▲Dr. Zhang Shenji (left) explained Ms. Lin’s treatment status. (Photo by reporter Cai Shuyuan)
Reporter Cai Shuyuan / Taichung Report
54-year-old Ms. Lin went to the doctor more than 5 years ago because of abdominal pain and bloody stools. She was found to have stage 4 colorectal cancer and had metastasized to the liver. Last year, the second-degree recurrence and metastasis to the peritoneum caused intestinal obstruction. The small intestine was swollen like a large intestine. She could not defecate or eat. Ammonia coma occurred. In April this year, he received intraperitoneal hyperbaric aerosol chemotherapy and immune cell therapy. The cancer cells could not be seen, the cancer index decreased, and he could eat, defecate and live normally.
The small intestine is swollen like the large intestine, unable to defecate, ammonia coma
Zhang Shenji, director of the peritoneal tumor treatment center and director of colorectal surgery at the Hospital Affiliated to China Medical University, said that colorectal cancer ranks first among the top ten cancers in China, with about 15,000 new cases every year, and 30% of them are found to be in the late stage. Ms. Lin’s colorectal cancer For stage 4 cancer, the 5-year survival rate is only 5-10%, and the average survival rate is 25-35 months. Ms. Lin is optimistic and actively cooperates with the treatment, and the survival period exceeds 5 years.
Zhang Shenji pointed out that colorectal cancer is more likely to occur in people over 50 years old, with an average age of about 67 years old. Nowadays, the younger population is not only related to westernized diet, high-fat and high-sugar diet, many patients have no family history, and half of the patients It is asymptomatic in the early stage, and it is not uncommon to get cancer in the 20s and 30s. It is believed that it may be related to genes. It is recommended that people over the age of 45 have at least one colonoscopy. Early detection and early treatment have a survival rate of more than 90%.
Zhang Shenji said that colorectal cancer cells are easy to metastasize to the liver, lungs and peritoneum, which happened to Ms. Lin. When she was diagnosed, the colorectal cancer had already metastasized to the liver. The liver tumor was 10 cm in size and shrunk after chemotherapy and targeted therapy , Surgical resection of the lesion, but 2 years later, the recurrence metastasized to the lungs. After further treatment and surgery, I felt abdominal distension and discomfort in October last year. The examination found that there was a recurrence, and the cancer cells had metastasized to multiple places in the peritoneum. The effect of conventional intravenous chemotherapy was not good.
▲Through the laparoscope, a high-pressure nebulizer is used to spray nano-sized chemotherapeutic drugs into the peritoneum to kill tumor cells more uniformly and deeply. (Photo by reporter Cai Shuyuan)
Intraperitoneal Hyperbaric Aerosol Chemotherapy to Relieve Intestinal Obstruction
Due to the diffuse peritoneal metastasis of cancer cells, Ms. Lin caused intestinal obstruction. The small intestine with a diameter of 1-2 cm swelled to 5 cm. The feces could not be discharged for a long time, resulting in ammonia coma. In April this year, she received intraperitoneal high pressure aerosolization and immune cell therapy. The problem of intestinal obstruction is relieved, and the cancer cells in the peritoneum are also invisible, so you can eat happily.
▲Ms. Lin’s cancer cells metastasized to the peritoneum and caused intestinal obstruction. The small intestine swelled like the large intestine (marked on the left). After treatment, the swelling of the small intestine subsided, and no cancer cells were seen in the peritoneum (right). (Photo by reporter Cai Shuyuan)
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