初期没症状！可疑结直肠癌挂哪个科？6个肿瘤MDT团队义诊来了！
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">三宝，吴叔叔说他<span style="color: black;">近期</span>总是肚子疼，经常拉肚子，今天还<span style="color: black;">发掘</span>有便血。他在网上查了查，有人说是结直肠癌的症状，应尽快<span style="color: black;">看病</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">然则</span>到哪个科室看病，吴叔叔又犯了愁，网上有说去消化科的，有说去普通外科的，还有说去肿瘤科的...</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">咱们<span style="color: black;">一块</span>去请教一下<span style="color: black;">大夫</span>吧！</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q4.itc.cn/q_70/images03/20240412/1d6bbb92c7884846afd3794194e3d63c.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">划重点</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">结直肠癌<span style="color: black;">病人</span><span style="color: black;">初期</span><span style="color: black;">一般</span><span style="color: black;">没</span><span style="color: black;">显著</span>症状，<span style="color: black;">意见</span>50-75岁人群<span style="color: black;">定时</span>筛查。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">结直肠癌的诊断和筛查，大致<span style="color: black;">能够</span>分为健康体检、肠镜<span style="color: black;">检测</span>、肿瘤分期<span style="color: black;">评估</span>“三步走”，<span style="color: black;">不同分期的结直肠癌<span style="color: black;">病人</span>，首诊科室不同。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">近年来，我国结直肠癌的发病率呈现<span style="color: black;">显著</span><span style="color: black;">上升</span>趋势。国家癌症中心数据<span style="color: black;">表示</span>，2022年，我国结直肠癌发病率<span style="color: black;">已然</span><span style="color: black;">提高</span>到第二位，年新发病例数高达51.71万。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">结直肠癌<span style="color: black;">病人</span><span style="color: black;">初期</span><span style="color: black;">一般</span><span style="color: black;">没</span><span style="color: black;">显著</span>症状</strong></span>，这使得结直肠癌的<span style="color: black;">初期</span>诊断<span style="color: black;">非常</span>困难。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q2.itc.cn/q_70/images03/20240412/760bc15b841e46cd8d6133e6050b74af.png" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">结直肠癌<span style="color: black;">发展</span>期<span style="color: black;">病人</span>可<span style="color: black;">显现</span>便血、腹痛、腹泻、便秘、腹部肿块、体重下降等非特异性症状，可能<span style="color: black;">已然</span><span style="color: black;">出现</span>了远处转移、丧失手术根治的机会。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">针对</span>不同分期的结直肠癌<span style="color: black;">病人</span>，应该去哪个科室就诊，<span style="color: black;">亦</span>是常常<span style="color: black;">困惑</span>结直肠癌<span style="color: black;">病人</span>的一大问题。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">结直肠癌的筛查和诊断</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">大致<span style="color: black;">能够</span>分为<strong style="color: blue;">“三步走”</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">第1</span>步：结直肠癌的筛查</strong></span>，<span style="color: black;">亦</span><span style="color: black;">便是</span><span style="color: black;">大众</span>比较熟悉“健康体检”。<span style="color: black;">一般</span>采用血液肿瘤标志物<span style="color: black;">检测</span>、直肠指诊、粪便潜血<span style="color: black;">检测</span>等<span style="color: black;">办法</span>，筛选人群中潜在的结直肠癌<span style="color: black;">病人</span>。<span style="color: black;">倘若</span><span style="color: black;">检测</span>结果存在<span style="color: black;">反常</span>，<span style="color: black;">必须</span>进一步<span style="color: black;">检测</span><span style="color: black;">知道</span>诊断。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">第二步：肠镜<span style="color: black;">检测</span></strong><span style="color: black;">。</span></span>这是结直肠癌确诊的“金标准”。肠镜<span style="color: black;">检测</span><span style="color: black;">不仅</span><span style="color: black;">能够</span><span style="color: black;">发掘</span>结直肠肿瘤，还<span style="color: black;">能够</span>进行组织活检，<span style="color: black;">知道</span>结直肠癌的诊断。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">第三步：肿瘤分期<span style="color: black;">评估</span></strong></span>。