想晓得得了结直肠癌能活多久?更应该认识怎么样才可不得?
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/U5PzL72SmFf5sDVa5btib5B4hl011QbaoYNWXfUtgibGkqTylKTiaYqthiaTGAZCbxzbbwUUcfDR4ARMBLIq41xgSQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p><span style="color: black;">近年来,随着人们生活水平的<span style="color: black;">加强</span>,生活方式及<span style="color: black;">膳食</span>结构的改变,如鸡鸭鱼肉等高热量、高脂肪、高蛋白<span style="color: black;">食品</span>摄入<span style="color: black;">增加</span>,<span style="color: black;">引起</span>结直肠癌越来越高发了。</span><span style="color: black;">结直肠癌是胃肠道中<span style="color: black;">平常</span>的恶性肿瘤之一,</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">初期</span>症状不<span style="color: black;">显著</span></strong></span></span><span style="color: black;">,随着癌肿的增大而<span style="color: black;">显现</span>排便习惯改变、便血、腹泻、腹泻与便秘交替、局部腹痛等症状。晚期则表现为贫血、体重减轻等全身症状。</span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/U5PzL72SmFf5sDVa5btib5B4hl011QbaoRJXrobXZgiaW46UwrJdOWPib1Zvjw7icfGY1O2gBUwiaJARL2ELKdg79jQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p><span style="color: black;"><strong style="color: blue;">83%<span style="color: black;">病人</span>首诊即中晚期</strong></span><span style="color: black;">我国开展的一项中晚期结直肠癌<span style="color: black;">病人</span>诊疗<span style="color: black;">状况</span>调查结果<span style="color: black;">表示</span>:</span><span style="color: black;">1、</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">认知水平低</strong></span></span><span style="color: black;">:<span style="color: black;">生病</span>前,超过一半(64%)的<span style="color: black;">病人</span>完全不<span style="color: black;">认识</span>结直肠癌的高危<span style="color: black;">原因</span>,85%的<span style="color: black;">病人</span>不<span style="color: black;">认识</span>结直肠癌<span style="color: black;">初期</span>筛查知识;</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">97%未做过肠镜筛查</strong></span></span><span style="color: black;">,其中86.5%的<span style="color: black;">病人</span>未做肠镜筛查的<span style="color: black;">原由</span><span style="color: black;">重点</span>是不<span style="color: black;">晓得</span><span style="color: black;">必须</span><span style="color: black;">定时</span>做肠镜筛查。</span><span style="color: black;">2、</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">一<span style="color: black;">检测</span>就是中晚期</strong></span></span><span style="color: black;">:85.8%的被调查<span style="color: black;">病人</span>首次就诊<span style="color: black;">原由</span>是<span style="color: black;">发掘</span>便血、严重腹泻或腹痛等疑似症状、7.3%<span style="color: black;">病人</span>是在诊治其他<span style="color: black;">疾患</span>时<span style="color: black;">发掘</span><span style="color: black;">反常</span>,仅6.9%是体检时<span style="color: black;">发掘</span>疑似症状。这<span style="color: black;">亦</span><span style="color: black;">引起</span>首次确诊时,</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">83%的结直肠癌<span style="color: black;">病人</span>都<span style="color: black;">处在</span>中晚期</strong></span></span><span style="color: black;">。</span><span style="color: black;">3、</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">首次确诊近一半<span style="color: black;">病人</span>存在转移</strong></span></span><span style="color: black;">:首次确诊时,</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">44%的<span style="color: black;">病人</span><span style="color: black;">已然</span><span style="color: black;">显现</span>了肝、肺等部位的转移</strong></span></span><span style="color: black;">。与欧美<span style="color: black;">有些</span>国家相比,我国结直肠<span style="color: black;">病人</span>确诊时为中晚期的比例更高,且<span style="color: black;">出现</span>转移的<span style="color: black;">病人</span>较多,给治疗和预后带来了很大挑战。</span><span style="color: black;"><strong style="color: blue;">得了结直肠癌能活多久?</strong></span><span style="color: black;"><strong style="color: blue;">1</strong></span><strong style="color: blue;">5年<span style="color: black;">存活</span>率</strong><span style="color: black;">美国国家癌症<span style="color: black;">科研</span>所的SEER数据库<span style="color: black;">按照</span>三个不同的特征对癌症进行分期:局部、区域和远处。