Why do doctors die of cancer? "They are people too ..." - you say. But actually…

Message quote   Why people get cancer / very strong article /

Why do people get cancer?

Very often, the oncological diseases are preceded by the feeling that nobody needs you, is not in demand either at work or in the family. And people who, during an illness, struggle with this sensation and set specific goals outside their disease, often having overcome an illness, they live richly and long enough.

In recent years, enough evidence has been accumulating among scientists and psychologists that cancer has fundamentally psychosomatic causes. And now we will find out about them.

Alexander Danilin, PND No. 23 psychotherapist, host of the Silver Thread program on Radio Russia. He spoke about the psychosomatic causes of oncology and the ability to overcome the disease.

  - It all starts with the feeling that you have ceased to be the salt of the earth?

- As a psychotherapist, I can speak about psychosomatic problems, that is, about how an emotional experience can trigger a particular somatic reaction. Of course, any illness, even an elementary cold, changes our life plans, sometimes significantly, sometimes not, and a person experiences some kind of anxiety. But these are consequences, and psychosomatics all forms oncological diseases  considers how the primary manifestation of a person's unwillingness to live. Unwillingness of the inner, the hidden, the unconscious.

It is clear that cancer is not a suicide, but there are many forms of human behavior that, in essence, are slow suicide. For example, drunken drunkenness or smoking. Teenagers who start to smoke secretly may not know, but any adult smoker knows that this is more likely to lead to a tumor, however, many continue to smoke.

- Maybe something has changed now, but 10 years ago, when I regularly visited the oncology center, oncologists smoked a lot. He came to the center - smoke came from all the doors of the pulmonary department in clubs.

I am also a smoker, although I understand that I am taking a risk. How to explain the smoking doctors who daily face the effects of this habit? In this, I think, there are ambitions of the doctor. They say that I am a doctor, I can overcome this disease in myself, it is impossible for everyone, but I can. And in my smoking, undoubtedly, there is an element of such ambitions. On the other hand, smoking is a pseudo-meditation, an opportunity to withdraw into oneself. This is a separate topic, now I would like to talk about spiritual experiences.

I came close to oncology in the nineties of the last century, when almost all of my parents and my wife died from different types  tumors. As you remember, then life in the country has changed dramatically. I noticed that many people then felt fear (not despair, but fear), and began to realize that my father, mother-in-law, mother-in-law somewhere in the depths of my soul did not want to live in the new world that was offered to them.

For most people, their life status and self-identification is very important. This is especially important in our age, on average. We understand that life is not ending, but it is beginning to move towards sunset, and at this time it is especially important for a person to understand who he is, what he has achieved, whether he can indicate his status with the words: “I am a famous doctor” or “I am a famous journalist” and .d The word "known" here is of great importance for many - even if they hide it, people want such an adjective, meaning the measure of their influence, to exist.

Any existential problem can be expressed only by metaphor. For this situation, the words of Christ seem to me the most appropriate: "You are the salt of the earth." From the first reading of the Gospel, they have sunk into my soul. I believe that cancer is overtaking a person who is starting to feel that he is no longer the salt of the earth.

We all know that salt gives food a taste. But before the era of refrigerators, it also helped food survive — there was simply no other way to preserve food. Therefore, in all cultures, salt was a symbol of care. By exchanging salt, people emphasized their closeness and ability to keep each other. So, when a person feels that his work, the fruits of his work, no one needs, or that he has no one else to keep, very often he has a tumor.

For example, my grandmother was the keeper of a large family — I kept in touch with my second cousins ​​and my four cousins. She always felt herself the keeper, and indeed after her death the family broke up, with many distant relatives the connection was lost. That is, to be known as the salt of the earth, fame or demand is not necessary, but at least at the level of the family, the closest people - parents, husband, wife, children, grandchildren or friends - everyone needs it. And I do not think it is appropriate to talk about pride. Cancer overtakes both the proud and the humble and humble people. I feel closer to the salt of the earth metaphor.

And for a person of a creative profession - a writer, artist, composer - it is very important to understand (even if he pretends that he doesn’t care) that he will be read, watched and listened to for a long time. Artists (in the broad sense of the word), who believe in it, often live long, but those who hope that the written book, picture, music immediately bring glory, often get sick and die relatively early.

Of course, some kind of good feedback is needed at least from someone: from his wife, husband, children, from those with whom there are connections. But often in reality, especially today, everyone is so absorbed in their own affairs that they even “have no time” to tell another good word that even though he retired, we remember and appreciate his “role in history” - a contribution to science or art or family care.

Not everyone can change with life.

The feeling that you have ceased to be salt appears in different situations: for some it is connected with retirement, for someone with a recession, a creative crisis. In the 1990s, when Yeltsin actually closed down the KGB — big cuts took place there, some were eliminated, out of the system, a huge number of “black colonels” turned out to be outside the office (they could be lieutenant colonels and even majors, but this is not ). They were cared for, offered to open firms or were taken to the already opened deputies, in general, they were satisfied, as far as I know, quite well.

