2013年初刚刚发布的《2012中国肿瘤登记年报》显示，我国肿瘤发病率约为312万例，发病率无论男女，城市均高于农村。从年龄段上看，40岁以上年龄组发病率快速升高，80岁年龄组达到最高，城市和农村变化趋势基本相同。每分钟有6人被诊断为癌症，有5人死于癌症，人们一生中患癌概率为22%。其中，肺癌、胃癌、肝癌成为发病率和死亡率最高的癌症，而乳腺癌、结直肠癌、宫颈癌也属于高发癌症。对于这个严重威胁国人健康的杀手，除了早期预防、筛查诊断外，如何有效治疗才是决定这场“反恐战争”胜负的关键。对此，肿瘤学界权威专家、空军总医院肿瘤医院院长夏廷毅说：“倡导科学的就诊顺序，才能避免患者的无辜与无助。”

At the beginning of 2013 released[2012 Chinese cancer registration annual report]display,Our country is about 3.12 million cases of cancer incidence of a disease,Incidence of both men and women,Cities are higher than the countryside.Look from age,Forty years old age group incidence increased rapidly,80 years old age group to achieve the highest,Urban and rural basic same change trend.Every minute, 6 people have been diagnosed with cancer,Five people died of cancer,People in life cancer probability is 22%.the,Lung cancer/Gastric cancer/Hepatocellular carcinoma (HCC) become the highest morbidity and mortality of cancer,And breast cancer/Colorectal cancer/Cervical cancer is also belongs to the high incidence of cancer.For the serious threat to people health killer,In addition to the early prevention/Screening diagnosis the,How to effectively treat is decided to this"War on terror"The decisive factors.this,Tumor academic experts/Air force general hospital tumour hospital dean XiaTingYi said:"Advocate scientific medical order,To avoid patients innocent and helpless."

　　早期诊断　十分重要 Early diagnosis is very important

　　在一些人眼里，癌症等于绝症。对此，中国抗癌协会理事长、中国工程院院士郝希山说：“有人认为得了肿瘤就等于死亡，这个概念是不对的。”预防癌症分为两种：一种是一级预防，即少发生或不发生肿瘤；另一种是二级预防，即早诊早治。改革开放以来，我国的肿瘤治愈率大有提高，早诊断、早治疗，是提高肿瘤治愈率、延长生存率的最有效办法。

In the eyes of some people,Cancer is terminal illness.this,China association of cancer/Chinese academy of engineering HaoXiShan said:"Some people think that got the tumor is tantamount to death,This concept is wrong."Prevent cancer is divided into two:One is primary prevention,That is less happen or not happen tumor;Another kind is secondary prevention,Namely early treated early.Since the reform and opening up,China's cancer cure rate greatly improved,Early diagnosis/Early treatment,Is to improve the tumor cure rate/The most effective way to prolong survival.

　　手术之外　两个开创 Besides the two started operation

　　夏廷毅教授介绍说，有一位不到40岁的肝癌晚期患者“拎着资料口袋到处找医院”。到了空军总院问诊后，医生不无遗憾地说：“你是该做的都做了，但该出的问题也都出了；本来一枚‘导弹’就可以全部解决的事，现在弄得敌人满处跑(癌细胞扩散转移)，你说你亏不亏？”医生所说的“导弹”，指的是现代放疗。目前已有越来越多的证据表明，放疗能达到和手术一样的效果，且创伤和副作用更小。比如，胰腺癌诊疗规范(2011年版)里说，手术切除是胰腺癌的唯一可治愈手段，但实际上手术切除的5年生存率仅10%左右，而采用放疗手段治疗局限性胰腺癌的5年生存率达到17%。

XiaTingYi professor said,There is a less than forty years late liver cancer patients"Carry material pocket looked everywhere for the hospital".The air force institute after interrogation,The doctor not regret to say:"You are the do,But the the problem are also out;Was a gold‘missile’Can solve all the things,Now get the enemy running all over the place(Cancer cells to spread transfer),You said you kui not the kui?"The doctor said"missile",Refers to the modern radiotherapy.There are more and more evidence,Radiotherapy and surgery can achieve the same effect,And trauma and less side effects.Such as,Pancreatic cancer diagnosis and treatment standard(The 2011 version)Said in,Surgical resection is the only means of pancreatic cancer can be cured,But the fact is that surgical resection of the 5-year survival rate is only about 10%,By means of radiation and the treatment of localized pancreatic cancer 5 years survival rate reached 17%.

　　当今肿瘤治疗现状有很大一部分还是夏廷毅所说的“三光一绝”：钱花光，头发掉光，白细胞杀光，癌细胞照长，生命步入“绝望”。往往，只有那些做不了手术、晚期转移、走投无路的病人，才会把放疗当作最后一根救命稻草“赌一把”。

The tumor treatment situation or a large part of XiaTingYi said"Were hidden behind a special skill":money,Hair drop light,Leucocyte kill,Cancer cells as long,Life into"despair".often,Only those who can't do surgery/Late transfer/Back to the wall of the patients,Will the radiation as the last root life-saving straw"Bet on a".

　　面对这样的现状，夏廷毅特别提出了“两个开创”的学界最前沿的主体思想：开创非手术放射外科治疗早期癌症的新时代，开创以先进理念和现代放疗技术为主导的晚期癌症综合治疗新模式。

In the face of such situation,XiaTingYi special puts forward"Two a"Academic circles to the forefront of the juche idea:Create a non-operative radiation surgical treatment for early cancer of the new era,To create advanced idea and modern radiotherapy technology as the leading advanced cancer comprehensive treatment of the new model.

