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Reporter Chen Yi / Taipei Report
Lung cancerIt was the number one killer of Chinese malignancies. Famous people like senior artist Wenying Auntie, song queen Hat Song Feng Feifei, dancer Roman Fei, and beauty blogger Imitation Makeup Yaohou all died of lung adenocarcinoma. Today, MP Zhong Peijun has also reported lung disease. Common symptoms of lung cancer include coughing, bloody sputum, chest tightness, chest pain, asthma, etc. Huang Huilun family doctor shared an outpatient case. A middle-aged man went to the doctor for lack of appetite, but had no other obvious symptoms. He just said he had a little “hoarse voice”. The exam also found lung cancer.
▲ Dr. Huang Huilun recalled that the “burning sound” can also be a warning sign of lung cancer. (Image / screenshot from official YouTube channel-Doctor)
Taipei City Councilor Zhong Peijun found “abnormal hyperplasia” in his right lung during a health check on Facebook today (4), and received urgent surgical treatment on the advice of a doctor. He said that when he was 25 years old, lung adenocarcinoma took his mother and aunt one after another, letting him know that for the rest of his life he had to fight the invisible but invisible “finish line.” Difficulty in early detection leads to a high death rate from lung cancer. Many people seek a medical exam until the body shows obvious discomfort. Most of them are in an advanced stage. Also, lung cancer is easy to metastasize. In clinical practice, a small number of patients “don’t even have a cough” in the early stages of cancer.
Dr. Huang Huilun mentioned a special case in the show “The doctor is so spicy.” Last summer, a 60-year-old man was accompanied by his family to seek medical treatment. Her daughter said her father had been weird recently and had severely lost his appetite for two weeks in a row. The blood test report showed that the man’s white blood cell count was as high as 19,000 (less than 10,000 for normal people) and the inflammation index was more than 10 points (about 0 points for normal people).
Seeing that the patient’s white blood cells and inflammation index were abnormal, the doctor instinctively felt that there must be an infection or inflammation somewhere in the body, so he asked, “Other than loss of appetite, is there really no another place to feel uncomfortable? ” The man tried to think about it and said that recently There is a lot of “sound” when speaking, but others don’t really feel it. When Huang Huilun learned that he was addicted to smoking, he began to worry that there might be a problem with the respiratory tract. Then after hearing the sounds of the other party’s lungs, he didn’t feel anything obviously wrong. It wasn’t until after the X-ray exam that he was surprised to see a large lump on the top of his left lung.
After a CT scan, the doctor determined that the man’s lungs had a 5.8 cm tumor and the surrounding tissues had local necrosis, resulting in a high rate of inflammation. What is worrisome is that in mediastinal lymphatic metastases, the reason for the hoarse voice is because the tumor is compressed to the “recurrent laryngeal nerve” that controls the opening and closing of the vocal cords. Since the discovery was not early, the patient had to face a series of difficult treatments next.
▲ Lung cancer is difficult to detect early and some patients do not even have a cough in the early stage. (Image / provided by Cathay General Hospital)
Huang Huilun emphasized that this case once again tells everyone that hoarseness is a small symptom that is often overlooked, but often appears in the early diagnosis of lung cancer. For example, if you have a chronic cough, chest tightness, chest pain, wheezing, sudden weight loss, or when you don’t use your voice in particular or have a cold and feel uncomfortable, you should be a bit alert at this time. .