But there is a huge difference between the life of a colonel or a lieutenant colonel in the engineering management of the KGB and the life of the director or deputy director of a company. The life of a director or deputy director of a company is a constant fuss, bustle, organization, sales and resale, in general, all the delights of our so-called business. And not everyone can. In principle, not all. I do not know if I can. And now these people suddenly began to break up into drug and cancer patients - either they were drinking their blood, or they had tumors.

Of course, not everyone got sick, but very many - there was a flash, the oncologists themselves talked about this. The situation is clear. These people, almost the only ones in the country, lived, if not under communism, then precisely under socialism. From the very beginning of their service, they had a quite predictable career, a relatively short queue for an apartment, a car, trips to good sanatoriums - in general, clear and fairly profitable rules of the game. They received not much more than ordinary Soviet employees, but thanks to a preferential supply system they were spared from the everyday fuss on which we all spend a significant amount of time.

And suddenly they are not willingly returned to this fuss. For many, this turned out to be intolerable. It's not pride, not a painful vanity. I talked with many of them, someone, of course, had pride, but not everyone. The problem is not in furious vanity, but in the fact that they did not fit this world, they could not understand the relationship in it. You had to change something in yourself in order to become a new person - a member of the consumer society. Few could cope with this task.

This is one example. My dad was a real Soviet believer. A non-partisan engineer, he had no benefits, he lived only on his salary, but he sincerely believed that the Soviet government was the best in the world. Unabashed, completely devoid of pride, always acted according to conscience and taught me this.

And in the mid-1980s, when I was already living separately, he read Rybakov’s children of Arbat, just published in Friendship of Peoples, called me at night and asked me, a 25-year-old son: “Sasha, it’s true, ? Is it true what he writes? ”

He died of cancer. The world, where the truth turned upside down, demanded a completely different person, a person of some other faith. What is Christianity, the Pope, unlike me did not know, and treated it with humor. Such a healthy Soviet engineer. By the way, non-partisan, but who believed in communism, in Soviet power. I think that he, too, faced the need to become completely different, because his scheme of life - for 120 rubles - did not allow to live in the late 1980s and, as you understand, she did not allow to live honestly, in harmony with conscience.

For all the difference in destinies, both the “black colonels” and the pope required some rebirth. For example, I did a lot of things - oncopsychology, substance abuse, psychotherapy - but in all these areas my education, my experience is applicable. I never needed to change everything drastically, to become different.

Most of those who came to my oncopsychology groups (we are now planning to continue this practice in Moscow PND No. 23) for various reasons  they faced an existential need to literally become others in order to settle in this world (not in the material sense, but in the spiritual or psychological), but did not find the strength for that. And for me as a psychotherapist (I'm not an oncologist) the main thing in cancer treatment is the goals that a person sets for himself for the future outside of his illness.

It is clear that we are all mortal, moreover, it is necessary for our development and creativity. If we knew that we were immortal (I am talking about earthly life), we would immediately stop. Where to rush, if we have unlimited time? I will write a book or a symphony then, someday, but now I’ll rather lie down on the couch.

Death is necessary for us to act. We have an indefinite, but precisely a short period of time, so that we have time to become the salt of the earth. Therefore, the main thing in the treatment of oncology is to set some task.

Initially, there may be two goals: caring for other people or creativity, which inevitably includes this caring. Any creativity makes sense when a person creates for others in order to give them beauty, to discover something new about the world around them.

I think if there was a real Dorian Gray, who fit his life into a portrait, he would have died of cancer. Because such creativity is fruitless. Creativity to the detriment of people, for example, the creation of a bomb, other weapons of mass destruction, also often has a detrimental effect on health. By at least, and among ours, and among the American bomb makers, many died of cancer, and I think they did not get sick only because of radiation.

The more awareness, the less pain

Certainly, to many, what I am saying will seem heresy. Although everyone believes that the brain, the soul, the body is a single structure, and the nervous system controls the whole body. Life confirms the psychosomatic "heresy" - I have often seen how people who found a goal and the strength to fight against the feeling of total uselessness rose.

For example, a 58-year-old woman, a philologist, a grandmother of three grandchildren. She had a traditional female tumor, she sat at home, stopped doing anything. I managed to convince her that, firstly, it is not necessary to wait for the children to call - they work from morning till night, and she can dial the number, talk, find out how they are doing. Secondly, not only they, but also she is responsible for ensuring that her grandchildren grow up to be worthy people.

If the children working from morning to night do not have the time and effort to take her grandchildren to museums, she should use the time left to her to visit as many museums with them as possible, tell about as many favorite paintings as possible, explain why she likes just these pictures. She listened to my advice, 10 years have passed, now she is raising her great-grandchildren.

I also had a girl who had an inoperable tumor when she was 14 years old. Parents put her at home, surrounded her with care, everyone around her jumped, and I began to say things disgusting to parents: “You are killing yourself. Have you dreamed of being an artist? So don't stay at home, but go to the circle. ”

Naturally, due to illness, her figure changed, but I was inexorable: “Do you dream of love? Try to look good enough to please the boys. ” Thank God, her parents supported me, and she lived long enough, she died at 28 years old. I lived a full life, I just do not want to go into details so that it would not be so recognizable.

I often forced young men to write memoirs. He said: “You have your own attitude to life, to today's events. Now it's not interesting for your children, but by the age of 30 they will want to know who they are, where they are from. ” The man wrote memoirs, published at his own expense.