<span style="color: black;">一般</span>采用CT、磁共振（MRI）、PET-CT等影像学<span style="color: black;">检测</span>的<span style="color: black;">办法</span>，<span style="color: black;">知道</span><span style="color: black;">病人</span>的肿瘤分期，决定治疗<span style="color: black;">方法</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">不同人群</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">选取</span>不同的门诊就诊</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">1</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;">没</span>症状人群的结直肠癌筛查</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">我国结直肠癌人群发病率从40岁<span style="color: black;">起始</span><span style="color: black;">提升</span>速度加快，50岁以上加快更为<span style="color: black;">显著</span>。<span style="color: black;"><strong style="color: blue;"><span style="color: black;">针对</span>50-75岁人群，<span style="color: black;">没</span>论<span style="color: black;">是不是</span>存在症状，均<span style="color: black;">意见</span>进行结直肠癌筛查。</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">针对</span>健康人群的结直肠癌筛查，<span style="color: black;">能够</span><span style="color: black;">选取</span><span style="color: black;"><strong style="color: blue;">体检中心、消化科</strong></span>门诊就诊，<span style="color: black;">大夫</span>会<span style="color: black;">按照</span>您的<span style="color: black;">状况</span>，制定相应的筛查<span style="color: black;">办法</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">值得<span style="color: black;">重视</span>的是，数据<span style="color: black;">表示</span>，中国人群中，低位直肠癌的占比接近50%。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">直肠指诊<span style="color: black;">针对</span>低位直肠癌的筛查<span style="color: black;">拥有</span><span style="color: black;">要紧</span>的价值</strong></span><span style="color: black;">，但许多体检人群拒绝/不愿意接受直肠指诊。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">2</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">存在消化道症状的可疑人群</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">倘若</span><span style="color: black;">显现</span><span style="color: black;"><strong style="color: blue;">不明<span style="color: black;">原由</span>的腹痛、黑便、便秘、腹泻、体重下降等</strong></span><span style="color: black;">反常</span>，应当<span style="color: black;">警觉</span>结直肠癌的存在。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q8.itc.cn/q_70/images03/20240412/fddffa1009cf43919209bb7dad5d2fde.png" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">能够</span><span style="color: black;">选取</span></span><span style="color: black;"><strong style="color: blue;">消化科、普通外科</strong></span><span style="color: black;">门诊就诊，如有便血，<span style="color: black;">能够</span><span style="color: black;">选取</span></span><span style="color: black;"><strong style="color: blue;">肛肠科</strong></span><span style="color: black;"><span style="color: black;">做为</span>首诊科室。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">大夫</span>会<span style="color: black;">按照</span><span style="color: black;">病人</span>的个体<span style="color: black;">状况</span>，制定相应的筛查<span style="color: black;">办法</span>，<span style="color: black;">知道</span>病因，并进行结直肠癌筛查。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">3</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">确诊结直肠癌的<span style="color: black;">病人</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">针对</span>肠镜<span style="color: black;">检测</span>中<span style="color: black;">发掘</span><span style="color: black;">反常</span>病变，进行肠镜活检，<span style="color: black;">最后</span><span style="color: black;">知道</span>诊断为结直肠癌的<span style="color: black;">病人</span>，<span style="color: black;">能够</span>分成下面3种<span style="color: black;">状况</span>：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">肿瘤分期较早，存在内镜下治疗的机会的<span style="color: black;">病人</span></strong></span><span style="color: black;">，<span style="color: black;">能够</span>优先就诊</span><span style="color: black;"><strong style="color: blue;">消化科</strong></span><span style="color: black;">，<span style="color: black;">知道</span><span style="color: black;">是不是</span><span style="color: black;">能够</span>进行内镜下治疗。