Is “palliative” cancer treatment the same as “giving up”?

  According to the Chinese dictionary, the word “palliative” has the meaning of “unprincipled accommodation, indulgence, and unrestricted”. When the word “palliative” and “treatment” are paired together, many people assume that this treatment will do little to help the patient and will accelerate the patient’s death if the tumor grows unchecked.  There are many misconceptions about palliative care among patients’ families. In the medical field, palliative care is relative to ‘radical treatment’ that can cure cancer, not some ‘palliative care’ or ‘passive abandonment’. Cancer treatment can be divided into three stages. First, for early diagnosis and treatment of early-stage cancer, the principle of treatment is to work toward the goal of curing cancer, mainly by radical surgery.  Secondly, for patients who are already in the middle or late stage when they are clearly diagnosed, when the disease cannot be cured, or when they cannot receive radical surgery due to their physical condition, they can live longer and better through palliative treatment.  Once again, when the patient’s condition is too serious to return and he or she is approaching the end of life, “hospice care” is used, that is, the use of drug analgesia, psychological comfort and other comprehensive methods to relieve the patient’s pain, so that the patient can calmly say goodbye to his or her family and finish life.  In this sense, patients who have lost the chance to be cured can still get the chance to prolong their survival through ‘palliative care’, which runs through the whole process of cancer treatment, not only advanced or terminal patients can receive palliative care. Some patients who are not suitable for radical surgery temporarily due to multiple complications can also use palliative treatment to control the rapid spread of cancer and wait for the right time to complete the surgery.  ”Palliative” means: more and more abundant, treatment is not negative Some cancer patients mistakenly believe that ‘only surgery with knife is active treatment,’ and if they receive palliative care, they will not have the chance to have surgery. In fact, we often have to perform palliative resection surgery on patients. This surgery is different from radical surgery and serves mainly to improve the patient’s quality of life.  For example, if the glioma is too large, we can communicate with the patient’s family to ensure the patient’s quality of life and maximize the tumor’s removal to prolong the patient’s survival.  In addition to palliative surgery, there are also radiotherapy, chemotherapy, multi-channel interventional therapy, etc.  As we all know, cancer pain makes patients sleep and eat, and can even kill them alive. The rational use of analgesic drugs not only can relieve cancer pain, but also help patients eat and sleep well, which helps to improve immunity.  Palliative care means that the patient has lost the chance to be cured and the end of life is clear. All the treatment at this moment is to buy precious time for the patient to properly arrange the next life. At this point in time, the patient should not be kept in the dark about the progress of his or her condition, and should not be able to cooperate with the doctors, let alone organize the “last leg” of his or her life in an orderly manner. I believe that families who love their patients and do not want their loved ones to pass away with regrets may want to trust their loved ones’ ability to cope and return the right to know and make the final choice of life to the patient.  Secondly, do not believe in “secret folk recipes”.  As cancer treatment enters the era of individualized treatment, palliative care plans have become more distinctive and personalized. Doctors will take into account the patient’s condition, stage, physical status, financial and psychological ability, etc., and make a “private order” so that the patient can get better results.