000 people are online! Integrating multidisciplinary wisdom, the opening ceremony of the 2021 academic annual meeting of Chinese Traditional Chinese Medicine Psychosomatic Medicine·Academicians and Chinese Medicine Forum is here, "Physician Daily" submission public email: yishibao2017@163.
com [Note] Some pictures are from the Internet and WeChat Moments, if available Infringement, please contact to delete, thank you! Tel: 010-58302828-6808 Currently 1130000+ doctors have been following to join us
.
According to the latest statistics of the World Health Organization, there are more than 700,000 liver cancer diagnosed patients worldwide each year, of which China accounts for 56%.
This means that in countries with statistical data in the world, all newly diagnosed liver cancer patients each year add up to no one in China.
There are many countries, and China's liver cancer prevention and control pressure is huge
.
"About 420,000 patients in China die of liver cancer each year
.
" Professor Liu Lianxin, Vice President of the Surgeon Branch of the Chinese Medical Doctor Association, Secretary of the Party Committee of the First Affiliated Hospital of the University of Science and Technology of China (hereinafter referred to as the "First Affiliated Hospital of the Chinese University of Science and Technology"), and hepatobiliary surgery expert We have made an "addition and subtraction" method, and the number of newly diagnosed liver cancer and death cases in China is almost the same
.
This means that the treatment of liver cancer in our country is far from reaching people's vision of "conquering cancer" or "coexisting with cancer"
.
How does the treatment level of liver cancer in my country compare with international ones? What are the latest clinical treatment developments? What else can we work on to build a cancer prevention and control system? In mid-October, Hefei, Anhui, during the interval of "Chronic Disease Health Management-Cancer Screening and Early Diagnosis Training Project", a reporter from the Physician Daily and Professor Liu Lianxin had a valuable face-to-face exchange
.
The interview video of Professor Liu Lianxin faces the problem: Being at the forefront of the world and uneven development coexist.
Like the treatment of many diseases, the treatment of liver cancer in a vast country like China is also facing the status quo of uneven development
.
"Like a pyramid," Liu Lianxin said, for example, at the top of the pyramid, China's hepatobiliary tumor treatment technology takes the lead in the world, and the treatment level of some top domestic medical institutions is not inferior to that of developed countries in the world
.
In the diagnosis of liver cancer, Chinese scholars have proposed the diagnostic role of alpha-fetoprotein.
In addition, they have proposed the unique diagnosis and treatment staging of liver cancer in China, and improved the surgical resection technology of liver cancer
.
In terms of surgery, Chinese doctors have a pair of dexterous hands, and they are also known to be hard-working and world-leading
.
The adjuvant therapy of liver cancer, such as interventional therapy, targeted therapy, immunotherapy and other emerging fields, is being explored by Chinese medical scientists unremittingly.
The "Chinese power" in the field of liver cancer treatment research has attracted international attention
.
"The level of comprehensive treatment for liver cancer in China is leading in the world," Liu Lianxin pointed out.
But looking down from the top of the pyramid, the uneven development of diagnosis and treatment and the low level of homogeneity are still indisputable facts, which are mainly reflected in three aspects.
.
First, the common people's awareness of liver cancer diagnosis and treatment is seriously lagging behind.
Many people still believe that liver cancer is incurable.
There are traditional concepts such as "cured is not as good as incurable", and "people go faster if the knife is cut"
.
The second is the lack of necessary preparation and experience for early diagnosis and treatment of liver cancer
.
Many liver cancer patients in China develop from chronic hepatitis.
“Especially those infected with hepatitis B and C viruses have not been screened for liver cancer,” said Liu Lianxin.
This has led to the loss of treatment opportunities when liver cancer is discovered, and the overall treatment effect is not good.
Ideal
.
Third, irregular treatment is still common
.
"Based on this, we have formulated China's liver cancer treatment standards," said Liu Lianxin.
Under the guidance of the National Cancer Center, and under the leadership of Academician Fan Jia of the Chinese Academy of Sciences, the liver cancer quality control expert committee was established to vigorously promote the standardized diagnosis and treatment of liver cancer and continue to strengthen network quality control.
Surveillance allows more Chinese liver cancer patients to benefit from standardized diagnosis and treatment
.
Renewal concept: Nutritional support is the cornerstone of cancer treatment.
"Learning to live with cancer.
" The academic world's cognition of cancer has gradually shifted to chronic diseases, but humans have not stopped for a moment to overcome liver cancer
.
At present, the application of a series of new concepts and new technologies in the diagnosis and treatment of liver cancer has significantly improved the prognosis of patients, and has also brought broader prospects for the treatment of liver cancer
.
In addition to translational therapy, comprehensive therapy, targeted therapy, immunotherapy, and treatment methods other than tumors, they all provide new ideas and possibilities for the treatment of liver cancer
.
Liu Lianxin said that clinicians should pay particular attention to nutritional support treatment when constantly updating the knowledge map
.
"Previously called nutritional support, now we collectively call it nutritional therapy
.
" Liu Lianxin said that the change in terms truly reflects that medical staff's understanding of the role of nutrition in cancer treatment is deepening through clinical practice
.
The theoretical basis of nutritional therapy is that the patient's physical condition determines whether he or she can accept tumor treatment.
The simple understanding is that only with good physical condition and organ function can various treatments be fully effective
.
