Is it necessary to have surgery if the cancer is diagnosed at an advanced stage? Consider three aspects, there may be an answer

May 6, 2022

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Recently, a self-proclaimed medical oncologist at Peking University Third Hospital "Dr. Zhang Yu" reflected the "shady story of tumor treatment" and called for national attention and supervision, which caused a great shock of public opinion. As for the truth, and whether these problems really exist, further investigation is needed, but once verified, the relevant departments have promised that they will not tolerate it.

What is ineffective medical treatment? Why do these phenomena occur? Is it necessary to treat advanced cancer? In response to these issues, Xiao Jiu will talk to you today.

1. Ineffective medical treatment is real

Let’s first understand what ineffective medical care is. Simply put, it is behavior that does not help people’s medical needs. Strictly speaking, if you want to judge whether medical behavior is ineffective, you need to measure it through a scale.

The situation of ineffective medical treatment does exist, and there are still many. Ma Jin, a health economist at Shanghai Jiaotong University, took the gynecology department of a tertiary hospital in Shanghai as an example.Two groups of data were disclosed: 14.62% of invalid admissions, 24.88% of invalid days of hospitalization; 12.4% of invalid admissions in gynecology, 22.9% of invalid days of hospitalization.

From the data point of view, the situation of ineffective medical treatment is quite serious, which not only increases the economic burden of patients, destroys the doctor-patient relationship , but also causes a great waste of medical resources .

Why does ineffective medical treatment occur? In fact, this is not a phenomenon unique to China, and other countries also exist more or less.

The reason why this happens in China is first of all related to the different levels of treatment . Not all doctors are omnipotent. It may be due to factors such as inadequate specialized

Secondly, some medical institutions have their own unreasonable places, not "patient-centered" , but only from the perspective of departmental assessment and interests, which led to the occurrence of this phenomenon.

Third, patient appeals may also disrupt care. Some patients may ask doctors to prescribe certain medicines or perform certain operations, otherwise they will make inappropriate behaviors. This situation will also lead to irregular treatment, and finally the patient will be left with no money and money.

In cancer treatment, surgery is often the first choice for patients, but in many cases, surgery may not play a key role in the advanced stage. So, do you still need surgery if you have advanced cancer?

2. Is surgery still necessary for advanced cancer?

Regarding this issue, it is impossible to generalize. Whether or not surgery can be performed in the advanced stage of cancer, and whether surgery is necessary, varies from person to person .

For some cancers, even at an advanced stage, surgery can be considered, such as colorectal cancer . If it is accompanied by resectable liver metastases or lung metastases , it is also recommended to consider active surgery, and postoperative consolidation therapy such as radiotherapy and chemotherapy can be used to prolong survival. probability.

Therefore, whether surgery is necessary for advanced cancer should be considered in many aspects, especially the following three points:

1. Cancer type and stage

Generally speaking, for early-stage cancers , especially solid tumors, surgery is the first choice; for other types of tumors such as blood , such as leukemia, radiotherapy and chemotherapy may be more appropriate; for advanced cancers , due to metastatic spread and other reasons , it may be necessary to control the radiotherapy and chemotherapy before considering whether to operate.

Therefore, before judging whether surgery is necessary, be sure to know the type of tumor and the stage of the cancer.

2. The patient's physical condition and wishes

Because the operation is traumatic, especially various open operations , it may cause obvious damage to the patient's body , and long-term care is required after the operation . Therefore, you should evaluate your physical condition before the operation. Poor, forcing surgery may bring greater threats, and surgery is not recommended at this time. Of course, it all depends on the patient's wishes .

3. Surgical risks

Risk assessment is also a very important step before surgery. Some patients are mildly ill and have good physical fitness, so the risk of surgery is low, so even if there is local metastasis and spread, surgery can be performed; while some patients are more seriously ill, If the physical fitness is poor and the estimated risk of surgery is high, surgery is not recommended.

In general, surgery is only one of cancer treatment methods, and it is not suitable for all patients. It is the most critical to choose the treatment method that suits you.

Therefore, even in the advanced stage of cancer, don't feel that there is no cure, and just give up.