Of course, sooner or later we all die. The question is, to live out your life in complete helplessness, disappointment in everything or until the last minute it is interesting to live, to feel your need for someone.

There is no such age or such a disease when a person cannot take a smart book or the New Testament and think about the meaning of life, about concrete employment, about concrete creativity at this stage of life. If I think and find meaning, I usually live longer. If I don’t want to think with my head, soul or spirit, the body begins to think for me.

Everything that a person did not think out, was afraid and did not overcome, wanted to express, but did not express, will be expressed in muscle clamps, pains and illnesses. Even in dreams. We are not in the habit of analyzing our own dreams, thinking about what they tell us, about what troubles we don’t want to be aware of.

The more awareness in human life (in any language which is closer to you - psychoanalytic, existential, Christian), the less pain and the easier death. Illness is always a kind of metaphor for what we have tried to hide from ourselves. Source: http: //www.oneoflady.com/2015/01/blog-post_68.html

  •   . Anxiety about unmanaged side effects (such as constipation, nausea or clouding of consciousness. Anxiety about the possibility of addiction to painkillers. Failure to comply with the prescribed mode of painkillers. Financial barriers. Problems with the health care system: Low priority of cancer pain treatment. The most appropriate treatment may be too expensive for patients and their families. Strict regulation of controlled substances. Problems of accessibility of treatment or access to it. Opiates not available in a pharmacy for patients. Inaccessible medicines. . Flexibility is the key to the management of pain in cancer Because patients vary in diagnosis, stage of disease, responses to pain and personal preferences, then you must be guided by these osobennostyami.Podrobney in the following articles: "\u003e in cancer pain 6
  •   to cure or at least stabilize the development of cancer. Like other therapies, the choice of using radiation therapy to treat a particular cancer depends on a number of factors. These include, but are not limited to, the type of cancer, the patient’s physical condition, the stage of the cancer, and the location of the tumor. Radiation therapy (or radiotherapy is an important technology for shrinking tumors. High energy waves are sent to the cancer. Waves cause damage to cells, disrupting cellular processes, interfering with cell division, and ultimately lead to the death of malignant cells. The death of even part of the malignant cells leads to a reduction of the tumor. One significant drawback of radiation therapy and is that the radiation is not specific (that is, not directed exclusively to cancer cells for cancer cells and can also harm healthy cells. Reactions of normal and cancerous tissues to therapyreaction of tumor and normal tissues to radiation depends on their nature of growth before starting therapy and during treatment. Radiation kills cells through interaction with DNA and other target molecules. Death does not occur instantaneously, but occurs when cells try to divide, but as a result of exposure to radiation, a failure occurs in the process of division, which is called abortive mitosis. For this reason, radiation damage manifests itself more quickly in tissues containing cells that quickly divide, and cancer cells quickly divide. Normal tissues compensate for cells lost during radiation therapy, accelerating the division of other cells. In contrast, tumor cells begin to divide more slowly after radiation therapy, and the tumor may shrink in size. The degree of shrinkage of the tumor depends on the balance between cell production and cell death. Carcinoma as an example of a type of cancer that often has high rates of division. These types of cancer tend to respond well to radiation therapy. Depending on the dose of radiation used and the individual tumor, the tumor may begin to grow again after cessation of therapy, but often more slowly than before. In order to prevent tumor re-growth, radiation is often performed in conjunction with surgery and / or chemotherapy. Therapeutic radiation therapy targets: Therapeutic: for therapeutic purposes, the radiation is usually increased. The response to radiation in the range from mild to severe. Discharge from symptoms: this procedure is aimed at alleviating the symptoms of cancer and prolonging survival, creating more comfortable living conditions. This type of treatment is not necessarily done with the intention of curing the patient. Often, this type of treatment is prescribed to prevent or eliminate pain caused by cancer that has bone metastases. Radiation instead of surgery: Radiation instead of surgery is an effective tool against a limited number of cancers. Treatment is most effective if cancer is detected early, while it is still small and non-metastatic. Radiation therapy can be used instead of surgery if the location of the cancer makes the operation difficult or impossible to perform without serious risk to the patient. Surgery is the preferred treatment for lesions that are located in an area where radiation therapy can do more harm than surgery. The time required for the two procedures is also very different. The operation can be quickly performed after diagnosis; Radiation therapy can take weeks to be fully effective. There are pros and cons for both treatments. Radiation therapy can be used to preserve organs and / or to avoid surgery and its risks. Irradiation destroys rapidly dividing cells in a tumor, while surgical procedures may miss some of the malignant cells. However, large tumor masses often contain oxygen-poor cells in the center, which do not divide as quickly as cells near the surface of the tumor. Since these cells are not rapidly dividing, they are not so sensitive to radiation therapy. For this reason, large tumors cannot be destroyed using only radiation. Radiation and surgery are often combined during treatment. Useful articles for a better understanding of radiation therapy: "\u003e Radiation therapy 5
  •   Skin Reactions with Targeted Therapy Skin Problems Dyspnea Neutropenia Disorders nervous system  Nausea and vomiting Mucositis side effects, see the following articles: "\u003e Side effects36
