Recurrence of old problems can not be cured?

Many people are over the age of 40 and begin to notice their own problems constantly appearing such as prolonged flushing, night sweats and itchy skin, thinking it is just a lesion caused by aging, but in fact careful that there is a rare disease can be “neuroendocrine tumor”, director of Kaohsiung Municipal Xiaogang Hospital Professor Guo Zhaohong of the Department of Gastroenterology of Chung Ho Memorial Hospital, affiliated with Kaohsiung Medical University, pointed out that neuroendocrine tumors are malignant tumors which are differentiated from the epidermis of endocrine granules, which can secrete many different secretions and grow in different organs of the body. Common symptoms include cough, asthma, facial flushing, night sweats, diarrhea, abdominal pain, body itching, and repeated stomach ulcers and other ten symptoms. Director Guo Zhaohong said if the symptoms keep coming back and the treatment doesn’t improve or even starts to worsen, you have to be careful it’s a neuroendocrine tumor. According to data from the Cancer Registry, the incidence of neuroendocrine tumors in China has nearly increased fivefold. in 10 years from 1996 to 2008. Dean Guo Zhaohong said the exact cause of neuroendocrine tumors has not yet been found, but some factors show a higher risk, including women between the ages of 40 and 60, black ethnicity, or relatives who are diagnosed with multiple endocrine tumors. and patients with weak regulation of autoimmune function are all high-risk groups who need special attention. Dean Guo Zhaohong said the difficulty in diagnosing neuroendocrine tumors is that patients’ symptoms continue to return after treatment. Because the symptoms are relatively non-specific, the patients themselves cannot be warned in advance and the diagnosis process can take 5 to 7 years. It is also possible that it is a non-functional neuroendocrine tumor. Most of them are asymptomatic in the early stages, and they are not discovered accidentally until the health check or medical treatment, or the tumor does not begin to feel uncomfortable as it spreads to other organs. Neuroendocrine tumors can be classified as “functional” and “non-functional,” depending on whether the symptoms are caused by excessive secretion of hormones. Functional tumors can cause a variety of symptoms due to excess hormones, while non-functional tumors usually have no obvious symptoms, making it difficult to diagnose. Dean Guo Zhaohong informed that the current main research methods include X-ray, computed tomography, endoscopy, ultrasound examination or positron photography, somatostatin scan, etc. According to statistics, 50% of them have already metastasized when they are found, and 27% of them are metastases in distant organs, especially the liver. If no metastasis occurs at the time of diagnosis, 10-year survival can be as high as 90%. Otherwise, if there is metastasis, the 10-year survival rate is only 50%. Director Guo Zhaohong said the treatment of neuroendocrine tumors depends on the size of the tumor, its growth site, whether it has spread and the patient’s health. At present, surgical resection is the only curative way. If surgical eradication is not possible, surgery for volume reduction in combination with hormone therapy, targeted therapy, chemotherapy, radiation therapy, or new long-acting injection gel will be considered. Director Guo Zhaohong mentioned that there is currently a new type of long-acting injection gel that can be used as a new treatment option for patients. In addition to extending the disease-free survival period to 20.5 months, it also relieves symptoms such as diarrhea and flushing by 70%. Unlike the traditional injection treatment, which has to go to and from the hospital for injection, the new long-acting injection gel can be injected at home or by family members under the guidance of professional medical personnel. This is a new boon for busy office workers or elderly people with limited mobility. At the moment, the new long-acting injectable gel is also reimbursed by health insurance. With more and more advances in the drug, it is recommended that patients consult with their doctor and choose the most appropriate treatment method for them. Dean Guo Zhaohong recalled that it is very important to diagnose neuroendocrine tumors early. If you have the above ten symptoms, you should get a gastroenterology exam as soon as possible to avoid missing the opportunity to discover neuroendocrine tumors.