</span><span style="color: black;">基于 2010 年至 2016 年间被诊断<span style="color: black;">身患</span>结肠癌的人数,5年<span style="color: black;">存活</span>率如下:</span><span style="color: black;">当癌症还<span style="color: black;">无</span>扩散到结肠或直肠以外(局部性)时,五年<span style="color: black;">存活</span>率为</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">91%</strong></span></span><span style="color: black;">;</span><span style="color: black;">当癌细胞已扩散到结肠或直肠以外的<span style="color: black;">周边</span>的器官或淋巴结(区域性)时,五年<span style="color: black;">存活</span>率为</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">72%</strong></span></span><span style="color: black;">;</span><span style="color: black;">当癌症已扩散到身体的其他部位(远处)时,五年<span style="color: black;">存活</span>率为</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">14%</strong></span></span><span style="color: black;">。</span><span style="color: black;">温馨提示:<span style="color: black;">存活</span>率是基于历史数据的,</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">并未<span style="color: black;">思虑</span>到治疗<span style="color: black;">方法</span>的改善</strong></span></span><span style="color: black;">;相对五年<span style="color: black;">存活</span>率的统计数据不<span style="color: black;">包含</span>其他可能转移到结肠的癌症。</span><span style="color: black;"><strong style="color: blue;">2</strong></span><strong style="color: blue;">结直肠癌肝转移的预后</strong><span style="color: black;">结直肠癌<span style="color: black;">重点</span>的转移途径<span style="color: black;">重点</span><span style="color: black;">包含</span>淋巴结转移、血行转移和种植性转移。</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">肝脏是结直肠癌<span style="color: black;">病人</span>最容易<span style="color: black;">显现</span>转移的器官</strong></span></span><span style="color: black;">。<span style="color: black;">大概</span>半数的结直肠癌<span style="color: black;">病人</span>在病程中<span style="color: black;">出现</span>肝转移,其中30%<span style="color: black;">上下</span>为原发灶根治性切除后<span style="color: black;">发掘</span>的"异时性肝转移”,另有约25%在初次诊断大肠癌时<span style="color: black;">发掘</span>了肝转移,则<span style="color: black;">叫作</span>"<span style="color: black;">同期</span>性肝转移"。</span><span style="color: black;">若<span style="color: black;">同期</span>性肝转移的</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">转移病灶仅限于单侧病灶</strong></span></span><span style="color: black;">、</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">数量≤3个</strong></span></span><span style="color: black;">、</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">最大直径≤5cm</strong></span></span><span style="color: black;">、</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">切缘>1cm</strong></span></span><span style="color: black;">和</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">癌胚抗原(CEA)<100 ng/ml</strong></span></span><span style="color: black;">,可<span style="color: black;">同期</span>行肝转移瘤切除手术。效果尚可,术后3年<span style="color: black;">存活</span>率为</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">41%~79%</strong></span></span><span style="color: black;">,5年<span style="color: black;">存活</span>率为</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">31%~39%</strong></span></span><span style="color: black;">。</span><span style="color: black;">若</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">肝转移病灶过大</strong></span></span><span style="color: black;">、</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">太多</span></strong></span></span><span style="color: black;"><span style="color: black;">不可</span>手术者,<span style="color: black;">举荐</span>行全身化疗、介入栓塞化疗、射频消融等治疗手段。但<span style="color: black;">病人</span><span style="color: black;">存活</span>较差,</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">5年<span style="color: black;">存活</span>率仅为6%</strong></span></span><span style="color: black;">。</span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/U5PzL72SmFf5sDVa5btib5B4hl011QbaoOWSPjp9nrnttvcic62yZSkgVJn3GtFUrejhpJ2UBC2e0OOBLlj2oXpA/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p><span style="color: black;"><strong style="color: blue;">预防结直肠癌,筛查是<span style="color: black;">重要</span>!