  • cause cell death in different directions. Some of the drugs are natural compounds that have been identified in various plants, while others are chemicals created under laboratory conditions. Several different types of chemotherapeutic drugs are briefly described below. Antimetabolites: Preparations that can influence the formation of key biomolecules inside the cell, including nucleotides, DNA building blocks. These chemotherapeutic agents ultimately interfere with the replication process (production of the daughter DNA molecule and, therefore, cell division. The following drugs can be cited as an example of antimetabolites: Fludarabine, 5-Fluorouracil, 6-Thioguanine, Ftorafur, Tsitarabin. Genotoxic drugs: Drugs that can damage DNA. By causing such damage, these agents interfere with DNA replication and cell division. For example, Busulfan, Carmustin, Epirubicin, Idarubicin, Spindle inhibitors (and inhibitors of mitosis: These chemotherapeutic agents are aimed at preventing proper cell division by interacting with cytoskeleton components that allow one cell to divide into two parts. As an example, paclitaxel, which is obtained from the Pacific Yew bark and semi-synthetically from the English Yew (Tiss berry, Taxus baccata. Both drugs are prescribed as a series of intravenous injections. Other chemotherapeutic agents: These agents inhibit (slow down cell division by mechanisms, which are not covered in the three categories listed above. Normal cells are more resistant (resistant to drugs, because they often stop dividing in conditions that are not favorable. However, not all normal dividing cells avoid exposure to chemotherapeutic drugs, which confirms the toxicity of these drugs. Cell types that are usually rapidly dividing, for example, in the bone marrow and in the lining of the intestine, tend to suffer the most. Normal cell death is one of the common side effects of chemotherapy. More details on the nuances of chemotherapy in the following articles: "\u003e Chemotherapy 6
    •   and non small cell lung cancer. These types are diagnosed based on how the cells look under a microscope. Based on the established type, treatment options are selected. To understand the prognosis of the disease and survival, I present statistics from open sources in the USA for 2014 for both types of lung cancer together: New cases of the disease (forecast: 224210 Number of predicted deaths: 159260 Let's look at both types, specifics and options treatment. "\u003e Lung cancer 4
    •   in the United States in 2014: New cases: 232670. Deaths: 40,000. Breast cancer is the most common non-cutaneous cancer among women in the United States (open sources, it is estimated that in the United States in 2014, 62,570 cases of preinvasive diseases are foreseen ( 232,670 new cases of invasive disease, and 40,000 deaths. Thus, less than one in six women diagnosed with breast cancer dies from the disease. By comparison, it is estimated that about 72,330 American women will die from lung cancer in 2014. Breast cancer glands in men (yes, yes, there is this is 1% in ex cases of breast cancer and mortality from this disease. Widespread screening increased the incidence of breast cancer and change the characteristics of detectable cancer. Why is raised? Yes, because the use of modern methods allowed to detect the incidence of low-risk cancer, precancerous lesions and duct cancer in situ (DCIS. Population studies conducted in the US and the UK show an increase in DCIS and the incidence of invasive breast cancer since 1970, this is due to the widespread hormone replacement therapy in postmenopausal and mammography In the past decade, women have refrained from using hormones in postmenopausal women and the incidence of breast cancer has decreased, but not to the level that can be achieved with widespread use. Mammography. Risk and protection factors Increasing age is the most important risk factor for breast cancer. Other risk factors for breast cancer include the following: Family history o Primary hereditary susceptibility Sex mutations of the BRCA1 and BRCA2 genes, and other breast cancer susceptibility genes glands Alcohol consumption Breast tissue density (mammographic Estrogen (endogenous: o Menstrual history (beginning of menstruation / late menopause o No lack of birth history o The elderly AST at first child's birth History of hormone therapy: o Combination of estrogen and progestin (HRT) Oral contraception Obesity Lack of exercise Personal history of breast cancer Personal history of proliferative forms of benign breast diseases Radiation exposure of the breastFrom all women with breast cancer, from 5% to 10% can have germ lines mutations of the BRCA1 and BRCA2 genes. The study revealed that BRCA1 and BRCA2 specific mutations are more common among women of Jewish origin. Males who carry BRCA2 mutations also have an increased risk of developing breast cancer. Mutations in both the BRCA1 gene and BRCA2 also create an increased risk of developing ovarian cancer or other primary cancers. After BRCA1 or BRCA2 mutations have been identified, it is desirable that other family members get genetic counseling and testing. Protective factors and measures to reduce the risk of developing breast cancer include the following: Use of estrogen (especially after hysterectomy Creating a habit of performing exercise Early pregnancy Breastfeeding Selective Estrogen Receptor Modulators (SMRE Aromatase Inhibitors or Inactivators Reducing Mastectomy Risks Reducing Ovariectomy or Ovarian Risk if breast cancer is suspected, the patient should usually go through the following steps: Confirming the diagnosis. Evaluation of the stage of the disease The choice of therapy. The following tests and procedures are used to diagnose breast cancer: Mammography. Ultrasound. Magnetic resonance imaging of the breast (MRI, if clinically indicated. Biopsy. Contralateral breast cancer. Pathologically, breast cancer can be a multicenter and bilateral lesion. Bilateral disease is somewhat more common in patients with focal carcinoma penetration.For 10 years after diagnosis, the risk of primary breast cancer in the contralateral milk It may range from 3% to 10%, although endocrine therapy may reduce this risk. The development of second breast cancer is associated with an increased risk of long-term relapse. In the case where the BRCA1 / BRCA2 gene mutation was diagnosed before the age of 40, the risk of a second breast cancer in the next 25 years reaches almost 50%. Patients diagnosed with breast cancer need to undergo bilateral mammography at the time of diagnosis in order to exclude synchronous disease. The role of MRI in screening for contralateral breast cancer and monitoring women who have received breast conservation therapy continues to evolve. Since an increased detection rate during mammography of a possible disease has been demonstrated, selective use of MRI for additional screening occurs more often, despite the lack of randomized controlled data. Since only 25% of MRI-positive findings represent malignancies, pathological confirmation before treatment is recommended. Whether this increase in the rate of detection of the disease will lead to an improvement