　　精确制导　控制病灶 Precision control lesions

　　随着医学技术和先进设备的迅猛发展，放射治疗早已进入“精确制导”的时代，剂量聚焦性越来越好，定位越来越准确，这也会给治疗方式带来不小的变化。过去因为放射精度差而不敢给予过高剂量，致使对癌细胞的打击力度减弱；现在定位精准了，不但可以把放射线全部集中在肿瘤上进行大剂量攻击，减少放射次数，而且对周围正常组织的保护更好，损伤更小。

As medical technology and the rapid development of advanced equipment,Radiation therapy had into"precision"times,Dose focus of more and more good,More and more accurate positioning,This would also give treatment to bring a lot of change.In the past because radiation accuracy difference to give high dose,The crackdown on cancer cells weakened;Now the positioning accuracy,Not only can the radiation all focus on tumor on high-dose attack,Reduce radiation frequency,And for the protection of the surrounding normal tissues better,Damage smaller.

　　“老百姓都知道治疗头疼、发烧的药，却不知道放疗有最先进的γ刀、TOMO刀。”比如早期肺癌的TOMO放射治疗，被夏廷毅概括为“短平快”：集中提高每次给予的放射剂量，缩短整个治疗时间，以前10—15次的疗程现在3—5次即可全部完成；同时，即使间隔头发丝的距离，TOMO也不会“越界照射”，对患者的器官功能影响小，治疗后的康复周期短。

"People all know that treat headaches/Fever medicine,But don't know radiation has the most advanced of gamma knife/TOMO knife."Such as early lung cancer TOMO radiation therapy,Be XiaTingYi summarized as"Short term rapid":Concentrated improve every time given dose,Shorten the treatment time,10-15 times before the treatment is now 3-5 times can complete;At the same time,Even if the interval distance of hair,TOMO also won't"The irradiation",For patients with little effect on organ function,After treatment, the recovery period is short.

　　癌症的发生、发展过程是相对不变的，但治疗手段却是可以选择的，不能手术并不代表就要放弃治疗，很多早期肿瘤采用现代放疗甚至可以根治。夏廷毅强调，抗击癌症的重任是病灶的控制，而绝非仅仅停留在预防或姑息上。对于晚期病人，也可以选择性放疗联合全身治疗。

The occurrence of cancer/The development process is relatively constant,But treatments is can choose,Can't surgery doesn't mean to give up treatment,Many early tumor adopts modern radiotherapy and even can effect a radical cure.XiaTingYi emphasize,The fight against cancer is the responsibility of the control of lesions,Not just stay in the prevention or palliative.For terminally ill patients,Can also be selective radiotherapy combined systemic treatment.

　　为解决患者“罗圈”跑科室，空军总医院肿瘤医院特别开通“绿色通道”，以多学科联合诊疗新模式为患者提供从检查、诊断，到治疗、预后随访多学科、一体化的综合医疗服务。

To solve the patients"sieve"Run department,Air force general hospital tumour hospital special open"Green channel",With multidisciplinary joint diagnosis and treatment for patients with new pattern from inspection/diagnosis,To treatment/Follow-up prognosis of multiple disciplines/The integration of comprehensive medical service.

　　防治癌症误区 Cancer prevention and control error

　　现在社会上对癌症这种疾病有不正确认识的人占了一定比例。有人甚至认为，“癌症性格”一定患癌症、低焦油含量的烟草危害低等。中国抗癌协会表示，这些都是对癌症发生因素的误解。

Now in the society to cancer the disease has not the correct understanding of the certain proportion.Some people even think,"Cancer disposition"Certain cancer/Low tar content of tobacco hazard lower.Chinese anti-cancer association says,These are all factors for cancer misunderstandings.

　　中国抗癌协会副秘书长刘端祺说，社会上一直有“癌症性格”的说法。其实，单纯从性格上来认定某个人一定得癌症，这种评判是不科学的。没有哪种固定的性格是注定要患癌症的。不过，日常生活中确应注意及时疏解压力和不良情绪，保持心理健康。适当进行体育锻炼也有利于疏解压力，还可以增加免疫力，有助于远离癌症。

Chinese anti-cancer association deputy secretary-general LiuDuan kei said,The society has been"Cancer disposition"that.In fact,Only from the character up that one person have to cancer,This kind of evaluation is not scientific.No other fixed character is doomed to cancer.but,In daily life that should pay attention to timely relief pressure and bad mood,Maintain mental health.Proper physical exercise also is helpful for relieving stress,Still can increase immunity,Help from cancer.

　　医学专家提出，吸烟人群更容易患肺癌等疾病。有人认为，吸低焦油含量的烟草可减低危害。对此，中国抗癌协会科普宣传部部长、首都医科大学肺癌诊疗中心主任支修益说，低焦油烟也不能减低致癌率。烟草中含有69种致癌物质，焦油只是其中一种，对呼吸系统、心脏等都有危害。（喻京英）

Medical experts,Smokers are more likely to suffer from lung cancer and other diseases.Some people think that,Smoke low-tar tobacco can reduce harm.this,Chinese anti-cancer association popular science propaganda department minister/The capital university of medical sciences, diagnosis and treatment of lung cancer, director of the center for repairing the team said,Low tar cigarette can reduce the rate of cancer.Tobacco contains 69 kinds of carcinogenic substance,Tar is just one,On the respiratory system/The heart has harm.(Yu jing British)