Cancer is divided into different types. Some cancers are extremely dangerous even in the early and middle stages, but some cancers may not necessarily lead to death even in the late stage. However, the survival rate of most cancers in the late stage is very low, so there is Such a simple statement. The root cause of how advanced cancer causes death is not completely understood. Except for those that directly damage the function of organs, such as lung, liver, kidney, and brain failure, these are the simplest consequences that allow doctors to understand the cause of death. But except for In addition, many patients with advanced cancer die from metabolic failure of the entire body and are irreversibly losing weight for unknown reasons. Therefore, if we find a way to combat this irreversible weight loss, as long as it is not a late-stage cancer that directly damages important organs, the patient's chance of survival will immediately increase significantly. This means that every extra day of life will increase the patient's chances of survival. It may mean one more month of life, and every one more month of life may mean one more year of life. . . . .
But we still need to understand how tumors or cancers are staged, and what the so-called early, middle and late stages mean. The purpose of clinical staging of tumors is to evaluate the progression of a patient's disease and try to predict how bad the future will be to guide the determination of the best treatment plan. At the same time, it also provides a platform for comparing experimental data when trying new treatments and drugs. After all, for the same type of tumor, it is always easier to treat patients in the early and middle stages than in the late stages, and on average, the survival rate of patients in the early and middle stages is higher than that in the late stages.
TNM staging of tumors (tumor-node-metastasis)
T: Refers to the condition of the primary tumor. As the tumor volume increases and the extent of adjacent tissue involvement increases, the Represented by T1~T4
N: N refers to the involvement of regional lymph nodes, that is, whether they are swollen or invaded by tumor cells. If not, it is N0. As the degree and scope of lymph node involvement increases, it is expressed as N1~N3.
M: M refers to distant metastasis (usually blood vessel metastasis). Those without distant metastasis are expressed as M0. , those with distant metastasis are represented by M1.
On this basis, the grouping of the three TNM indicators is used to draw a specific stage.
Comparison of the five-year survival rate of cancer patients in China and the United States
From this figure, we can find that the five-year survival rate of most cancer patients in the United States is higher than that in China. There are three reasons: American patients are more susceptible to It is detected in the early and middle stages because tumors are paid more attention to and are less taboo; the quality of medical treatment is higher; and the quality of nursing care is higher.
But there are also some tumors that cannot be cured no matter where they are, such as lung cancer, stomach cancer, pancreatic cancer, liver cancer, esophageal cancer, gallbladder cancer, and ovarian cancer. Comparing this table, if you are not short of money, you can consider trying it in the United States.
Many people think that being diagnosed with terminal cancer means death is imminent.
Let us first correct this misconception:
Late-stage cancer and the terminal stage of cancer are not the same concept. Late-stage cancer in medicine means that once the tumor has metastasized to other organs and there is no hope of cure, it is in the late stage, also called stage IV; while the terminal stage means that the patient's condition has developed to the point where multiple organ functions have The state of exhaustion, in which death may occur at any time, is also called the terminal stage.
Advanced stage of cancer refers to the occurrence of distant metastasis. Current medical technology has made it difficult to completely remove cancer cells. Therefore, the purpose of anti-tumor treatment is to focus on palliative care and control and kill as much as possible. Kill cancer cells, delay and control the progression of the disease.
How long can patients with terminal cancer survive? This depends on what kind of cancer the disease is? Depending on the species affected, survival time can vary greatly.
For example:
1. In liver cancer and pancreatic cancer, due to poor conservative treatment effect and high malignancy of the tumors, once there is no chance of radical surgery, the survival time of advanced patients is very short. Short, mostly around half a year.
2. Small cell lung cancer is highly malignant and prone to brain metastasis. However, because chemoradiotherapy is effective, even advanced patients can achieve complete remission through chemoradiotherapy, which means that they can achieve complete remission. All lesions disappear, but they will relapse soon. Therefore, the general survival period is short, about 1 year, and some people can reach 2-3 years.