in treatment outcomes is unknown. Prognostic factors Breast cancer is usually treated with various combinations of surgery, radiation therapy, chemotherapy and hormone therapy. Conclusions and the selection of therapy may be influenced by the following clinical and pathological features (based on conventional histology and immunohistochemistry: Climacteric status of the patient. Stage of the disease. The degree of primary tumor. Tumor status as a function of estrogen receptor status (ER and progesterone receptors (PR. Histological types. Breast cancer is classified into various histological types, some of which have prognostic value. For example, favorable histological types include colloidal, medullary and tubular cancer. Using molecular profiling in breast cancer includes the following: ER and PR status testing. HER2 / Neu receptor status testing. Based on these results, cancer of the intracranial gland is classified as: Hormone receptor positive. Positive HER2. Triple negative (ER, PR and HER2 / Neu negative. Although some rare hereditary mutations, such as BRCA1 and BRCA2, predispose to the development of breast cancer in mutations, but the prognostic data on BRCA1 / BRCA2 mutation carriers are contradictory; these women are simply at greater risk of developing secondary breast cancer. But it’s not a fact that it can happen. Replacement hormonal therapyAfter careful consideration, Patients with severe symptoms can be treated with hormone replacement therapy. Subsequent monitoring The frequency of observation and the appropriateness of screening after completing the initial treatment of stage I, stage II, or stage III breast cancer remain controversial. Data from randomized studies show that periodic monitoring with bone scan, ultrasound liver x-ray chest and blood tests for liver function does not improve the survival rate and quality of life compared to regular physical examinations. Even when these tests allow for early detection of disease recurrence, this does not affect the survival of patients. Based on these data, limited follow-ups and annual mammography for asymptomatic patients who have been treated in stages I to III of breast cancer can be an acceptable continuation. More detailed information in the articles: "\u003e Mammary cancer5
    • , Ureters, and proximal urethra lined specialized mucosa called transitional epithelium (also called urothelium. Most cancers that form in the bladder, renal pelvis, ureter, and the proximal urethra transitional cell carcinoma (also called urothelial carcinoma derived from transitional epithelium Transitional cell carcinoma of the bladder can be low-grade or high-grade: Low-grade bladder cancer often recurs bladder after treatment, but rarely invades bladder muscle walls or spreads to other parts of the body. Patients rarely die of low-grade bladder cancer. Full bladder cancer usually recurs in the bladder and also has a strong tendency to invade muscle walls. bladder and spread to other parts of the body.Bladder cancer with a high malignancy is considered as more aggressive than bladder cancer with a low malignancy and much more Probably lead to death. Almost all bladder cancer deaths are the result of cancer with high malignancy. Bladder cancer is also divided into muscle-invasive and non-muscle-invasive disease, based on invasion of the muscle mucosa (also referred to as the detrusor, which is located deep in the bladder muscle wall. Muscular-invasive diseases are much more likely to spread to other parts of the body and are usually treated by either removing the bladder or treating the bladder with radiation and chemotherapy. As noted above, cancer with a high degree of malignancy is much more likely to be muscular-invasive cancer than cancer with a low degree of malignancy.Thus, muscular-invasive cancer is usually considered as more aggressive than non-muscular-invasive cancer. Non-invasive disease can often be treated by removing the tumor with a transurethral approach, and sometimes with chemotherapy or other procedures in which medicine injected into the bladder cavity with a catheter to help fight cancer. Cancer can occur in the bladder under conditions of chronic inflammation, such as a bladder infection caused by the parasite haematobium Schistosoma, or as a result of squamous metaplasia; The frequency of squamous cell bladder cancer is higher in conditions of chronic inflammation than otherwise. In addition to transitional carcinoma and squamous cell carcinoma, adenocarcinoma, small cell carcinoma and sarcoma can form in the bladder. In the United States, transitional cell carcinomas make up the overwhelming majority (more than 90% of bladder cancers. However, significant numbers of transitional carcinomas have squamous or other differentiation sites. Carcinogenesis and risk factors The most common risk factor for developing bladder cancer is cigarette smoking. It is estimated that up to half of all cases of bladder cancer in smoking sites and that smoking increases the risk of developing bladder cancer is two to four times higher than the initial risk. Smokers with less functional N-acetyltransferase-2 polymorphism (known as a slow acetylator have a higher risk of developing bladder cancer than other smokers). , apparently due to a decrease in the ability to detoxify carcinogens. Some occupational hazards were also associated with bladder cancer, and higher rates of bladder cancer were registered Rowan due textile dyes and rubber in the tire industry; among artists; leather workers; shoemakers; and aluminum, iron and steel makers. Specific chemicals associated with bladder carcinogenesis include beta-naphthylamine, 4-aminobiphenyl, and benzidine. Although these chemicals are now generally banned in Western countries, many other chemicals that are still being used are also suspected of initiating bladder cancer. The effect of the chemotherapeutic agent cyclophosphamide has also been associated with an increased risk of developing bladder cancer. Chronic urinary infections pathways and infections caused by the parasite S. haematobium are also associated with an increased risk of developing bladder cancer, and often squamous cell cancer. Chronic inflammation is believed to play a key role in carcinogenesis under these conditions. Clinical signs Bladder cancer usually presents with simple or microscopic hematuria. Less commonly, patients may complain of frequent urination, nocturia, and dysuria, symptoms that are more common in patients with carcinoma. Patients with urothelial cancer of the upper urinary tract may experience pain due to tumor obstruction. It is important to note that urothelial carcinoma is often multifocal, which makes it necessary to check the entire urothelium in case a tumor is detected. In patients with bladder