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">肿瘤尚<span style="color: black;">没</span>远处转移，<span style="color: black;">能够</span>直接实施手术的<span style="color: black;">病人</span></strong></span>，应当优先于<span style="color: black;"><strong style="color: blue;">普通外科、胃肠外科</strong></span>就诊，尽快接受手术治疗</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">肿瘤<span style="color: black;">出现</span>远处转移或局部晚期<span style="color: black;">病人</span></strong></span>，<span style="color: black;">一般</span><span style="color: black;">没</span>法实施根治性手术，或术前<span style="color: black;">必须</span>进行新辅助治疗，<span style="color: black;">意见</span>于<strong style="color: blue;"><span style="color: black;">肿瘤科、肿瘤化疗科、肿瘤放疗科</span></strong>就诊，<span style="color: black;">知道</span>进一步的治疗<span style="color: black;">方法</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">针对</span>不同肿瘤分期的<span style="color: black;">病人</span>，治疗<span style="color: black;">方法</span>存在<span style="color: black;">很强</span>区别，<span style="color: black;">意见</span>的就诊科室<span style="color: black;">亦</span>存在很大差异，许多<span style="color: black;">病人</span>可能会面临辗转不同科室的<span style="color: black;">状况</span>，使得就诊过程漫长而<span style="color: black;">繁杂</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">近年来，多学科综合治疗（Multi-disciplinary Team，MDT）模式为结直肠癌<span style="color: black;">病人</span>的综合治疗带来了全新的突破。<span style="color: black;">北医三院胃肠肿瘤MDT由普通外科、肿瘤放疗科、肿瘤化疗与放射病科、放射科、病理科等多学科专家围绕胃肠肿瘤<span style="color: black;">疾患</span>进行讨论，在综合各学科意见的<span style="color: black;">基本</span>上为肿瘤<span style="color: black;">病人</span><span style="color: black;">供给</span>全方位、个性化、连续性、高质量、可执行诊疗<span style="color: black;">方法</span>的临床治疗模式。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2024年4月15-21日</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">是</span><span style="color: black;"><strong style="color: blue;">第30个全国肿瘤防治宣传周</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">今年宣传周主题是</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“综合施策 科学防癌”</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">北京大学第三医院</span><span style="color: black;">多个<span style="color: black;"><strong style="color: blue;">MDT团队</strong></span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">将在<span style="color: black;"><strong style="color: blue;">北医三院门诊楼2层北侧连廊</strong></span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">或<span style="color: black;">经过</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">北医三院互联网医院“北医三院app”</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">开展义诊活动</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">线下义诊安排</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q0.itc.cn/q_70/images03/20240412/990ab1d56e1a4af59967c5d389d4a904.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">义诊地点：</span><span style="color: black;">门诊楼二层北侧连廊</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">线上义诊安排</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q6.itc.cn/q_70/images03/20240412/bab0c17aa8e74cc7893f0502ca8a8066.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">线上义诊<span style="color: black;">运用</span>说明</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">可<span style="color: black;">经过</span>以下两种方式下载，完成注册后<span style="color: black;">就可</span><span style="color: black;">起始</span><span style="color: black;">运用</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1.<span style="color: black;"><strong style="color: blue;">手机应用市场搜索“北医三院”</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">iOS用户：App Store下载APP</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">Android用户：应用宝、华为、小米、OPPO应用市场下载</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2.</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">微X</span>扫描二维码下载APP</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">义诊当天，点击<span style="color: black;"><strong style="color: blue;">【首页弹窗】</strong></span>或<span style="color: black;"><strong style="color: blue;">【免费义诊】</strong></span></p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">文 | 普通外科 王冰炎（主治医师）</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">审核 | 普通外科 孙涛（<span style="color: black;">专家</span>医师）、肿瘤放疗科 王皓（<span style="color: black;">专家</span>医师）</p>
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我完全同意你的看法，期待我们能深入探讨这个问题。 你的话语如春风拂面，让我心生暖意。 期待楼主的下一次分享！” 我完全同意你的看法，期待我们能深入探讨这个问题。
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