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中国胃癌发病率占全球四成 专家提醒注意饮食--亲稳舆论引导监测室
2012-10-17
据调查,我国35岁以下年轻人的胃癌发病率高达6%-11%,比国外高出了三倍还多,且年轻人患上胃癌后,恶性程度较高,生存期更短。因此,专家奉劝年轻人,要改变不良的生活习惯,同时如果发现胃炎、胃息肉、胃溃疡等都应该积极治疗,这些某种程度上就是胃癌的癌前病变。
According to the survey,Our country below 35 years old young man's stomach cancer incidence rate reaches as high as 6% - 11%,Higher than abroad for three times,And young people suffering from stomach cancer after,High degree malignant,Survival period shorter.therefore,Experts advise young man,To change the bad habits of life,At the same time if found gastritis/Gastric polyp/Gastric ulcer, and so should actively treating,These some extent of cancer of the stomach is a premalignant lesion.
增多! increase!
我国胃癌发病率占全球四成 Gastric cancer incidence in forty percent of the world's total
胃癌在全世界范围是高发恶性肿瘤,在我国更是如此。十年以前胃癌发病在我国排在第一位的,这十年来由于大中城市环境污染严重,加上吸烟、汽车尾气等原因,在大中城市肺癌已经超过胃癌排在第一位,但是在农村胃癌发病率依然很高。
The stomach is in the world the range is high malignant tumor,Especially in our country.Ten years ago, cancer of the stomach in our country existed in the first place,The ten years due to large and medium-sized cities serious environmental pollution,Plus smoking/Car exhaust and other reasons,In large and medium-sized cities have lung cancer more than stomach existed in the first place,But in the countryside gastric cancer incidence of a disease remained high.
不过,令医生们吃惊的是,胃癌发病全世界主要集中在三个国家———中国、韩国和日本,这三个国家的胃癌加起来占全球三分之二,而我国无论是发病的绝对数和相对数都是比较多。中国临床肿瘤学会主席、解放军八一医院副院长秦叔逵说,据统计,我国胃癌的发病率占到全世界的42%左右,每年发病40万例;死亡人数超过三分之二,所以,每年因为胃癌而死亡的人数每年在30万左右。
but,Make doctors surprise,Cancer of the stomach the world mainly concentrated in the three countries -- China/South Korea and Japan,The three countries of stomach cancer together account for two-thirds of the world,And our country whether the pathogenesis of absolute quantity and relative quantity is more.Chinese clinical cancer society President/The people's liberation army August first vice President of the hospital QinShuKui said,According to the statistics,The incidence of gastric cancer in China accounts for about 42% of all over the world,Come on every year 400000 cases;Death toll is more than two-thirds,so,Each year the number who died of stomach cancer because every year in around 300000.
对于高发病率的原因,专家们做过很多研究,到目前为止还未能找到确切的原因,秦叔逵指出,胃癌的发病原因比较复杂,目前为止只能说有一些原因是重要的因素,比如幽门螺旋杆菌感染、不良饮食习惯等,这和我们的饮食习惯存在很大关系,比如我们喜欢吃酸菜、吃霉变的食物,这些食物里的亚硝胺含量比较高,很有可能就是导致胃癌的原因之一。
For the reason of high incidence of a disease,Experts have done a lot of research,So far failed to find the exact cause,QinShuKui pointed out that,Gastric cancer hair cause of disease is more complex,Now can only say that there are some reason is an important factor,Such as helicobacter pylori infection/Unhealthy eating habits, etc,This and our eating habits existence very big concern,For example we like to eat sour pickled cabbage/Eat the food of the mildew,The food in the nitrosamines content is higher,Is likely to cause stomach cancer is one of the reasons.
年轻! young!
只顾打拼不注意饮食 Want to fight do not pay attention to diet
在我国胃癌患者多,更令人担忧的是,年轻人胃癌患者逐渐增多。国外文献报道,青年人胃癌占胃癌总数的2.01%,据国内多家医院报道,35岁以下年轻人的胃癌发病率已经高达6%-11%,这依然是国外的三倍多。
In our stomach cancer patient,More worrying is,The young man gastric cancer patients increased gradually.Foreign literature reports,Young people gastric cancer accounts for 2.01% of the total number of gastric cancer,According to many domestic hospitals reported,Below 35 years old young man's stomach cancer incidence of a disease has been as high as 6% - 11%,This is still foreign more than three times.
“在去年,我碰到一个病人,是一个刚刚毕业的大学生,8月份毕业,9月份就查出胃癌,在今年年初死了。算起来从发病到死亡也就4个月时间。就这个大学生的原因来说,可以说与不良生活方式密切相关,他既抽烟又喝酒,而且还特别喜欢吃咸鱼、咸菜,最后出现生命危险时,医生想尽办法抢救也回天无力了。”秦叔逵谈到这个病例的时候,惋惜之情全表现在脸上了。
"In the last year,I met a patient,Is a newly graduated college students,Graduated from August,September will find out gastric cancer,In the beginning of the year is dead.Count up from onset to death is 4 months time.The college students' cause it,Can say with the bad life style closely related,He was smoking and drinking,But also especially like to eat salted fish/Pickled vegetables,Finally appear life danger,Doctors try their best to rescue is also unable the weak."QinShuKui talked about this case time,The feeling of regret all performance in the face.
为什么患上胃癌的青年人群越来越多?秦叔逵说,绝大多数肿瘤,特别是胃癌主要还是环境因素造成的,环境因素造成占到80%-85%,遗传和其他因素只占到10%-15%。
Why suffer from stomach cancer more and more young people?QinShuKui said,The vast majority of tumor,Especially the stomach is main or environmental factors,Environmental factors accounted for 80% 85%,Genetic and other factors of only 10% - 15%.