cancer, visualization of the upper urinary tract is important for diagnosis and observation. This can be achieved using urethroscopy, retrograde pyelogram in cystoscopy, intravenous pyelogram, or computed tomography (CT scan of the urogram. In addition, patients with transitional carcinoma of the upper urinary tract have a high risk of developing bladder cancer; these patients need periodic cystoscopy and Observation of opposite upper urinary tracts.Diagnosis When bladder cancer is suspected, cystoscopy is the most useful diagnostic test. A radiological study is e like computed tomography or ultrasound does not have sufficient sensitivity to be useful for detecting bladder cancer. Cystoscopy can be performed at the urological clinic. If cancer is detected during cystoscopy, the patient is usually scheduled for a bimanual examination under general anesthesia and repeated cystoscopy operating room so that transurethral resection of the tumor and / or biopsy can be performed. Survival Patients who die from bladder cancer almost always have urinary metastases th bladder into other organs. Low-grade bladder cancer rarely grows into the bladder muscle wall and rarely metastasizes, so low-grade patients (stage I bladder cancer very rarely die from cancer. However, they may experience multiple relapses that should be experienced resections. Almost all bladder cancer deaths occur among patients with a disease with a high level of malignancy, which has a much greater potential for invading deep into the urinary muscle walls of bladder and spread to other organs. Approximately 70% to 80% of patients with bladder cancer are newly diagnosed superficial bladder tumors (stage Ta i.e., TIS, or T1. prognosis of these patients is largely dependent on the degree of tumor. Patients with high-grade tumors have a significant risk of dying from cancer, even if it is not muscle-invasive cancer. Those patients with tumors of a high degree of malignancy who have been diagnosed with superficial, non-muscular-invasive bladder cancer in most cases have high chances of cure, and even with muscular-invasive disease, sometimes the patient can be cured. Studies have shown that in some patients with distant metastases, oncologists have achieved a long-term complete response after treatment with a combination chemotherapy regimen, although in most of these patients metastases are limited to their lymph nodes. Secondary bladder cancer Bladder cancer usually recurs, even if it is non-invasive at the time of diagnosis. Therefore, it is standard practice to monitor the urinary tract after making a diagnosis of bladder cancer. However, no studies have been conducted to assess whether the observation affects the rate of progression, survival, or quality of life; although there are clinical trials to determine the optimal schedule of observation. Urothelial carcinoma is believed to reflect the so-called field defect in which cancer arises due to genetic mutations that are widely represented in the patient's bladder or in the entire urothelia. Thus, people who have had a resected bladder tumor often subsequently have recurrent bladder tumors, often in other places, unlike the primary tumor. Similarly, but less often, they may have tumors in the upper urinary tract (ie, in the renal pelvis or ureters. An alternative explanation for these models of recurrence is that cancer cells that are destroyed by excision of the tumor can be reimplanted in another place in urothelia. Supporting this second theory that tumors are likely to recur lower than in the opposite direction from primary cancer. Upper urinary tract cancer is more likely to recur in the bladder than bladder cancer will reproduce in the upper urinary tract. Chevy ways. The rest in the following articles: "\u003e Bladder cancer4
    • , as well as an increased risk of metastatic lesions. The degree of differentiation (determining the stage of tumor development has an important influence on the natural history of this disease and on the choice of treatment. An increased incidence of endometrial cancer has been found due to the prolonged, non-resistant effect of estrogen (elevated levels. In contrast from this, combination therapy (estrogen + progesterone prevents an increase in the risk of developing endometrial cancer associated with the lack of resistance to the effects of estrogen specifically. Finding a diagnosis is not the best time. However, you should know that endometrial cancer is a treatable disease. Watch your symptoms and everything will be fine! In some patients, the role of an “activator” of endometrial cancer may play a preceding history of complex atypical hyperplasia. endometrium has also been found in connection with the treatment of breast cancer with tamoxifen, which researchers believe is due to the estrogenic effect of tamoxifen on the endometrium. Because of this increase, patients who are prescribed therapy with tamoxifen must regularly undergo an examination of the pelvic area and should be attentive to any pathological uterine bleeding. Histopathology The nature of the spread of endometrial cancer cells is partially dependent on the degree of cell differentiation. Well-differentiated tumors, as a rule, limit their spread on the surface of the uterine mucosa; less frequent myometrial expansion. In patients with poorly differentiated tumors, the invasion of the myometrium is much more common. Invasion of the myometrium is often a precursor of defeat. lymph nodes and distant metastases, and often depends on the degree of differentiation. Metastasis occurs in the usual way. Distribution to the pelvic and para-aortic nodes is common. When distant metastases occur, it most often occurs in: Lungs. Inguinal and supraclavicular nodes. Liver. Bones. Brain. Vagina. Prognostic factors Another factor associated with the ectopic and nodular spread of a tumor is the involvement of the capillary lymphatic space in the histological examination. Three prognostic groupings of clinical stage I became possible due to careful operational formulation. Patients with a tumor in stage 1, including only the endometrium and no signs of intraperitoneal disease (i.e., spread to the appendages have a low risk ("\u003e Endometrial cancer 4
  • More recently, we have already said that doctors who have completed their medical practice, after many years finally recognize that cancer treatment is more of a business and patient susceptibility to terrible torment. Over the years, oncologists will see enough cases. When relatives, shocked by grief from the heard diagnosis, are ready for “everything”, if only to save a loved one, to save his life by any means. They no longer care what this life will be like, how much agony they will have to go through, if only the native person is still alive.