</strong></span><span style="color: black;">结直肠癌的预后与“三早”(早<span style="color: black;">发掘</span>、早诊断、早治)疗密切<span style="color: black;">关联</span>,</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">初期</span>结直肠癌5年<span style="color: black;">存活</span>率<span style="color: black;">达到</span>90%以上</strong></span></span><span style="color: black;">,</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">乃至</span>在极<span style="color: black;">初期</span>几乎可100%治愈</strong></span></span><span style="color: black;">,而</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">晚期的5年<span style="color: black;">存活</span>率不足15%</strong></span></span><span style="color: black;">。</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">肠镜</strong></span></span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">是结直肠癌筛查的金标准</strong></span></span><span style="color: black;">,不仅<span style="color: black;">能够</span><span style="color: black;">发掘</span>息肉等癌前<span style="color: black;">疾患</span>,还能在肠镜下治疗癌前病变和早癌。<span style="color: black;">倘若</span>不愿做<span style="color: black;">或</span><span style="color: black;">不可</span>做肠镜<span style="color: black;">检测</span>,<span style="color: black;">能够</span>先行</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">粪便实验</strong></span></span><span style="color: black;">,再进行下一步<span style="color: black;">检测</span>。</span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/U5PzL72SmFf5sDVa5btib5B4hl011QbaoMeibGdicXjZfZue0cEnD3PicFKYBKarnE7VkZ7Qs9hsMREHK6uLMcvkicQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p><span style="color: black;"><strong style="color: blue;">1</strong></span><strong style="color: blue;"><span style="color: black;">全世界</span>指南<span style="color: black;">意见</span></strong><span style="color: black;"><span style="color: black;">全世界</span>大<span style="color: black;">都数</span>指南<span style="color: black;">意见</span>,年过50岁<span style="color: black;">起始</span>筛查。<span style="color: black;">实质</span>上,近年来大肠癌的发病<span style="color: black;">青年</span>化日益严重,<span style="color: black;">因此呢</span>临床专家大都<span style="color: black;">意见</span>,</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">普通人群应该在40岁以前<span style="color: black;">起始</span>筛查</strong></span></span><span style="color: black;">。</span><span style="color: black;">而高危人群要立即进行筛查;<span style="color: black;">没</span>症状的高危人群,在30-40岁进行筛查;<span style="color: black;">针对</span>家族性腺瘤性息肉病等遗传性<span style="color: black;">疾患</span>,则<span style="color: black;">必须</span>从儿童<span style="color: black;">起始</span>筛查。</span><span style="color: black;">有以下6种<span style="color: black;">状况</span>之一可<span style="color: black;">做为</span>高危人群:</span><span style="color: black;">①有消化道症状,如便血、黏液便及腹痛者;不明<span style="color: black;">原由</span>贫血/体重下降;</span><span style="color: black;">②曾有大肠癌病史者;</span><span style="color: black;">③曾有大肠癌癌前<span style="color: black;">疾患</span>者(如大肠腺瘤、溃疡性结肠炎、克罗恩病、血吸虫病等);</span><span style="color: black;">④大肠癌家族史的直系亲属;</span><span style="color: black;">⑤有大肠息肉家族史的直系亲属;</span><span style="color: black;">⑥有盆腔放疗史者。</span><span style="color: black;"><strong style="color: blue;">2</strong></span><strong style="color: blue;">我国筛查指南</strong><span style="color: black;">我国指南<span style="color: black;">意见</span>是</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">筛查的<span style="color: black;">目的</span>人群应该是40-75岁之间</strong></span></span><span style="color: black;">。平均<span style="color: black;">危害</span>人群应在40岁<span style="color: black;">起始</span>行结直肠癌筛查,76~85岁之间需个体化筛查,85岁以上不<span style="color: black;">意见</span>筛查。</span><span style="color: black;"><span style="color: black;">针对</span></span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">普通人群</strong></span></span><span style="color: black;">:</span><span style="color: black;">①粪便潜血实验为每年1次;</span><span style="color: black;">②粪便DNA检测每1~3年1次;</span><span style="color: black;">③每5~10年做1次高质量结肠镜<span style="color: black;">检测</span>。</span><span style="color: black;">对</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">高危人群</strong></span></span><span style="color: black;">:</span><span style="color: black;">年龄≥40岁,<span style="color: black;">拥有</span>以下一项者可视为高危<span style="color: black;">病人</span>:</span><span style="color: black;">①免疫法粪便隐血<span style="color: black;">实验</span>阳性;</span><span style="color: black;">②一级亲属有结直肠癌病史;(一级亲属指的是:一个人的父母、子女以及同父母的兄弟姐妹)</span><span style="color: black;">③<span style="color: black;">自己</span>有癌症史或肠息肉史;</span><span style="color: black;">④<span style="color: black;">同期</span><span style="color: black;">拥有</span>以下两项及两项以上者;慢性便秘、慢性腹泻、粘液血便,不良生活事件史以慢性阑尾炎史。