3. Colorectal cancer is also called large intestine cancer. In the past, it was believed that once metastasis occurs, it is an advanced stage patient. Basically, the purpose of treatment is palliative care. With the development of medical technology, currently Patients with late-stage metastasis, such as colon cancer liver metastasis, are no longer treated as palliative care. Some patients can still undergo radical combined liver and colon surgical resection, which greatly improves survival. In addition, chemotherapy for colon cancer patients is effective. Many patients with advanced radical surgery can still achieve a good survival time, and some patients still have a survival period of more than 5 years.
4. Lung adenocarcinoma With previous medical technology, the survival time of patients with advanced lung adenocarcinoma was generally about 1 year. Currently, with the rapid advancement of gene sequencing and targeted therapy, the results of some genetic tests are "sensitive" The survival period of patients with "mutation" is greatly extended. Through oral administration of first-, second-, and third-generation targeted (TKI) anti-tumor drugs and subsequent rescue chemotherapy, the survival period of many patients with advanced lung cancer has been extended by 2-3 years.
5. Breast cancer Breast cancer is currently the most mature disease in medical oncology research. Breast cancer can be divided into many different subtypes. Due to the limitations of radical surgery, chemoradiotherapy, endocrine therapy and targeted therapy, Using this method, some well-classified patients with advanced breast cancer can survive for more than 5 years or even longer. A patient with late-stage breast cancer in our department has survived for 14 years and has created a medical miracle.
In summary, it can be seen that even though the survival time of late-stage patients varies greatly depending on the type and type of the disease, diagnosis of late-stage cancer does not mean that they will die soon.
Having terminal cancer is a death sentence. Why do I say this? My mother was diagnosed with late-stage cervical cancer at People's Hospital and Sichuan Cancer Hospital in June last year. That is to say, the cancer cells have spread and require hospitalization for drug and surgical treatment. My mother is too old for surgery, so she is hospitalized for radiotherapy and drug treatment. In October, the cancer cells spread throughout the body, and the doctor asked us to give up treatment. After returning home, we went to the traditional Chinese medicine hospital to see the best experts in traditional Chinese medicine, which means we can extend our lives! In the months leading up to his death, cancer cells spread to his bones and various organs failed. He had trouble urinating and defecating, and lay in bed every day. He was tortured to death by cancer and was as skinny as a stick. That heartbreaking pain, I shed helpless tears every time,,,,,, on April 1, 20|7, he left me forever!
I feel the same way when I read your story. My father worked hard all his life and was diagnosed with terminal cancer just after he retired. The doctor diagnosed a 3-6 month survival period. It was like a thunderbolt and I collapsed instantly! Fortunately, after calming down, I decided not to tell my father yet. Because I had just undergone surgery, I could not bear the treatment of other major injuries. So I tricked him into taking oral chemotherapy drugs, saying it was preventive treatment. After all, the cyst was too big to prevent malignant transformation. In addition, I kept chatting with him, talking about some interesting things, and naturally told him some positive examples of cancer patients. Since the indicators were not good after more than 3 months, I had to undergo chemotherapy. I did it 9 times in one session, first 3 times and then 6 times. My hair was gone (it has grown out now). Despite this, he still did not tell him the real situation. The doctors and nurses from the United Nations lied to him and said that the cyst (try not to use sensitive words, such as tumors, etc.) was a bit large and adhered to the abdominal cavity. To prevent malignant transformation, he could only do preventive chemotherapy as a precaution. (I won’t talk about the sadness of asking doctors and nurses to hide my condition.) At the end of last year, two and a half years after the operation, I took an opportunity to partially reveal some of my condition to him (I really couldn’t hide it anymore).