    God forbid someone to face it, but those who came across, especially in the later stages, are often ready to give up everything, if only the torment would stop. Doctors understand this like no other. Therefore, in America, many luminaries of medicine, you can see the icon or even a sign "Do not reanimate." So, in the event of an unforeseen situation, they deliberately prefer to give up all subsequent torment.

    Man can not be forced to be treated. He must make his choice. Many people cannot afford the treatment, others are ready for everything to get their chance, and still others, knowing that they can only extend their existence indefinitely, prefer to live this time with their relatives, and finally realize their dream. The treatment is fantastically expensive: from $ 10,000 to $ 500,000. You probably know the stories when a person, knowing that he has no more than a year left, by his actions and actions returns “to childhood”, fulfills those dreams that previously seemed incredible, builds relationships with children and parents, friends and relatives.

    Without encountering (fortunately) such situations, we cannot adequately assess the situation. But doctors can. They impartially look at the struggle for life, which takes place every day in cancer centers, at the painful eyes of relatives who believe in miracles, at the condition of the patients in the medical institution. Alive, but crippled ...

    In saving other people's lives, we forget about saving our own ...

    Only a small number of doctors themselves pay attention to the signals of their body. Eternally on the run, in an effort to save as many lives as possible, they shrug off such obvious and obvious symptoms of their own. Yes, they are people too. But, unlike ordinary inhabitants of the globe, they know exactly what awaits them ahead. Doctors can afford all types of treatment, not financially, but professionally. Nevertheless, 80% of the luminaries of medicine who have found cancer in themselves simply quietly go away ...

    Nobody wants to die. But doctors have enough knowledge and experience to understand: the worst thing is not to die, but to die in terrible agony and loneliness. Miracles happen, few manage to survive even with the diagnosis of the fourth stage of cancer, someone dies after 1 - 2 sessions of chemotherapy. Tubes in the stomach, connecting to the apparatus, burning through all the vessels, you can talk about this a lot, which only a person is not subjected to torment, passionately wanting to live. And most importantly, relatives are selling everything they have, they take loans, they borrow huge amounts. Those. this is the price for all suffering.

      The position of doctors - a conscious choice

    Of course, no doctor will advise the patient not to be treated. This is a conscious choice of everyone. The topic is undoubtedly painful for many, because how many loved ones, relatives, friends each of us lost by clapping at this terrible disease. There are those who managed to remove the tumor in time. This is the main claim to life - to detect the problem in a timely manner and eliminate it.

    Why did the most famous cancer patients lose their land, why did the world oncology, surgery, chemotherapy fail to save them?

    In Russia, 330,000 cancer patients die of cancer annually, and 500,000 people are diagnosed with cancer every year. 2.5 million cancer patients in 2004, more than 22800 cancer patients refused (refuse) from official treatment in cancer hospitals.

    The number of "refusers" is growing, as people do not trust their life to official oncology. Tens of thousands of cancer patients in 4 stages annually forcibly discharged home to die without treatment. Herbal medicine is the last hope and it does not fail.

    It is necessary to pay close attention to all known obligatory diagnostic punctures, biopsies, operations that 80-100% of cancer patients and patients undergo undergone.

    It is necessary to possess remarkable abstraction ability in order to feel what a person can feel, who has become known for his terrible diagnosis of cancer! Most of the Russians in their lives had some less tragic diagnoses and could get at least a distant idea of ​​fear, hopelessness and despair in the face of such a prospect.

