Lin Yongzhen said, "Old man, I studied cardiology, so what I say might not seem credible to you. Coincidentally, a few days ago, I added one of our hospital’s gastroenterology associate chief physicians as a friend. He is a good friend of our teacher’s. I’ll send him your information and let him give you so advice."
Saying this, Lin Yongzhen took out his phone, acquired the examination report from Lu Ran, and quickly sent it to the other party.
The other party wasn’t too busy at this ti, so it didn’t take long before they replied with a voice ssage.
"He replied."
Lin Yongzhen directly played the voice ssage out loud.
"I understand your concerns regarding your old man in this aspect. Let’s do it this way; I’ll first give the old man so knowledge about this area, so perhaps he’ll know what decision to make.
Generally speaking, because cells constantly divide, various tumors occur in the small intestine. The histological classification of malignant small intestine tumors mainly includes neuroendocrine tumors, adenocarcinoma, malignant lymphoma, and sarcoma (i.e., GIST, leiomyosarcoma).
In terms of incidence, neuroendocrine tumors are the most common, followed by adenocarcinoma.
Small intestine adenocarcinoma is defined as duodenal primary adenocarcinoma, jejunal primary adenocarcinoma, or ileal primary adenocarcinoma, excluding ampullary cancer.
Small intestine adenocarcinoma accounts for less than 0.5% of all malignant tumors and less than 5% of all gastrointestinal malignancies, making it an extrely rare tumor.
Small intestine adenocarcinoma frequently occurs in the first half of the small intestine, with about 45% occurring in the duodenum, 35% in the jejunum, and 20% in the ileum.
Early-stage cancers are mostly asymptomatic. If there is a lesion on the anal side of the deep duodenum, it cannot be observed as usual through endoscopy. Most patients are found to be in highly deteriorated states due to symptoms like positive fecal occult blood tests, anemia worsening, and abdominal pain and intestinal obstruction caused by intestinal stenosis.
When duodenal lesions progress, in addition to the above symptoms, they block the bile outlet, causing jaundice.
The old man’s condition is considered to be discovered relatively early. Many patients are already in the advanced stage when they go to the hospital for examination after symptoms appear. For these patients, we generally advise against treatnt, especially for older patients, as not treating is often much better than treating.
However, the old man is an exception; if treatnt is actively pursued, the chances of curing the condition are quite high.
Tell the old man that if he wants to go for treatnt, I will talk to Director Xue and arrange a ti to diagnose him."
Upon hearing this, Lin Yongzhen looked at Lu Qinian. "You heard that, didn’t you? He’s the associate chief of gastroenterology, pretty much Director Xue’s first assistant. Whenever there’s surgery, he’s certainly involved, and many tis he’s the lead surgeon. Doesn’t what he says carry more weight than what I say?"
Lu Qinian shook his head slightly. It’s not that he didn’t trust Lin Yongzhen, nor did he think the other person was lying.
There were just too many examples around him, and after experiencing them, he had beco numb.
Nowadays, many people turn pale at the ntion of cancer.
Lu Qinian was also human. When he found out he had cancer from Lu Ran’s mouth, his whole spirit almost vanished. Fortunately, he had seen a lot, and his deceased friends had warned him. If he ever got cancer, he was advised against chemotherapy; that stuff is too harmful.
If it can be cured, then enduring it is nothing.
But the key is that chemotherapy doesn’t have much effect on cancer. Cancer cells spread as they should, and chemotherapy severely weakens a person’s immunity, giving cancer cells the chance to invade other parts of the body.
Many tis, a non-lethal cancer, after treatnt, tastasizes to the liver or even throughout the body, where people who could have lived five or six more years without treatnt might pass away in just a few months.
It’s one thing for people to pass away, but it’s another to leave in tornt and pain, with no dignity at all.
Although Lu Qinian was afraid of dying, he didn’t want to leave this world one day without dignity.