At that time, I could feel some changes in my father's demeanor, but we cleverly avoided the topic and talked about it in a light-hearted way. In the days to come, I have been insisting on doing some psychological counseling-style communication and chatting. Now, except that I am a little thinner and eat less, my energy is pretty good. I have said so much because I want to tell my friends who have had the same experience as me. It is very important to pay attention to 2 points! 1. Do not tell the patient the true condition prematurely or comprehensively. No matter how strong and rational a person is, he cannot withstand such a blow. If you really can’t hide it, you must try to be as gentle as possible and make the patient believe what you are saying. is true. Insist on psychological counseling and more companionship! 2. Good living and eating habits are very important! Attention, very important! Don’t be greedy for cold food! Even a single oversight for this kind of patient may be fatal! One time, my father almost had an intestinal obstruction because he ate too much. I hope my experience can be of some help to everyone, and I wish all parents in the world good health and peace!
Any terminal cancer is nonsense. My grandpa had terminal liver cancer. From the time he was diagnosed in the hospital to the time he passed away from us, it only took one month! My father-in-law now has stage 4 lung cancer plus brain metastases. He went to the director of the oncology department and he made it clear to you directly. There is no point in having surgery anymore. Biopsies are not recommended. The clinician recommended targeted therapy. Later, the director also said Let’s make it clear, it won’t extend the time much, it will only increase the patient’s pain in the later stages! Remember, cancer must be detected as early as possible. Once the cancer cells spread, it is basically a death sentence. In the later stages, drug treatment will have no effect at all. Chemotherapy has a certain effect, but the pain of the patient can be imagined, regardless of good or bad. All cells are killed! Choose according to the patient's desire to survive. That kind of despair really means having money and nowhere to spend it! I really hope that one day a genius can invent a method to cure cancer, which will benefit mankind and be famous forever!
Having terminal cancer means that although you still exist in this world, the world is moving away from you, getting further and further away, until it disappears. The disappearance of this world accelerates as you become sicker.
The first thing to disappear is your job and your colleagues. If you get sick and need to be hospitalized for treatment, you must take sick leave or resign. Before I was diagnosed, I was working for a private company. The work in the private company was like a carrot or a pit. You couldn't do the work without someone else completing it for you, and you couldn't be overloaded. It was okay to take three to five days off and a week. It was a long time. If you do something wrong, you will feel embarrassed and ashamed of your boss. Besides, I didn’t know when my illness would be cured, and I couldn’t even ask for leave, so I resigned happily. With this resignation, I said goodbye to my original position and my original colleagues. When I first left, everyone would come to care about my condition, but as time went by, they gradually drifted away, and finally it was like nothing was heard from me.
Then it is your classmates and friends who disappear. Classmates and friends are the hardest and iron layer of your social relationships. In the early stages of my illness, they would come to see me, cheer me up, and get me money. They did a lot for me and made me feel very warm. However, at this time, if something happens to them, they will never tell you again. In order to let you rest in peace and recover, they will not let you share their sorrows and joys. Slowly, they will become farther and farther away from you until they no longer have contact with you.
Then it is your relatives and loved ones who disappear. At this time, your spouse's brothers and sisters will be the first to draw a clear line with you, keep a distance, and become strangers. Then there are the distant cousins ??and cousins, and gradually, only your own brothers and sisters, your own siblings, your own spouse, and your own children are left.
When all that is left in your world is your family, your spouse and your children, it also means that your condition has progressed to a certain extent. For example, I can no longer go out. In the past few years, the cancer cells have been recurring, metastasizing, and bone metastases in my body. Bone metastasis erodes human bones very much, causing me a lumbar fracture and leg pain before. Through the hospital's intervention, the lumbar fracture has healed, but the leg still hurts and I can't go downstairs or go out.
Half of my health has disappeared, and more than half of my life must have disappeared as well?