    Why fear and hopelessness? Probably because, despite the assertions of oncologists about the possibility of successful treatment of cancer, especially, allegedly, with early diagnosis, everyday life proves the opposite. And if such well-known and not the poorest people in Russia and other countries, who have died prematurely because of cancer in recent years, like:

    Oleg Yankovsky, Patrick Swayze, Luciano Pavarotti, Raisa Gorbachev, Anna Samokhina, Alexander Abdullov, Valentina Tolkunova, Igor Alekseev,

    despite their fame and financial capabilities, they could not cope with the disease within the framework of modern medicine, then what about ordinary mortals.

    May 20, 2009 at the age of 65, died a god actor - Oleg Yankovsky. Tragedy for all of us !!!

    The cause of death was pancreatic cancer. Statistics show that with this form of cancer, only two out of ten patients live more than a year after the diagnosis, and only a few survive from one to five years.

    Why did Yankovsky, who suffered from cancer for a long time and who was diagnosed terribly, died so quickly?

    Let's clarify some concepts.

    1. There is no cure for cancer today.

    2. Surgery does not guarantee recovery, as any operation is accompanied by 100% metastasis of cancer. The operations of “despair” in cancer of the esophagus, large intestine prolong life for a while, but without a guarantee. Even laparotomy - cut, looked, sewn up, provides an explosion of metastases in the next 3-4 months.

    3. The earlier a cancer is diagnosed, the more likely the patient is to prolong his life, but without a guarantee. Oleg was tried to cure Russian doctors, but he chose Germany, where he was treated for pancreatic cancer. A biopsy was performed in Moscow - the result is cancer.

    4. Oleg Yankovsky's pancreas biopsy accelerated metastasis of cancer cells (by hematogenous, lymphogenous) throughout the body, which led to the accelerated death of the patient. Cancer disease at the same time makes a jump from stage II - III stage immediately to stage IV. At the same time, metastases are particularly malignant and no “luminaries” of the world's medical centers are able to help the patient here. The only chance there is a medical scientific herbal medicine, which is not in demand in the world oncology for all its powerful force of nature.

    5. Medical phytotherapy, scientific does not guarantee cancer cure, but gives a scientifically proven chance to extend life for months, years with an improved quality of life. It is impossible to fight phytotherapy, it is useful to us for overcoming the crisis in world oncology.

    6. Oleg Yankovsky received chemotherapy in the oncology center on Kashirka, then he was given “chemistry” at home. The procedure was correctly prescribed, carried out correctly, but, unfortunately, the patient first died of "chemistry" and then cancer, this is the picture in the entire world oncology.

    In some countries, “chemistry” without the use of herbal remedies, which soften the total intoxication of the body, is prohibited and equated with the application of serious injuries to the body, and is also prosecuted.

    There is confidence that people die not from cancer, but from intoxication during chemotherapy and from metastasis during puncture, biopsy, operations. We must face it (now in the world oncology a lot of deception, illiteracy and business).

    Thus, for many years now, three barbarous and expensive methods have been in service with oncologists: a scalpel, a nuclear gun and a large dose. chemical preparations. According to G. Clark, there is nothing more wrong than these ineffective and very difficult procedures for the human body.


    "Cancer is not the result of exposure to a single external factor. Rather, it is a product of our everyday behavior, including thinking, lifestyle, and eating habits." Michio Cusi

    Adherents of holistic medicine (from the English whole - "whole") based on an analysis of the complex effects on humans of external, exogenous factors treat the origin and mechanism of cancer development as follows:

    - Cancer is a disease of the whole organism, not part of the cells.

    - Cancer tumor  There is a focal point for the localization of cancerous (mainly food!) toxins in the body.

    - The tumor is not an antagonist, not an enemy of the body.It performs a certain positive function - it removes food and other toxins from the general circulation, thereby allowing the body for some time to function properly and maintain internal physiological balance.

    - Cancer is a kind of "crown of disease",  the final link of a single pathological chain that develops due to toxemia or the accumulation of toxins in the blood. The chain consists of a series of consecutive links:

    • cell irritation
    • inflammation,
    • ulceration
    • compaction
    • tumor formation in the process of traumatizing it with pathological acids formed in the body due to the chronic incompleteness of oxidative processes,
    • removal or incomplete excretion of acids from the body and the associated oxygen starvation of cells, which leads to the excessive formation of carbon monoxide - the worst toxin for the cell.

    - The cancer process develops against the background of chronic disruption of acid-base balance in the blood,that is, as a result of a violation of the main physiological law governing the body.

    Cancer is a degenerative process caused, as a rule, by excessive consumption of acid-forming foods and beverages: meat, sugar, eggs, cheese, animal fats, canned and canned juices, milk, bread, and other yeast-treated cereals, etc.

    - The formation of a malignant tumor, in principle, is reversible -  subject to changes in the nature of food, the use of a natural health complex, including fasting, fasting (or half-starvation), specific physical exercises, positive mental attitude.

    - No two are alike malignant tumors:   their localization is determined by both the nature of the malnutrition and the type of psyche.

    Hence the fundamental principle of the treatment of cancer, which can be expressed by the short formula: comprehensive and speedy detoxification of the body.