</span><span style="color: black;">对高危对象作肠镜<span style="color: black;">检测</span>,阳性者<span style="color: black;">按照</span>治疗原则处理,阴性者每年复查1次大便潜血<span style="color: black;">实验</span>;如筛检出肿瘤,可<span style="color: black;">选取</span>内镜下或外科手术切除,并进行综合治疗。</span><span style="color: black;"><strong style="color: blue;">预防患结直肠癌的方式</strong></span><span style="color: black;"><strong style="color: blue;">1</strong></span><strong style="color: blue;">避免<span style="color: black;">肥壮</span></strong><span style="color: black;"><span style="color: black;">肥壮</span>是<span style="color: black;">包含</span>肠道在内的许多组织中公认的癌症<span style="color: black;">危害</span><span style="color: black;">原因</span>。一项<span style="color: black;">发布</span>在BMC Medicine<span style="color: black;">科研</span><span style="color: black;">显示</span>,男性较高的体重指数(BMI )与结直肠癌<span style="color: black;">危害</span><span style="color: black;">增多</span>密切<span style="color: black;">关联</span>(HR=1.23),BMI每<span style="color: black;">增多</span>4.2 <span style="color: black;">公斤</span>/m2,</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">结直肠癌<span style="color: black;">危害</span><span style="color: black;">上升</span>23%</strong></span></span><span style="color: black;">。</span><span style="color: black;">在女性中,BMI每<span style="color: black;">增多</span>5.2 <span style="color: black;">公斤</span>/m2,结直肠癌<span style="color: black;">危害</span><span style="color: black;">上升</span>9%;腰臀比(WHR)每<span style="color: black;">增多</span>0.07,<span style="color: black;">危害</span><span style="color: black;">上升</span>5%。</span><span style="color: black;"><strong style="color: blue;">2</strong></span><strong style="color: blue;">避免摄入<span style="color: black;">海量</span>的红肉及其制品</strong><span style="color: black;">红肉及其制品在结直肠癌发病中的<span style="color: black;">功效</span>已被确认。每<span style="color: black;">增多</span>100g/d的红肉摄入</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">将<span style="color: black;">增多</span>29%的结直肠癌<span style="color: black;">出现</span><span style="color: black;">危害</span></strong></span></span><span style="color: black;">,而每<span style="color: black;">增多</span>50g/d的肉制品摄入将</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">增多</span>21%的患病率</strong></span></span><span style="color: black;">,其中男性的<span style="color: black;">关联</span>性尤其<span style="color: black;">明显</span>。</span><span style="color: black;"><span style="color: black;">因此呢</span>,世界癌症<span style="color: black;">科研</span>基金会(WCRF)—美国癌症<span style="color: black;">科研</span>院(AICR)</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">意见</span>每周红肉的食用量<span style="color: black;">不该</span>超过500g</strong></span></span><span style="color: black;">,</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">同期</span>避免食用腌制及熏制的肉类</strong></span></span><span style="color: black;">。</span><span style="color: black;"><strong style="color: blue;">3</strong></span><strong style="color: blue;">少喝含糖饮料</strong><span style="color: black;">除了加工肉,<span style="color: black;">长时间</span>喝含糖饮料<span style="color: black;">亦</span>会<span style="color: black;">增多</span>结直肠癌的风险。今年五月份,<span style="color: black;">发布</span>在著名肠道期刊上的一项<span style="color: black;">科研</span><span style="color: black;">显示</span>,青春期</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">长时间</span>喝含糖饮料<span style="color: black;">病患</span>结直肠癌的<span style="color: black;">危害</span><span style="color: black;">增多</span>32%</strong></span></span><span style="color: black;">。</span><span style="color: black;"><strong style="color: blue;">4</strong></span><strong style="color: blue;">过度饮酒</strong><span style="color: black;"><span style="color: black;">有些</span>观察性<span style="color: black;">科研</span><span style="color: black;">显示</span>,</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">过量饮酒将<span style="color: black;">显著</span><span style="color: black;">加强</span>结直肠癌的发病率</strong></span></span><span style="color: black;">,且在男性中<span style="color: black;">关联</span>性更强。