However, compared to most cancer patients, I feel that I am still lucky. Hai is really very good to me, considerate and has always taken care of me. Four years, four years is not such a short time. The most disgusting thing is that I have lived a very unstable life in the past four years. In these four years, I had relapses and metastases 5 times, and I was hospitalized for more than 400 days in total. And Hai has always been with me and taken care of me. I depend on him for everything I eat, drink, and drink. I seem to be a parasite on him. And he has been trying his best to save me, hoping that I can recover and live, but he is watching my deterioration and trying to pretend to be happy.
Suffering from terminal cancer is not only a serious illness for you, but also a disaster for the family. In this disaster, if you cannot achieve nirvana and be reborn, you will inevitably disappear from this world. Come on, good luck!
What does it mean to have terminal cancer? Is there still hope? This is what many people want to know. In many people's minds, late-stage cancer means there is no hope, it means incurability, and it means waiting to die, so there are all kinds of doubts or unnecessary fuss. But why do people still ask this question? Because usually the person who asks this question is either the cancer patient or his family member. Many times, when the matter has nothing to do with you, you will utter all kinds of venomous remarks. When it is your or your family's turn, it may not be the same as when they first slandered you. Therefore, I still advise those who like to slander to keep their tongues and mouths. When the day comes that you quit breeding, you may not be like this.
Back to this question, what does it mean to have terminal cancer? Some trolls will immediately say, what else does it mean? Of course it means waiting to die, because late-stage cancer cannot be cured, so don’t treat it. Eat and drink when you should, and don’t send money to the hospital. Specific to this question, the rational and scientific answer cannot be said to mean waiting for death, it cannot be said that there is definitely no hope, nor can it be said that there is definitely hope and it will be cured, but it should be a specific analysis of the specific condition and a specific treatment, all extreme statements They are all destined to be wrong.
1. Some cancers may be cured in their late stages. When I heard that the cancer was in the advanced stage, I definitely thought it couldn’t be cured. How could it be possible to cure late-stage cancer? Many people don't believe it, but in fact, some cancers can be cured, such as certain lymphomas, leukemias, ovarian malignant germ cell tumors, choriocarcinoma, testicular malignant germ cell tumors, etc. Whether they are early or late, they are It's possible to be cured. Some people will say, really? Why do I see so many lymphoma or leukemia patients who are not cured? Yes, I didn’t say it can definitely be cured. Didn’t you say it definitely can’t be cured? I said it’s possible to be cured, just to deny your statement that “it’s definitely not curable”. It’s certainly wrong to say it’s definitely not curable, and vice versa. , it is also wrong to say that it can definitely be cured. Some of them can be cured.
2. Some advanced cancers can survive with the cancer for a longer period of time. So besides the cancers mentioned above, what about other cancers? After all, the above mentioned are not the most common cancers. Yes, it is true that most common cancers, such as lung cancer, breast cancer, liver cancer, esophageal cancer, gastric cancer, colorectal cancer, etc., are basically incurable once they reach an advanced stage and metastasize. Why do we say basic? Because there are a few exceptions, such as liver metastasis from colon cancer, which is at an advanced stage, but if the liver metastasis is resectable, there is still hope for cure. However, some cancers have distant metastasis in the late stages and are difficult to cure, but it does not mean that there is no hope. It does not mean that you can only wait for death and nothing can be done. In fact, with the development of medicine, many late-stage cancers can achieve longer survival with the tumor through comprehensive treatment. For example, late-stage breast cancer may live to seventy or eighty years or even longer, and late-stage lung cancer may live to fifty-six years. Years or even longer, of course, is possible, but not certain, because everyone's condition is different and their financial conditions are different, so it cannot be generalized. However, you cannot say that as long as it is cancer, it means there is no chance. This is wrong.
Some people will say that even if it can’t be cured after seven or eight years, you won’t have to leave in the end. That’s right, then you who don’t have cancer will still have to leave in the end, and it’s unknown whether you will be alive tomorrow. Can you guarantee that you will be alive tomorrow and next year? uncertain. Are you saying that you will leave in the end anyway, so you might as well just give up? Would you do this? Of course not, so why should cancer patients be treated with different standards? When people live, don’t they just live in the present?
