Early screening and treatment are very important, as the three brothers have been diagnosed with the same type of cancer one after another! Doctor's reminder: If there is a family history

Release time:Apr 16, 2024 21:05 PM

Recently, Director Gu Bin's team from the Urology Department of Pudong New Area People's Hospital successfully performed surgery on a 76 year old prostate cancer patient, Mr. Chen. He has now recovered and been discharged from the hospital. And Chen's younger brother and older brother were also diagnosed with prostate cancer during community early screening and medical treatment in the previous three years. Gu Bin reminds that prostate cancer patients have familial genetic characteristics. Men with a familial genetic history are recommended to undergo PSA screening once a year starting from the age of 45. Early prostate cancer can be cured.

Mr. Chen, who lives in Jiangzhen, Pudong, has been retired for many years. At the age of 76, he usually has no major health problems, so he never thought about going to the hospital for a physical examination. Recently, Mr. Chen went to Pudong New Area People's Hospital for treatment due to a urinary tract infection. During the examination, it was found that the PSA index was 24.9ng/L, which is more than six times higher than the normal upper limit.

Uncle Chen felt uneasy after receiving the inspection report. Is there a problem with my prostate too? He thought of his older brother and younger brother being diagnosed with prostate cancer in recent years and undergoing surgical treatment one after another, and suddenly had a bad feeling. Accompanied by his family, Mr. Chen went to the urology department of Pudong New Area People's Hospital to seek help from Gu Bin, a specialist in urology.

Gu Bin carefully reviewed Mr. Chen's examination report and inquired about his physical condition. During the conversation, Mr. Chen mentioned that his two biological brothers were also early-stage prostate cancer patients, and the surgery was performed by Gu Bin at that time. Gu Bin found through medical records that his 71 year old younger brother was diagnosed with early prostate cancer through a prostate cancer screening activity led by him at the Jiangzhen Community Health Service Center in August 2020. He was diagnosed with elevated PSA during the activity and subsequently underwent a puncture in the hospital; The 79 year old brother, on the other hand, was diagnosed with early prostate cancer after being diagnosed with elevated PSA during last year's physical examination and seeking outpatient treatment. The two brothers have both recovered very well after surgery, and Mr. Chen said that it is precisely because of this that they have come to admire this "fate".

Generally speaking, there are three possible increases in PSA indicators: prostate infection, prostate hyperplasia, and prostate tumor, which is a malignant tumor highly related to genetics. After hearing Mr. Chen's description, Gu Bin immediately became alert and quickly admitted him to the hospital. After ultrasound-guided puncture biopsy, the pathological report showed that Mr. Chen was diagnosed with prostate cancer. Fortunately, it belongs to tumors with good differentiation and low malignancy, and has the conditions for surgery. After a comprehensive preoperative examination, Gu Bin performed laparoscopic radical prostatectomy on him. At present, Mr. Chen has also recovered and been discharged from the hospital, returning home.

Early screening and treatment are very important, as the three brothers have been diagnosed with the same type of cancer one after another! Doctor's reminder: If there is a family history

Gu Bin stated that although cases of the three brothers suffering from the same type of cancer are not common, they are very typical. "Prostate cancer is a malignant tumor highly correlated with genetics. According to relevant data reports, familial prostate cancer accounts for 4% in China." He reminds male patients that if their first-degree relatives have a confirmed diagnosis of prostate cancer, it can be determined as familial prostate cancer. If one of the first degree relatives has prostate cancer, the risk of cancer will increase by two times; Two first-degree relatives have prostate cancer, and the risk of cancer increases fivefold. "Like Mr. Chen's family, all three of his siblings have been diagnosed with cancer. If there is a fourth brother, the risk of cancer will increase tenfold. At the same time, the risk of cancer for siblings is higher than that of fathers and sons. In addition, if a brother or father has cancer at an earlier age, the risk of familial disease will also be higher before the age of 65."

Since 2020, the urology team of Pudong New Area People's Hospital has been continuously conducting early screening for prostate cancer in the community. Among 1600 male residents aged 50 and above, 1.8 to 2 early prostate cancer patients can be screened for every 100 residents. Since 2023, with the continuous implementation of the monthly "Early Prostate Cancer Screening" campaign and the popularization of related medical knowledge, this disease has also received more attention from the population, and more middle-aged and elderly men are willing to undergo PSA testing for prostate indicators screening.

"PSA testing is currently the most important and valuable screening method for prostate cancer screening. Compared with rectal digital examination and transrectal prostate ultrasound, it has a higher predictive rate for positive diagnosis of prostate cancer." Gu Bin suggests that men with abnormal PSA index should seek medical consultation at the urology department as soon as possible to avoid delaying the condition; Middle aged and elderly men who are in good physical condition and have a life expectancy of more than 10 years should also undergo regular prostate cancer screening. It is recommended to do prostate cancer screening once a year. If there are family risk factors for prostate cancer, the screening age should be advanced to 45 years old.