</span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/U5PzL72SmFf5sDVa5btib5B4hl011QbaoFzhfMQ42uvmrxIWa89klEWDDbaOj2j5mnIiaGB0RYsZzJUqNGujbV9g/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p><span style="color: black;">5</span><strong style="color: blue;"><span style="color: black;">增多</span>钙摄入</strong><span style="color: black;">牛奶摄入与结直肠癌<span style="color: black;">出现</span>率有非线性的负<span style="color: black;">关联</span>,并且在摄入量最高组,其<span style="color: black;">守护</span><span style="color: black;">功效</span>最为<span style="color: black;">显著</span>。</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">低钙摄入者及结直肠癌高危人群</strong></span></span><span style="color: black;">,应<span style="color: black;">经过</span>食用饱和脂肪酸含量低的奶制品,如低脂牛奶、奶酪或酸奶,以</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">增多</span>钙摄入</strong></span></span><span style="color: black;">。</span><span style="color: black;"><strong style="color: blue;">6</strong></span><strong style="color: blue;">多摄入膳食纤维</strong><span style="color: black;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">每日</span>食用10g膳食纤维将降低10%的结直肠癌<span style="color: black;">出现</span>率</strong></span></span><span style="color: black;">。欧洲一项大型流行病学<span style="color: black;">科研</span><span style="color: black;">显示</span>,膳食纤维的摄入与结直肠癌的发病呈负<span style="color: black;">关联</span>,且与膳食纤维的<span style="color: black;">源自</span><span style="color: black;">没</span>关。较多的前瞻性临床<span style="color: black;">实验</span><span style="color: black;">发掘</span>高纤维<span style="color: black;">食品</span>有预防<span style="color: black;">功效</span>。</span><span style="color: black;"><span style="color: black;">病人</span>膳食纤维摄入减少,其粪便内<span style="color: black;">各样</span>短链脂肪酸(<span style="color: black;">包含</span>丁酸盐)含量下降。</span><span style="color: black;">经对膳食纤维的预防<span style="color: black;">功效</span>进行Meta分析,<span style="color: black;">亦</span>证实了其临床预防价值。</span><span style="color: black;"><strong style="color: blue;">7</strong></span><strong style="color: blue;">阿司匹林</strong><span style="color: black;">有<span style="color: black;">科研</span><span style="color: black;">显示</span>,在有遗传倾向的高危人群中,成年<span style="color: black;">初期</span>(平均45岁)<span style="color: black;">吃下</span>阿司匹林可将结直肠癌<span style="color: black;">危害</span>减半,<span style="color: black;">况且</span>这种</span><span style="color: black;"><span style="color: black;"><strong style="color: blue;">预防效果可维持长达10-20年</strong></span></span><span style="color: black;">!</span><span style="color: black;">参考<span style="color: black;">源自</span>:</span><span style="color: black;">https://www.verywellhealth.com</span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">End</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">【<span style="color: black;">要紧</span>提示】</span></strong><span style="color: black;">本公号【家属说】<span style="color: black;">文案</span>信息仅供参考<span style="color: black;">,<span style="color: black;">详细</span>治疗</span><strong style="color: blue;"><span style="color: black;">谨遵医嘱</span></strong><span style="color: black;">!</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/U5PzL72SmFdAP6cHP9AGbD8sUVfRicW5Idv0zWKLrR8lJlegQ1Mqv4gkJ4UmZkc0njCDjvW16oGCqLytzJHqmew/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p><strong style="color: blue;">RECOMMEND</strong><span style="color: black;">举荐</span>阅读<strong style="color: blue;">1</strong><a style="color: black;"><strong style="color: blue;">癌症<span style="color: black;">病人</span><span style="color: black;">显现</span>癌性疲劳怎么办?</strong></a><strong style="color: blue;">2</strong><a style="color: black;"><strong style="color: blue;">这些<span style="color: black;">食品</span><span style="color: black;">帮忙</span>你最快最有效地排便</strong><strong style="color: blue;">!</strong></a><strong style="color: blue;">3</strong><a style="color: black;"><strong style="color: blue;">癌症<span style="color: black;">为么</span>会复发?<span style="color: black;">必定</span>要<span style="color: black;">警觉</span>这几点!</strong></a>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/U5PzL72SmFck49icNhN4yQatD7cjnbsQL0M6W9tkZ2NIywbcb2RqaIofBcffnClfia1St2FEiavNrfqKjwwmTqEQQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
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