Analysis of some people in the medical examination, will be afraid of trouble or shyness and skipped some important examination items. Others have abnormal body signals but keep treating them as common diseases, and when the discomfort becomes more and more obvious, the best treatment period has been delayed. Which cancers are easily misdiagnosed? How should we correctly determine tumor signals? Let me help you to explain the misunderstanding of cancer. Zhang is 60 years old and has been in good health, but 2 months ago, he suddenly had left-sided lumbar pain, and he had hematuria twice. Because there is no urinary urgency, painful urination and other symptoms, he thought it might be eating something “on fire”, and did not take it seriously. Last week, he once again experienced severe left-sided back pain and hematuria, and thought he had a kidney stone attack, so he went to the community health center to get a few injections, after which his symptoms became lighter and heavier. When his children heard that he was not feeling well, they took him to the hospital for a medical checkup, and the doctor did an ultrasound and MRI for him. The results came out that Uncle Zhang had kidney cancer, and he was rushed to hospital for surgery. Summer is the high incidence of inflammation and stones in the urinary system. In fact, many patients with urological diseases would rather drag around at home and take some anti-inflammatory drugs than come to the hospital. In fact, hematuria that is not painful is more frightening because it is what often signals a urinary tumor. “Hematuria is not the name of a disease, but one of the most common symptoms of urological diseases. It is a manifestation of bleeding in the kidneys, ureter, bladder, urethra and prostate, and may also reveal endocrine, genital organ and other pathologies.” Painless hematuria is a sign of urological tumor Why do urological tumors also present with stone like back pain and hematuria? Director Zhang Zhigen explained that this is because when the tumor bleeds, small blood clots will be formed during the flow of blood through the ureter, which will get stuck in the ureter and cause the stone like symptoms. Different causes of hematuria have different accompanying symptoms, such as acute bleeding cystitis that often occurs in women, which is basically accompanied by frequent, urgent and painful urination; hematuria caused by kidney stones is often preceded by back pain. “And hematuria without any discomfort is a sign of urological tumors (such as kidney, ureter, bladder and prostate tumors).” Experts explain that among them, the most important thing to beware of is bladder malignancy, bladder cancer is the most prevalent cancer among urological tumors, domestic and foreign epidemiological survey statistics show that 70% of bladder cancer patients, also painless carnal hematuria as the first symptom, only about 10% of patients start with symptoms of urinary frequency, urinary urgency, urinary pain. “No pain, no discomfort, hematuria comes and goes, and some can intermittently appear again for several months, which is often a common symptom of urinary tract tumors. If unilateral back pain with or without hematuria occurs at the same time, please make sure to go to the hospital for relevant examinations (such as urinary routine, urological ultrasound, renal venography, etc.) to clarify the cause of back pain and treat it symptomatically, and never delay the treatment time.” Late stage intestinal cancer was treated as enteritis No coincidence a girl of about 20 years old. After being referred by experts from many hospitals in the province, she was mistakenly thought to be a benign intestinal disease and finally visited a cancer hospital, and once she was examined, she was found to have advanced colon cancer. Another case is even younger, only 13 years old, the little girl has blood in the stool, the number of stools increased, she looked at the gastroenterology department for 3 months, the doctor thought she was enteritis, hemorrhoids, eaten to stop the bleeding and anti-inflammatory drugs, the situation is getting worse. At the last check, it turned out to be rectal cancer. “During physical examination, anal finger examination should not be neglected, especially for young patients to be examined carefully. In my clinic, I have come across several cases of patients with colorectal cancer at a young age, which were found to be at an advanced stage and lost the best time for treatment.” Experts say, as the old saying goes, it is important to treat anal finger examination as a routine physical examination. An experienced doctor can spend one minute to complete this examination. Anal finger test can detect missed lesions More and more patients are getting colorectal cancer, but this is actually a more convenient cancer screening. For example, the anal finger test can detect more than 70% of rectal cancers by sticking a finger into the anus for 5 to 7 cm. If there is cancer and there is a hard and brittle cauliflower-like lump in the rectum, the doctor will know it when he or she touches it. The early symptoms of rectal cancer are not obvious, so it is easy to be confused with other diseases of the anus, and thus often overlooked. The reason why many patients miss treatment is that they do not pay enough attention to blood in stool, mistaking it for hemorrhoids or anal fissure, and then buy drugs from pharmacies for self-treatment, and when they go to hospital for examination, most of them have already reached advanced stage of rectal cancer. The anal finger examination is a simple and non-invasive examination with fingers, which can visually reflect the lesions in the anus. “Some patients think they