Nine medical experts from Shanghai who helped the residents of Karamay in Xinjiang free clinic, spanning more than 4000 kilometers Father | Expert | Shanghai

At the arrival of the sixth "Chinese Doctor's Day", nine medical experts from Shanghai, including Renji Hospital affiliated to Shanghai Jiaotong University School of Medicine, Tongji Hospital affiliated to Tongji University, Eye, Ear, Nose and Throat Hospital affiliated to Fudan University, Shanghai Dermatology Hospital, and China Welfare Society International Peace Maternal and Child Health Care Center, including neurology, urology, otorhinolaryngology, ophthalmology, thyroid surgery, breast surgery, hematology, geriatrics, and dermatology, went to Karamay Central Hospital and Karamay Third People's Hospital to carry out free clinic activities. Among them, 6 experts are doctors dispatched by Tongji Hospital to aid Xinjiang, and 3 experts have traveled over 4000 kilometers to Ke to help local patients clarify their doubts. Urumqi residents drove over 400 kilometers with their father to a free clinic, where Patiguli underwent a small physical examination

Experts remind us to pay attention to these details. Nail beautification is too frequent and toenails are cut too much. Ten nail clinics open full moon surgery | nail bed | clinic

"Thank you Director Liu for helping me solve a big problem! I've been struggling with paronychia for two years. I had to pull out my toenails twice before, but they didn't grow well. I kept getting inflamed and my mentality was about to collapse. This time, the problem has finally been completely solved." In the outpatient consultation room of the Tenth People's Hospital of Shanghai, Miss Zhang expressed her sincere gratitude to Liu Guangpeng, the director of plastic surgery. At the beginning of 2021, Xiaozhang accidentally cut his toenails too deep, injuring the nail bed. Although he disinfected it with iodine at the first time, he didn't expect to become inflamed a few days later. His entire first toe was red, swollen, and painful, and he even limped while walking. External use of iodine is ineffective, oral antibiotics are ineffective, and the only option is to choose toenail removal that sounds very painful. I originally thought that pulling out my toenails would remove the old and replace the new, but I never expected that the newly grown toenails would always "burrow into the flesh", causing inflammation to recur,

Some family doctors have also opened a special clinic for diabetes... 60% of residents in this district of Shanghai are diagnosed and treated in Fengxian | residents | community

Fengxian is located in the remote suburbs, with limited medical resources. Community diagnosis and treatment have become the top priority for residents' health. How to build a good network base to serve the people? The reporter recently learned from the district health commission that based on the actual situation of the region, taking into account the size of the service population and the trend of population introduction, the district health commission is promoting the horizontal integration of community health resources. Residents are willing to "vote with their feet" to choose the community, and the solid foundation and warm service of community family doctors are indispensable. Data shows that there are currently 549 general practitioners in Fengxian District. Last year, the proportion of community diagnosis and treatment accounted for 49% of the total diagnosis and treatment in the district. In the first half of this year, the proportion of community diagnosis and treatment has increased to 60%. Wang Tao is a family doctor at the Xidu Community Health Service Center in Fengxian District who has been committed to the community for ten years and has signed contracts with more than 1900 community residents

In this regional medical center, patients make sachet masks to feel the warmth of home. The Dragon Boat Festival medical center | patients | sachets

Today is the traditional Dragon Boat Festival. As a regional medical center, Shibei Hospital of Jing'an District organized a special "love on the left and accompany on the right" activity to welcome the Dragon Boat Festival. The patients and their families wrapped Zongzi together to make sachets and feel the warmth of home. It is reported that the Elderly Rehabilitation Department of Shibei Hospital is a key discipline in Jing'an District, with 80% of hospitalized patients being over 70 years old, including those aged 90 or 100. During the meticulous treatment of the elderly, the Rehabilitation Department integrates family oriented services throughout, creating a humane "warm service" and building a harmonious doctor-patient relationship. Shu Jin, director of the Elderly Rehabilitation Department, said that with the arrival of the Dragon Boat Festival, medical staff have found that a small number of patients lack family companionship and their psychological and emotional needs cannot be met. The hospital's social work department and department medical staff work together to build a "heart to heart bridge" for doctor-patient interaction and two-way communication,

The annual throat preservation rate is nearly 80%, and Shanghai research was included in the International Annual Conference: Immunotherapy for locally advanced head and neck tumors | Patients | Local

At the recent 2023 Annual Meeting of the American Society of Clinical Oncology, research from Fudan University Affiliated Cancer Hospital was quite impressive: in the field of head and neck tumors, "induction chemotherapy combined with treprizumab can be used for laryngeal preservation treatment in patients with locally advanced laryngeal/hypopharyngeal cancer. The results of the Phase II clinical trial showed a one-year laryngeal preservation rate of 79.4%." The first author of this study, abbreviated as INSIGHT, is Professor Xiaomin Qu from Fudan University Affiliated Cancer Hospital, and the corresponding authors are Professor Yu Wang and Professor Xiayun He. It is reported that laryngeal cancer and hypopharyngeal cancer are one of the most common head and neck squamous cell carcinoma in China, with the incidence rate accounting for about 20% of head and neck squamous cell carcinoma. Due to the insidious symptoms of the disease, the patient was diagnosed later and had a poor prognosis. Previously, surgical resection was used to prolong survival. With the development of multidisciplinary comprehensive treatment, diagnosis and treatment

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