年轻人常见的可能会引起胃癌的因素有 :(1)不良饮食习惯;(2)经常在外就餐,(3)饭菜质量令人担忧,(4)生活不规律。
The young man common may cause stomach factors have :(1)Unhealthy eating habits;(2)Often dining out,(3)Food quality is worrying,(4)Life is not law.
秦叔逵称,年轻人正处于奋斗创业时期,离家在外闯荡,没有组建家庭或离家远或工作需要不能按时在家就餐,每餐只能随便对付,还有的年轻人喜欢抽烟喝酒泡吧,夜生活丰富,经常喝酒喝到吐血,还有的青年人不喜欢吃新鲜蔬菜,殊不知新鲜蔬菜中的维生素C能阻断亚硝胺在体内的形成。此外,像慢性胃炎、胃溃疡、胃的异常增生,活跃的息肉这些病变可能是癌前病变,然而年轻人往往对这些疾病不在乎、不重视,未及时进行治疗。
QinShuKui says,Young people are in struggle venture period,Make out from home,A family or not far from your home or work needs cannot be at home on time repast,Only deal with each meal casually,The young people like smoking and drinking and bars,Nightlife rich,Often drink to drink haematemesis,And young people don't like to eat fresh vegetables,Little imagine fresh vegetables of vitamin C, can prevent the formation of nitrosamines in the body.In addition,Like chronic gastritis/Gastric ulcer/Gastric abnormal proliferation,Active polyp these lesions may be a premalignant lesion,But young people often don't care for these diseases/Don't pay attention to,Not timely treatment.
难治! refractory!
年轻人胃癌恶性度高 The young man stomach malignant degree is high
临床上,发现的青年人胃癌多属晚期病例,预后也较差。秦叔逵称,胃癌的平均生存率晚期是6-9个月,年轻人的胃癌情况可能会更糟糕,大概活不过6个月。
The clinical,Found that young people are late gastric cancer cases,Prognosis is poorer also.QinShuKui says,The average survival rate of cancer of the stomach terminal is 6-9 months,Young man's stomach will only get worse,Probably live but six months.
首先,大部分青年人的胃癌消化道症状隐匿、不典型。他们感觉嗳气,胃部不舒服等消化不良现象,往往因为“做胃镜太痛苦”,随便吃些胃药或对症治疗。同时,一些医生对青年人胃癌警惕性也不高,片面认为年轻人很少患胃癌,没经过检查就随便下给一个“胃炎”的结论。
First of all,Most of the young people's stomach digestive tract symptoms hidden/Don't typical.They feel belching,Stomach uncomfortable and indigestion phenomenon,Often because"Do gastroscope is too painful",Help yourselves to some stomach medicine or symptomatic treatment.At the same time,Some doctors to youth stomach vigilance is not high also,One-sided think young people seldom suffer from stomach cancer,Not after check just next to a"gastritis"conclusion.
更为深层次的原因在于,年轻人新陈代谢旺盛、肿瘤增殖快、易于早期转移,所以恶性程度很高。据统计,在确诊的青年人胃癌中,分化最差的黏液腺癌占了50%-60%,是老年胃癌的3-6倍,这直接影响到青年人胃癌的治疗效果。
More deep reason lies in,The young man exuberant metabolism/Tumor proliferation fast/Easy to early transfer,So malignant degree is very high.According to the statistics,In the diagnosis of gastric cancer in young people,Differentiation the worst mucus gland carcinoma accounts for 50% - 60%,Is elderly gastric cancer 3 ~ 6 times,It directly affects young people the therapeutic effect of gastric cancer.
总之,青年人胃癌患者由于就诊时间晚、肿瘤恶性程度高,手术切除率仅为22%-24.6%,与中老年人相比,预后明显要差。因此,专家强调,早发现、早诊断、早治疗是降低青年人胃癌死亡率的最关键手段。
In a word,Young people gastric cancer patients due to see a doctor later time/A high degree of malignant tumor,Surgical excision rate is only 22% - 24.6%,Compared with the elderly,Prognosis obvious will send.therefore,Experts stressed,Early detection/Early diagnosis/Early treatment is to reduce the mortality of young people gastric cancer is the most important means.
胃癌 Gastric cancer
临床研究 Clinical research
有新结果 A new results
胃癌的恶性度高,要改善中晚期胃癌患者的预后,就要完善治疗方案。近日,在上海举行的“赫领未来”新闻发布会上,专家向媒体公布了一项名为ToGA的三期国际临床研究结果显示,曲妥珠单抗联合化疗在HER2阳性晚期胃癌患者中的疗效明显优于单纯化疗,阳性的一个+以上经过治疗生存可以达到13.8个月,而对照组是11个月,延长了2.8个月;但是如果两个+或者三个+,在这样的类型上可以达到16个月。(记者 张华)
Stomach malignant degree is high,To improve the prognosis of patients with middle-late gastric cancer,Will improve treatment.recently,Held in Shanghai"Hector brought the future"News conference,Experts to the media announced a ToGA called three period international clinical research results show that,Song completed bead sheet resistance to combination chemotherapy in advanced gastric cancer patients in positive HER2 had better effects than the pure chemotherapy,Positive a + above survival after treatment can achieve 13.8 months,And control group was 11 months,Extended the 2.8 months;But if two or three + +,In this type can achieve 16 months.(Reporter zhang hua)
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