don’t need to do finger examination after colonoscopy, which is not true. The moment the colonoscope enters and comes out, the anal opening may be overlooked, while the finger examination can be carefully examined. In addition, anal fingering can palpate the rectum and detect other tumors that have metastasized to the pelvic floor. Multiple myeloma is easily misdiagnosed as kidney disease 67-year-old Uncle Zhang. He is a native of Lishui and has always been physically fit, often taking walks and playing boxing with his partner. A few months ago, Zhang Da Bo suddenly felt a pain in the waist, thought it was the morning exercise injury, so let his partner take a hot towel and medicinal wine compresses. The company’s business is a good example of a company that has been in the business for a long time. It just so happened that Uncle Zhang had to go to the hospital for a physical examination, and the urine test results found that his proteinuria index far exceeded the standard value. This is one of the signs of kidney disease, is Zhang DaBu has nephrotic syndrome? But he did not have swelling. What is going on here? The nephrologist was also puzzled. Thinking of previous cases, the nephrologist suggested that Zhang go to the hematology department. Doubtingly, Zhang finally went to the hematology department. After further laboratory tests, the hematologist determined that Zhang had multiple myeloma. Experts remind that the clinical symptoms of multiple myeloma are diverse and can be easily misdiagnosed. If you have an abnormal body but cannot find the real cause of the disease, you should go to the hematology department for investigation in a timely manner, as the earlier it is found, the less damage it will do to your body. Multiple myeloma is a common clinical malignancy with a high incidence, with about 3 to 5 out of every 100,000 people in China suffering from this disease. The gradually increasing incidence in recent years has made it the second most common malignancy in the hematological system after malignant lymphoma. And while originally it was a disease with a high prevalence in the elderly, in recent years, it has gradually become more common in young people. “Clinically, this disease can be easily misdiagnosed.” Because the disease usually presents with severe skeletal pain, anemia, recurrent and severe infections, and acute or chronic renal insufficiency, patients and physicians also usually assume that it is a disease on other specialties, resulting in misdiagnosis. For example, some patients may have bone pain, and many may go to an orthopedic surgeon, only to find out that it is myeloma after an incision and pathological biopsy has been performed. Moreover, myeloma is not as widely known as leukemia, and people are less likely to think they have it, which can increase the rate of misdiagnosis. “Multiple myeloma is a slow-growing tumor, so it’s more common in older people. But once it strikes, it’s harder to control.” Experts warn that if you find a higher than standard globulin indicator during a routine physical exam, you should be alert and preferably go to a hematology department for screening. Studies have found that some people have elevated monoclonal globulins of undetermined significance, and about 3 percent of them will turn into multiple myeloma. “We don’t intervene prematurely in patients who are not showing symptoms, but we ask them to come in for a review once every three months to six months. If there are corresponding symptoms, it’s time to intervene for treatment.” The elderly should also be alert if they have osteoporosis or sudden fractures. “Be sure to cooperate with your doctor for holistic, standardized treatment.” Experts emphasize that many patients stop treatment without authorization after one or two courses of treatment and they feel better, which is very dangerous, “It can be said that 100% of them will recur, which is very unfavorable to the patient’s healing.” These early signs of tumor should be paid attention to Every kind of tumor has the possibility of being “misidentified”. Every year, because the tumor is not diagnosed in other places, there are few people who are found to have advanced cancer when they go to the cancer hospital. “The symptoms on the surface of the skin can be easily detected, but the lesions in the internal organs of the body are not easy to be detected and are easily missed during the examination.” For example, intestinal cancer is treated as diseases related to enteritis, patients with stomach cancer are mistakenly treated as gastric ulcer or chronic gastritis in early stage, and patients with skin cancer also do not pay attention to it in early stage and simply think it is just skin inflammation. Patients should be reminded that once some abnormal signals appear in the body, it is time to pay attention to them. For example, in the early stage of bowel cancer, if the stool habit changes from once a day to four or five times a day, or if there is blood in stool or black stool, you should consider having bowel cancer examination. If you often have acidity in the stomach, then you should pay attention to the possibility of stomach cancer. The early symptoms of lung cancer patients are mostly manifested as frequent coughing and hoarseness. “Thyroid cancer, which is becoming more and more common nowadays, has an early symptom of abnormal hoarseness; prostate cancer in men has an early symptom of change in urinary habits and unpleasant urination. In addition, women should be checked for cervical cancer if they have abnormal bleeding or discharge from the lower body. If it is difficulty in swallowing and indigestion, then it is important to rule out whether it is esophageal cancer.”