So, after finding out he had cancer, he had already made up his mind that, co what may, he wouldn’t undergo surgery or chemotherapy. At most, he’d pay more attention to his health or look into so competent traditional Chinese dicine for so therapy, praying for a few more years.
No matter what, he wouldn’t lay on that operating table.
While Lu Qinian contemplated, another voice ssage ca through:
"As I ntioned, let talk about treatnt for the old man. If you don’t understand, it’s okay. Although Lin didn’t study gastroenterology, he knows so of this. If you truly don’t get it, you can ask or just search online for information.
For stages I to III, ’lesion removal’ is the main treatnt.
In stage I, if the tumor is determined not to have penetrated deeply, ’endoscopic resection’ is perford. For those not suitable for endoscopic resection, even at stage I, and for stages II and III, including the removal of lymph nodes around the tumor, ’surgical resection’ is perford.
For small intestine adenocarcinoma, the effectiveness of postoperative therapy aid at preventing recurrence, even after radical surgery (where no obvious tumor residue can be seen during surgery), has not been established. Therefore, no additional treatnt is generally done after surgery, but regular checkups are cautiously conducted.
That said, ordinarily, surgical removal is all that’s needed, and chemotherapy may be unnecessary, but frequent checkups are required to guard against cancer cell spread.
Moreover, in stage IV and in cases of postoperative recurrence, considering that the tumor has spread throughout the body, chemotherapy is used for systemic treatnt.
Regarding chemotherapy for small intestine adenocarcinoma, past reports have shown that one of the colorectal cancer treatnts, ’fluorouracil oxaliplatin treatnt’ (CAPOX treatnt or FOLFOX treatnt), has good results.
Moreover, the old man’s condition is only at an early stage, so there’s no need for the subsequent combined treatnt plan. Let the old man be completely at ease about that."
"Dad, you heard it too; the professionals are saying so." As the voice ssage ended, Lu Ran began to persuade.
"Do you all insist on sending to the hospital and onto the operating table for them to toy with?"
Lu Qinian, sowhat angry, huffed and said, "I also know that early active treatnt has good effects, but from what I understand, the vast majority of people face tastasis after treatnt. Then, isn’t it unreasonable chemotherapy in the end?
Chemotherapy has taken the world’s number one death toll, and it continues.
I just can’t believe that a treatnt thod that everyone fears and dislikes can be a good thod. If chemotherapy truly could cure cancer, wouldn’t cancer have already been conquered?
You know the old man Li’s case. He was in the late stage of stomach cancer and underwent a few sessions of chemotherapy. It’s been four years, and now his hands and feet are still numb, his body’s veins are bulging, and his nerve endings have necrosed, resulting in extre varicose veins.
Old Li recently sent a WeChat ssage saying it was terrifying and how much poison was infused into him.
Luckily, he decisively left the hospital after the surgery and adopted other thods at ho to slowly replenish and carefully adjust his body, finally restoring his primordial Qi. If he had continued treatnt in the hospital, he would probably have long gone.
Any treatnt that isn’t around restoring the patient’s body’s original vitality and enhancing the patient’s immune system is just blind treatnt.
Look at the other few who kept following the chemotherapy routine; how many lived over three years? Now look at your Grandpa Li, from diagnosis to now, it’s how many years? Over five years, carefully counting. Now he’s in great health. If he had continued chemotherapy in the hospital, he probably would’ve been gone a few years earlier.
You all don’t need to persuade anymore; this illness, I won’t treat it."
With a big wave of his hand, Lu Qinian directly sat on the sofa, his face somber.
The group imdiately exchanged glances.
It was Lu Xuan, however, who smiled when he heard the old man. The old man viewed chemotherapy as a beast, which was a good thing for him!
He had been worried that the old man would resolutely choose Western dicine, thinking of countless ways in his mind to persuade the old man and even planning how to deal with his parents.
But now, it seems there’s no need to think about it!
Since the old man wouldn’t go along with Western dicine, he’d surely be willing to try traditional Chinese dicine.
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