大腸癌發生有年輕化趨勢,一名28歲蘇姓男子,平日不菸、不酒且重視養生,數月來莫名腹脹腹痛就醫十餘次,都被認為是腸胃炎,最後經電腦斷層掃描發現是大腸癌第三期,正接受化療中。
苗栗市大千綜合醫院外科主任馮啟彥表示,這名蘇姓男子到院急診時,已腹脹痛到呈現腹膜炎現象,進行電腦斷層掃描發現,乙狀結腸有約6公分大的腫瘤壓迫阻塞腸道,經腹腔鏡手術順利切除,組織化驗確診為大腸癌第三期。
令醫護人員訝異的是,蘇男過去因腹脹、腹痛已陸續在北部地區2家醫院來回就診11次,來到大千急診前一週,才剛從其中一間醫院住院5天治療,卻都被當成腸胃炎處理。
馮啟彥懷疑,根據蘇男自述,本身不菸、不酒,且注重養生,飲食作息都相當正常,加上年僅28歲,又無家族病史,「當初診治醫師可能沒聯想到是大腸癌」。
醫師指出,大腸癌初期皆無症狀,等到開始脹痛不適時,多半已為大腸癌第三期,而大腸癌若發生在右側常出現血便,左側則較容易腸阻塞,兩種狀況較不同。
馮啟彥也說,大腸癌的發生年齡層有逐漸年輕化的趨勢,大千綜合醫院近日連續出現兩起年輕人大腸癌阻塞腸道案例,除蘇姓男子外,另一名是33歲莊姓男子,平日多外食,且長期抽菸,症狀為腹痛、腹脹,但無明顯血便,同樣確診大腸癌第三期,兩人均以腹腔鏡手術切除後,接受化療中。
醫師提醒,若出現不明腹痛、腹脹、血便、體重減輕、解便習慣改變、或有解便解不乾淨的感覺等大腸癌相關症狀,一定要盡速就醫,才能早期診斷、早期治療。
Colorectal cancer has a younger trend. A 28-year-old man surnamed Su, who does not smoke, does not drink alcohol, and pays attention to health care. He has been treated for more than 10 times in the past few months for his abdominal distension and abdominal pain. He is considered to be gastroenteritis and finally found by computed tomography. It is the third stage of colorectal cancer and is undergoing chemotherapy.
Feng Qiyan, director of the surgical department of the Miaoli General Hospital in Miaoli City, said that when the man surnamed Su went to the hospital for emergency treatment, he had abdominal pain and painfulness. He was found to have a computed tomography scan. The sigmoid colon had a tumor of about 6 cm and the tumor was compressed and blocked by the laparoscope. The operation was successfully removed and the tissue was diagnosed as the third stage of colorectal cancer.
To the surprise of the medical staff, Su Nan had been going back and forth 11 times in two hospitals in the northern region due to bloating and abdominal pain. He came to one of the hospitals for a week before he went to the hospital for a day, but he was treated as a hospital. Gastroenteritis treatment.
Feng Qiyan suspects that according to Su Nan’s self-report, he does not smoke, drink alcohol, and pays attention to health, and his diet is quite normal. In addition, he is only 28 years old and has no family history. “The doctors at the time may not think of colorectal cancer.”
laennecThe doctor pointed out that the early stage of colorectal cancer is asymptomatic. When it starts to feel pain and discomfort, most of them are the third stage of colorectal cancer. If the colorectal cancer occurs on the right side, the left side is more likely to be blocked by the intestine. The two conditions are different.
Feng Qiyan also said that the age of colorectal cancer has gradually become younger. Daqian General Hospital has two consecutive cases of colorectal cancer blocking the intestines. In addition to the surnamed man, the other is a 33-year-old Zhuang surnamed man. Eat more on weekdays, and long-term smoking, the symptoms are abdominal pain, abdominal distension, but no obvious bloody stools, the third phase of colorectal cancer was also diagnosed. Both were treated with laparoscopic surgery and received chemotherapy.
laennecPhysicians reminded that if there are symptoms such as unexplained abdominal pain, bloating, bloody stools, weight loss, changes in habits, or a feeling of dissolving and uncleanness, it is necessary to seek medical advice as soon as possible in order to be diagnosed early and treated early.
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