Liu Lianxin said that this is especially important for liver cancer patients
.
During clinical consultation, many liver cancer patients are already in a state of cachexia.
“Without a good body, patients cannot support comprehensive treatment at all, and even a single treatment such as surgery, radiotherapy and chemotherapy cannot be completed.
It is a pity
.
” Before nutrition therapy It has always been an area that clinicians have neglected.
Among the people, misunderstandings about nutritional support have always existed
.
There is a belief that the better the food, the faster the tumor will grow
.
In this regard, Liu Lianxin pointed out that tumors will indeed grab nutrients indefinitely in order to achieve rapid growth, and even survive anaerobic metabolism
.
However, as a clinician, you should be more aware that for cancer patients, poor physical function cannot bear the complications and side effects of treatment
.
Nutritional therapy is the basis of tumor treatment.
Only by maintaining the function of the body and other organs can tumor treatment be effective
.
Current studies have confirmed that continuous enteral nutrition/oral nutrition supplementation in the nutritional support treatment of cancer patients can significantly improve the nutritional status of patients, reduce complications, reduce hospitalization time and costs, improve clinical treatment effects and improve overall prognosis
.
"We now have nutrients for tumor treatment and some treatment methods for tumors.
Only when the body's function score reaches a certain index, the latest treatment methods can be used
.
" Liu Lianxin said, the First Affiliated Hospital of China University of Science and Technology is currently established.
Many oncology MDT teams of digestive tract tumors, gynecological tumors, etc.
have nutritionists involved in the whole process to provide tumor patients with nutrition treatment.
I hope that more tumors and surgeons will pay attention to nutrition The concept of treatment is popularized to the public, which will win more opportunities for the treatment of cancer patients
.
Primary concern: growth of cancer "warning doctors" team "Cancer is not only a problem in clinical medicine, it is one of the major public health problem"
.
Liu Lianxin told reporters that in accordance with the Healthy China strategy, the country is taking a series of effective measures to improve the cancer prevention and treatment system, strengthen the training of grassroots cancer screening and early diagnosis talents, and improve the level of cancer prevention and health management
.
Beginning in 2020, the "Chronic Disease Health Management-Cancer Screening and Early Diagnosis Training Program" subsidized by the central government will be piloted in 10 provinces across the country.
In 2021, the program will be expanded in 20 provinces across the country
.
Anhui Province is one of the first 10 provinces and cities to be piloted.
The First Affiliated Hospital of China University of Science and Technology is the only technical unit and training base in Anhui Province
.
"It is the second year that we have organized this project.
Based on the experience of last year, the hospital has selected more than 30 subjects from 17 disciplines including General Surgery, Thoracic Surgery, Hematology, Tumor Radiotherapy, Gastroenterology, and Health Management Center.
Three experts, experts from the National Cancer Center of the United Nations and experts from Anhui Province formed a team of teachers to jointly design courses
.
"
Although the management tasks of medical education and research are arduous, Liu Lianxin, like last year, took half a day to teach the students and communicate with their counterparts at the grassroots level.
This year's lecture is "The Discovery and Treatment of the King of Cancer"
.
"A single spark can start a prairie fire
.
The colleagues who come to participate in the training are the grass-roots cancer'early warning doctors'
.
In a sense, they are the first line of defense for cancer prevention and treatment, and they are also the future and hope of cancer prevention and treatment
.
" Liu Lianxin said that the hospital is planning to build an Anhui training network, improve the long-term training mechanism, build an academic exchange platform, and train more professionals for the cause of cancer screening and prevention in Anhui through the five-year project
.
"I hope that colleagues will cherish the opportunity to learn and apply what they have learned to practical work
.
Only when the prevention and treatment threshold is moved forward can we achieve early detection, early diagnosis and early treatment
.
" Everyone stands on the shoulders of pioneers
.
As a hepatobiliary surgeon, Liu Lianxin believes that it is under the pioneering of the older generation of hepatobiliary surgeons such as Academician Wu Mengchao, Academician Tang Zhaoyou, Academician Huang Zhiqiang that the innovative development of latecomers has made the diagnosis and treatment of liver cancer in China reach the international leading level
.
Similarly, as a hospital administrator, Liu Lianxin has his own understanding of the new mission
.
"As a doctor trained by the country, we should not only treat every patient wholeheartedly and fulfill the responsibility of saving the dead and heal the wounded, but also care about the country and the health of the people, in order to promote common progress in the field of cancer prevention and treatment, including liver cancer, and serve the people.
The masses build a copper wall and iron wall to stop cancer and contribute their own strength
.
"Typesetting: Cai Zengrui Editor: Cai Zengrui Review: Power to Advance the Industry | The 7th Medical Scientist Summit (2022) is here! For more information, please click: Waiting for your recommendation|The 2021 Chinese Medical Book Selection has entered the final stage of solicitation! More than 630,000 people are online! Integrating multidisciplinary wisdom, the opening ceremony of the 2021 academic annual meeting of Chinese Traditional Chinese Medicine Psychosomatic Medicine·Academicians and Chinese Medicine Forum is here, "Physician Daily" submission public email: yishibao2017@163.
com [Note] Some pictures are from the Internet and WeChat Moments, if available Infringement, please contact to delete, thank you! Tel: 010-58302828-6808 Currently 1130000+ doctors have been following to join us
