Chemotherapy was given 9 times before it was finally found to be a misdiagnosis!
In 1995, 23-year-old Mr. Zhong (a pseudonym) went to the local hospital because of enlarged lymph nodes, and was diagnosed with "low-grade malignant angioimmunoblastic T-cell lymphoma", the doctor told him that the survival period may be only 30 months, and with the trust of the doctor, Mr. Zhong accepted the chemotherapy treatment plan.
In the next few days, Mr. Chung was treated with chemotherapy.
Over the next two years, Mr. Zhong received nine rounds of chemotherapy in the hospital, and finally the doctor told Mr. Zhong that he had been cured. It was not until 1999, when Mr. Zhong's lymph nodes became enlarged again, that he realized something was wrong and went out of town for treatment. The doctor did not give a diagnosis of lymphoma, and the following year, Mr. Zhong was found to be suffering from rheumatoid arthritis, not lymphoma.
Nine sessions of chemotherapy not only brought Mr. Zhong huge hair loss, vomiting side effects, but also let his whole body's immune system suffered serious damage, Mr. Zhong will be the hospital sued the public court, and finally the court ruled that the hospital to pay Mr. Zhong 120,000 yuan.
This 120,000 is not enough to offset the physical and psychological damage caused by chemotherapy, and a doctor's misdiagnosis is a devastating blow to the patient.
In fact, cancer misdiagnosis occurs from time to time, giving everyone a "cancer can not be cured, cured are misdiagnosed" idea, in fact, really is so?
The Hopkins School of Medicine published a paper in Diagnostics magazine that researchers investigated more than 90,000 patients with cancer, infectious diseases, and vascular disease misdiagnosis rate is quite high in 10 patients, there is a misdiagnosis of these three diseases, and about half of the misdiagnosed patients. About half of the misdiagnosed patients suffer permanent disability or even death as a result.
Professor Luo Rongcheng of the Department of Oncology at the Southern Medical University said that misdiagnosis is a common problem in the medical community, both in foreign countries and in China, but due to the lack of statistics in this area, it is impossible to produce authoritative data on the probability of misdiagnosis.
Tang Feng, deputy director of vascular surgery at the First Affiliated Hospital of Tsinghua University, believes that the misdiagnosis phenomenon in China is not necessarily more optimistic than in the United States, one is because of China's relatively slow development in some areas, resulting in increased difficulty in confirming the diagnosis; the second is that China's misdiagnosis of the lack of statistical data and follow-up tracking studies, can not be improved in a timely manner.
Ji Xiaolong, chief physician of the Department of Pathology at the Beijing Armed Police General Hospital, pointed out that the misdiagnosis rate of cancer in China is about 30% , that is, if a hospital, a doctor diagnosed you with cancer, there is a one-third probability of error, it is best to go to the second hospital, the second doctor to verify that it is not really diagnosed.
There are three main reasons why cancer is so easily misdiagnosed:
Low level of doctors and outdated medical technology: If a doctor's level of expertise is not enough, it is easy to misdiagnose when diagnosing, and there are some illnesses that occur more often in a specific area, and when they appear in other areas, doctors will misdiagnose them because of their lack of experience. In addition, medical technology also has limitations of accuracy, and many infectious diseases and cancers require testing for diagnosis, so if there are errors in sensitivity and accuracy, it is easy to misdiagnose.
Disease symptoms are not obvious, hidden strong: Many cancers in the early stage will not appear obvious symptoms, and some are also easy to confuse with other diseases, such as lymphoma, 2019 China's lymphoma patient survival white paper" pointed out that about 43% of the patients have misdiagnosis , because lymphoma symptoms are not obvious, and some of them can be easily confused with other diseases. Because the symptoms of lymphoma are not obvious or typical, it is easy to be mistaken for a cold or other illness.
Poor doctor-patient relationship: Nowadays, a lot of patients have very little trust in doctors and hospitals, and think that in order to get more commission, doctors will mislead them to do some unnecessary tests, and some patients, because of the lack of trust in the doctor, will hide their past illnesses, which leads to the doctor's inability to make a correct diagnosis, and thus misdiagnosis.
If cancer is diagnosed at the beginning but cured later, is this a misdiagnosis?
In fact, many cancers can be cured with treatment, and this is not a misdiagnosis.
The general surgeon of Beijing Chaoyang Hospital, Dr. Zeng Weigen said that in three cases of cancer, the therapeutic effect is comparable:
One is early stage of cancer, at this time, the tumor has not spread and metastasized, so as long as part of the location of the surgery, you can achieve very good therapeutic effect.
Early Breast Cancer
Early Breast Cancer
Early Stage Cancer (Breast Cancer, Gastric Cancer, etc.) has a cure rate of 90%.
Secondly, tumors with relatively low malignancy such as prostate cancer, thyroid differentiated cancer, etc. These cancers develop slowly and are inert cancers, and the patients receive good treatment and have a long survival period, for example, the cure rate of papillary thyroid carcinoma is as high as 95 percent.
Thirdly, tumors that are sensitive to treatment, such as certain rectal cancers, are very sensitive to radiotherapy and chemotherapy. About 20% of the patients receive radiotherapy and chemotherapy synchronously after the surgery, and the cancer cells can be eliminated and the cancer is cured, and the survival period of these patients is very long.
What can physicians and patients do to avoid misdiagnosis?
Zhang Xiaotian, an expert at Peking University Cancer Hospital, said that to avoid misdiagnosis, you need to pay attention to the following two points:
1. Look for doctors and hospitals that have better technology
There is a certain lag between the hospitals and doctors at the municipal and provincial levels compared to provincial medical resources.
If you are diagnosed with cancer in a small hospital, it's best to go to a large hospital for a second checkup. Provincial hospitals have more advanced medical equipment and more specialized doctors who are more experienced in both the diagnosis and treatment of cancer.
2. Adequate diagnostic evidence
For doctors, they should not rely on imaging or clinical diagnosis alone to make a judgment on the patient, but should give sufficient diagnostic evidence, and if they are not sure of their own diagnosis, they can conduct a consultation, so as not to jeopardize the patients due to misdiagnosis. In general, the diagnosis of cancer requires clinical diagnosis, diagnostic imaging and other steps, and the golden standard of cancer diagnosis is histopathologic diagnosis, which is the most accurate.
The horror of misdiagnosis adds a new level of suffering to the pain that patients endure. Avoiding misdiagnosis requires that patients and healthcare workers **** together! #HealthHeat # #Oncology Qualifying #
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