After the anesthetic disappeared, Xiaorui (not her real name) woke up from her deep sleep, saying that she felt as if she had had a long dream.

A few hours earlier, Xiaorui had been wheeled into the operating room, and she thought she was just performing a simple appendicitis operation, when the truth was,Experts from the Second Hospital of Zhejiang University used a new surgical method to remove the colon cancer lesion for her.

For nearly a year,21-year-old XiaoruiI often have bloating and abdominal pain, and at first I thought it was my aunt's ghost, and it could be relieved by taking some painkillers, but I didn't take it seriously. As the graduation season approached, Xiaorui's abdominal pain worsened significantly, the frequency of stools became irregular, and there was severe diarrhea. When her parents learned about it, they took her to the hospital for a painless colonoscopy.

In the end, Xiaorui was diagnosed with colon cancer, and her parents were worried that their daughter would not be able to bear the blow, so they lied to her that it was appendicitis and that she needed surgery.

The operation went well, and for Xiaorui's parents, the next challenge was how to inform their daughter of the true condition, because there was still a series of adjuvant chemotherapy waiting for her......

1. More and more colorectal cancer patients are young people

In recent years, the incidence of colorectal cancer has increased year by year, according to the "Analysis Report on the Epidemic of Malignant Tumors in China" released by the National Cancer Center in 2019 years,The incidence of colorectal cancer in men is the fourth, and the incidence of colorectal cancer in women is the third.

In the past, colorectal cancer patients were mostly concentrated in the middle-aged and elderly groups, but over the years, the proportion of colorectal cancer patients under the age of 2014 has gradually increased. According to the American Cancer Society (ACS), the incidence of rectal cancer has doubled between 0~0 years.20~49歲人群發病率翻了一倍（2.6/10萬~5.2/10萬）。 What is it that causes this cancer to start targeting young people?

1. Sitting out of cancer.

"Ge You's paralysis" is the favorite posture of contemporary young people, and most young people think that they can lie down and never sit, and they can sit but never stand. A study in the International Journal of Epidemiology in the United Kingdom found that people who sit for long periods of time have a 44% increased risk of bowel cancer.

2. Cancer that comes out of eating.

How to solve the three meals of modern young people? Takeaway, takeaway, takeaway. A certain group and a certain hungry platform are indeed convenient for many workers, not to mention whether the takeaway is fragrant or not, they use a lot of oil. There are also some Orleans grilled sausages, luncheon meat doll noodles, spicy chicken thigh burgers...... These are processed meats such as fried and grilled, which are more likely to increase the risk of cancer than a light diet.

3. Suction out of cancer.

Tobacco contains a variety of toxic substances, including more than 70 carcinogens. Many young people choose to smoke tobacco in order to release stress, and there are many passive smokers. Long-term exposure to first-hand smoke or second-hand smoke also increases the risk of cancer.

2. Don't ignore it! Bowel cancer can masquerade as appendicitis

Dr. Fu WeiHe once shared a case of a patient he accepted.

That day, a patient came to the outpatient clinic with a color ultrasound report and asked me: "Why does he still get appendicitis when his appendix has been cut off?"I took his color ultrasound report and looked at it, and it read: A cord of about 3cm can be seen in the lower right abdomen, and I suspect appendiceal stubitis.

After inquiry, it was learned that the patient had undergone "appendectomy" in the local hospital for "appendicitis" 3 years ago, and recently, his right lower abdomen began to have a dull pain, and there was a tendency to worsen.

I asked the patient in detail about the characteristics of the abdominal pain, the accompanying symptoms, and the condition of the stool, and then carefully examined the abdomen, and told him: "It may not be as simple as appendicitis", and then billed him to check the colonoscopy,The results confirmed my fears - colon cancer in the guise of "appendicitis"!

Experts remind that there will be obvious symptoms such as blood in the stool in the early stage of rectal cancerIntestinal cancerThe symptoms are more insidious, and are mostly similar to appendicitis, chronic enteritis, indigestion, hemorrhoids and other symptoms, which are often misjudged.

Colorectal examination should be done as soon as possible to rule out cancer-related symptoms if you have the following symptoms:

(1) Stool with blood or pus and more mucus;

(2) change or irregularity in bowel habits;

(3) Frequent vague abdominal pain or bloating and flatulence;

(4) Chronic diarrhea or frequent constipation or diarrhea alternating with constipation;

(5) A palpable lump in the abdomen or a lump in the anus;

(6) Unexplained blood deficit, weight loss and fatigue.

3. Screening can effectively reduce the mortality rate of cancer in the body

Colorectal cancer develops slowly, and in terms of prevention and treatment,Screening is most valuable at an early stage。 If an abnormal mass is found on the colonoscopy, it can be removed at the same time as the examination to prevent cancer, and the treatment process is relatively simple and inexpensive.

According to the American Cancer Society's latestGuidelines for colorectal cancer screeningThe following high-risk groups are recommended to be screened regularly for bowel cancer:

Asymptomatic people over 45.0 years old;

2. Individuals with a history of colorectal polyps;

3. Those with a history of chronic appendicitis or appendix, chronic biliary tract disease or gallbladder resection;

4. Individuals who have undergone therapeutic colorectal cancer resection;

5. Patients with positive fecal occult blood must undergo colonoscopy;

6. High-risk families, such as first-degree relatives diagnosed with colorectal cancer, screening needs to start earlier;

Although the incidence of colorectal cancer is getting higher and higher, it is a treatable and preventable cancer, in daily life, in addition to paying attention to dietary adjustment, eating more vegetables, fruits, less barbecue fried food, mainly low-fat diet, but also to increase exercise appropriately, strengthen the physique, and have a positive effect on the prevention of colorectal cancer.

參考資料:

[1]22歲女大學生查出結腸癌，父母千方百計隱瞞病情，這些癥狀要警惕！.浙大二院.2020-11-06

[11] Cunning! Colon cancer can be disguised as appendicitis. Medical Oncology Channel. 0-0-0

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