Child’s limbs ache at night, alert for sarcomas

Many adolescent patients are often misdiagnosed with sports injuries due to the lack of obvious early symptoms of sarcoma . Sarcoma as a dangerous, high incidence, easy to be ignored malignant tumors, the incidence rate has jumped to the first three children’s tumors. The joint lumps as sports strains, night pain as growing pains, self-applied herbal cream to activate blood stasis …… all kinds of misunderstandings lead to more than half of the patients have been diagnosed in the middle and late stages. The first diagnosis and first treatment is directly related to whether the patient can retain the function of limbs, and the best time for treatment is the first surgery. Sarcoma incidence jumped to the top three childhood tumors “Sarcoma is a very dangerous malignant tumor, it is ubiquitous, can occur in any part of the body, commonly in the deep parts of the limbs, such as subcutaneous, periosteum and the ends of long bones. Osteosarcoma is most common in young people, preferably in the limbs, develops rapidly and has a short course; smooth muscle tumor, lymphosarcoma, synovial sarcoma, etc. are also common. All sarcomas may occur at an early stage of blood line metastasis.” And more terrible is that the incidence of sarcoma accounted for 15% to 20% of children’s tumors, sarcoma of osteosarcoma is more children and adolescents as the main incidence of the population. , sarcoma has been ranked second or third in the incidence of childhood tumors in all parts of the world. “Take osteosarcoma, which is very common among sarcomas, for example, mostly occurs in children aged 10 to 20 years old, and the study believes that it may be related to the rapid growth of the human skeleton at this stage, which is prone to cause cell mutations.” Twenty years ago, the hospital admitted about 20 children a year with such diseases; now it admits hundreds a year, and the number continues to grow. In addition to the increased awareness of people seeking medical care, it is clear that the incidence of sarcomas is growing clinically, but many of the causative factors remain unclear. “Sarcoma is also dangerous because early clinical symptoms are often overlooked, resulting in more than half of the patients being seen for the first time only in the middle and late stages.” Shen Jingnan introduced, due to sarcoma early symptoms are not obvious, often misdiagnosed as injury or arthritis, especially for the prevalence of groups of children and adolescents, many times attributed to recent sports injuries or even natural pain during the growth period, their own application of bruise ointment, until the rapid development of lumps and pain is intense before seeking medical attention, and at this time or has entered the middle and late stages. Clinical statistics: 40% to 50% of patients diagnosed with tumors have been very large, surgical resection is difficult or has occurred metastasis, facing the double threat of forced amputation due to postoperative local recurrence or distant metastasis life-threatening. “Early onset of the patient’s limbs will appear irregular hidden pain and discomfort, but careful observation will find that there is no before and after time relationship with the movement, at first intermittent pain, gradually turned into persistent severe pain, and night pain is obvious. In fact, the malignant tumors typically represented by sarcoma mostly have a significant feature of ‘night pain’, and osteosarcoma is especially prominent.” Shen Jingnan said, in the early stage, 80% of the patients can feel the lump, 50% of the patients will have “night pain”, and in the late stage, basically all patients will have “night pain”. In addition, the nature of the tumor is malignant synovial sarcoma of early self-diagnosis: “it is manifested in the ankle can be slow-growing small lumps, the location of the lump is very fixed but the boundaries of the lump is not clear, press down on the pressure and pain produced, to the late stage of the disease will also occur in the venous rage and local skin temperature rise phenomenon, the hand feel up to feel the abnormal heat. ” The above characteristic signs of this sarcoma should be a signal to alert the patient to the disease. Misunderstanding: the external paste ointment can accelerate the growth of sarcoma A Yunfu child knee lumps diagnosed as soft tissue contusion by the local hospital, opened a lot of ointment home paste, the result of the rapid growth of the lumps to the Guangzhou medical treatment was found to be osteosarcoma, and at this time he has lost the chance of limb preservation due to the tumor is too huge, more unlucky in the back – check! He was found to have lung metastasis, and even the chance of saving his life was lost. Consultation found that, due to the long lumps, pain in the early stages of the onset of many patients mistaken for sprains, bruises, resulting in the eastern Guangdong, western Guangdong, northern Guangdong and other areas of the patient 60% have been pasted on their own Chinese medicine ointment treatment; in the Pearl River Delta and other regions, the proportion is slightly lower, but also a lot. “We have seen many patients who have been applying traditional Chinese medicine externally for a longer period of time, the tumor growth rate is significantly higher than the normal level, and individual lung metastasis even occurs very soon.” Chinese medicine can produce physical effects that feed tumor growth and promote its rapid metastasis by activating blood and resolving blockages and other effects. “Sarcoma is highly malignant and grows very fast itself, and it only takes two months to transition from early to intermediate stages, and then six months before it may enter the advanced stage and develop lung metastasis.” Never misuse traditional Chinese medicine to promote tumor development, if the body appears lumps and irregular hidden pain must go to the hospital specialist to confirm the diagnosis in order to exclude the possibility of sarcoma. Clinically, if teenagers have pain or lumps near the knee joint, according to the physical signs and X-ray film, CT performance, most can be diagnosed, and puncture biopsy can be carried out if necessary. Shen Jingnan introduced that the earlier the sarcoma is found, the higher the cure rate is, and standardized comprehensive treatment is the key to sarcoma cure. “The first diagnosis and first treatment is directly related to whether the patient can retain limb function, and the best time for treatment is the first surgery.” Currently for sarcoma treatment clinical use of surgery-based, combined with radiotherapy comprehensive individualized treatment plan, neoadjuvant chemotherapy can kill the tumor cells in the body through the drug, so that the success rate of limb preservation and reconstruction surgery greatly increased. “The current safe limb preservation rate of sarcoma reaches more than 90%, and the 5-year survival rate is about 70%.” Tips: sarcoma patients should avoid fried, fatty food Sarcoma patients receive treatment and care during the diet should also be adjusted appropriately according to the condition, in order to light and easy to absorb the main. Recommended food: patients can eat more food with anti-bone marrow disease and bone sarcoma, such as ganoderma lucidum, mushrooms, kelp, purple cabbage, tamarind, sea clams, wakame, almonds, peach kernel. Bone pain should eat more turtle plate, turtle meat, andrographis paniculata, oyster, crab, shrimp, walnut. Meanwhile, patients with enlarged spleen should eat turtle, loach, sea eel, ark shell, kelp, wakame. Sarcoma patients with anemia should eat pig liver, mushroom, sesame, bee milk, yellow fish, peanut, sea cucumber, grass carp, abalone. Avoid smoking, alcohol and spicy stimulating food. Avoid moldy, pickled, fried, fatty foods. Avoid mutton, goose, pork and other hairy food.