3. There are no effective treatments for some cancers in their advanced stages. It must be admitted that with the current medical level, many cancers have metastasized at a late stage and are neither curable nor viable for a long time, such as late-stage pancreatic cancer, late-stage liver cancer, late-stage esophageal cancer, etc. However, with the development of medicine, more and more treatment methods and drugs have become available, and the treatment effects have begun to show some improvement. There is still hope for life. Of course, if the treatment effect is really not good, don’t keep struggling. The main purpose is to reduce pain and improve the quality of life. Sometimes the reality can only be accepted.
Late stage cancer is equated with death in most people’s minds, but this is not the case. Late stage and late stage are two completely different concepts. There are many friends in the advanced stage who live a normal life or even live a normal life for a long time. Many of our friends in the anti-cancer group are like this. This is closely related to the type of cancer, stage, treatment method, personal psychology, diet and exercise, rest arrangement, etc.
I don’t know much about others how they managed to live a normal life in the late stages, but I can share my personal experience with you, and it may be helpful to my friends. I was diagnosed with liver cancer at the end of May 2018, and it was a huge tumor. Anyone with a little common sense would know what it means. After being diagnosed in several hospitals, I decided to risk my life and undergo surgery. After the operation, the stomach function was lost and I couldn't take a sip of water or rice for a month. People are so thin that they are out of shape.
More than three months after discharge from the hospital, multiple lung metastases were found. This undoubtedly made matters worse, and was a huge blow to my mind after I had adjusted a little. The body has just recovered a little and can no longer withstand the trauma and blow. I refused intervention, ablation, radiotherapy and chemotherapy, and chose targeted drugs that were relatively safe but were blind trials. Only those who have experienced the pain caused by the side effects of targeted drugs can understand it. Diarrhea, hand pain and swollen feet, unable to get out of bed and walk. After calm analysis, I know that I can't continue with this, as it will only lead to a dead end. what to do? My heart was on fire. If you stop taking the medicine, the tumor will grow bigger. If you don't stop taking the medicine, you won't die from cancer but from the side effects. After much thought, I ruthlessly reduced the dosage of targeted drugs in private.
After a few days, my condition recovered a lot, I became energetic and my appetite increased. It’s time to exercise. After adjusting your mentality, you decide to take a gamble. Instead of dying painfully from the side effects of the poison, it is better to give it a try. I made a plan for myself. I got up at six in the morning and had breakfast around seven o'clock, with five red soup and two egg whites. Half an hour later, I took the traditional Chinese medicine introduced by my comrades and went out for a run at eight o'clock. At nine o'clock, I go home to rest, watch TV and listen to music. Then do the hand throwing exercise for twenty minutes. Lunch is mainly fish, shrimp and vegetables, a corn bun, and a bowl of kelp soup. Take probiotics half an hour after meals, and then take Chinese medicine half an hour later. Then take an hour lunch break. At around two o'clock in the afternoon, go to the park or walk among the green trees and red flowers, look at the beautiful scenery, listen to music, and feel relaxed. Dinner is mainly millet porridge, carrots, and vegetables. In terms of diet, apart from less oil and less salt, there are basically no food taboos, and I occasionally eat pork and beef. I will not go to the hospital except for re-examination and antiviral medicine prescription. I am very sensitive to hospitals. In more than two years, I have exceeded the hospital's initial prediction of a few months to live. I summarized that people’s optimistic attitude accounts for 40% of the role in fighting cancer, diet and exercise account for 20%, adequate sleep accounts for 20%, and reasonable treatment accounts for 20%. As long as you are strong enough, live an active life, eat and exercise appropriately, and do not over-medicalize, late-stage patients can also live a normal life. come on.
1. A Midsummer Night's Dream, 2. Humor, 3. Love You Forever - Richard
4. Eternal Love -