Ankle nevus unexpectedly “hide” melanoma this tumor malignant degree is quite high

Remember Li Xiangshan, the big boss played by Sun Honglei in “If You Are the One 2”?
He died less than six months after suffering from malignant melanoma.
In reality, some people do get it because they have moles on their feet.

Lin Qiang (not his real name), 58, had a black mole on his ankle that often broke, so he went to the hospital to have it removed, but returned home without a pathological examination.
Did not think of, pass two years many, his groin grows a package piece, check is melanoma proliferation unexpectedly, and already was terminal.

After more than four months of immunotherapy, Lin Qiang’s condition is well under control.
At the same time, to his delight, the cancer drug he used was included in the new national medical insurance directory, which will be reimbursed from March 1, meaning that the annual cost of the drug, which is about 100,000 yuan, will be reduced to less than 30,000 yuan.

You get melanoma

The root of the disease was found in the ankle

More than 4 months ago, Lin Qiang went to Fujian Tumor Hospital. He was treated by Dr. Chen Yu, the leader of the MDT team for melanoma.

“By going back to the source, we found that Lin Qiang’s primary melanoma was in the ankle.”
Dr. Chen Yu sighed, the early cure rate of melanoma is high, but the 5-year survival rate of advanced patients is only 5 to 10 percent.
If Lin Qiang had done pathological examination after the removal of the mole at that time, the melanoma might have been found at an early stage and treated in time to prevent the spread and metastasis.

There is more than one such case.
Every year, Dr. Chen and his team see hundreds of new melanoma patients, more than 60 percent of whom are unconcerned about small moles, and by the time the malignant change is discovered, it is already in the advanced stages.

According to Dr. Chen Yu, melanoma is a malignant tumor with a high degree. It may appear in any part of the body, especially the palm, soles, neck, waist, face and other parts that often produce friction or exposure to the sun.
In addition to the skin, melanomas can grow in hidden places like fingernails, gums, scalp, eyeballs, and so on.

He reminded, should give priority to in order to prevent for melanoma, especially focus on vulnerable moles, “if found, especially the hands and feet or vulnerable to friction parts of the body suddenly grow moles or black lump, color change, ulcers, bigger, hemorrhage, the performance such as itching, should be timely medical treatment, to rule out the possibility of malignant change”.

In addition, Dr. Chen Yu reminded, for the removal of moles, might as well do pathological examination, just in case.

The reduction of 17 anti-cancer drugs was about 60 percent

For the treatment of melanoma, Dr. Chen Yu introduced, early detection can be surgically removed;
For advanced patients, there are also “life-saving” approaches, along with targeted drugs and immunizations.
After a series of assessments, Lin Qiang’s body meets the indications of immunotherapy, so he can receive immunotherapy.

However, despite the increasing number of “weapons” to cure diseases, targeted anti-tumor therapy and immunotherapy drugs are generally too expensive, Dr. Chen said.
In Lin Qiang’s case, immunotherapy means he has to receive two injections of an anti-PD-1 monoclonal antibody every month.
If domestic triprizumab injection is chosen, the annual treatment cost is still about 100,000 yuan, despite the support of charity drug donation program.

Now, Lin Qiang has been receiving immunotherapy for four months, which has effectively controlled his illness, but the medical expenses are undoubtedly a heavy burden.
What makes him happy is that after the national medical insurance negotiation last year, 17 kinds of anti-cancer drugs including Triplizumab injection were included in the new national medical insurance directory, which means that after the implementation of the new national medical insurance directory in our province on March 1st, the decrease of these anti-cancer drugs was about 60%.

Dr. Chen calculated that after the medical insurance reimbursement on March 1, melanoma patients like Lin Qiang only need to pay less than 2,000 yuan per month out of their own pocket.

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