Exclusive: The pathological expert of oncology analyzes Jobs' cause of the death
Exclusive: The pathological expert of oncology analyzes Jobs' cause of the death
Interview honoured guest's profile: Ji XiaoLong, pathologic head of the department, tumour biology of Chinese people's general hospital of Armed Police Force treat the head of the department, medical chief of research institute of nanometer, chief physician, professor, master, doctoral supervisor. At present associate editor, editorial member and editorial member in U.S.A. " pathologic magazine of environmental tumour " of 11 domestic magazines, organize embryo professional committee's committee member, national anticancer association lymphoma committee's committee member, national entire PLA and expert of evaluation committee of Beijing malpractice in anatomy of entire PLA. Enjoyed government's special subsidy in beginning in 1993. Sina is healthy: Everybody, every net friend of Sina, is good! On October 6, Apple announces to the outside, the apple godfather Jobs departs from the world because of pancreas cancer. At one time, everybody pays close attention to pancreas cancer extraordinarily. What is pancreas cancer on earth? How terrible on earth is pancreas cancer? How do we go to pay attention to giving protection against cancer, anticancer in life? Today, let us listen to the expert's opinion. Sina is healthy: Mr. Ji, how do you do! Ji XiaoLong: Hello. Sina is healthy: Jobs has passed away, he has got pancreas cancer. This pancreas, you can tell everybody, what position on the body on earth? What kind of functions are there? Ji XiaoLong: Ordinary people all say pancreas cancer, talk about cancer everybody has a kind of terror, afraid, everyone is unwilling to near. Jobs' death has further strengthened people's fear to cancer. Human body everywhere can long cancer, viscera from head to foot let alone. Pancreas cancer is after all platoon stand up to fairly depend on, can not arrange the top ten, so is fairly relatively rare. The media claims Jobs has got pancreas cancer, but it is not pancreas cancer in that meaning which the doctor says. Why say so? Behind the ones that took back in the middle of people's belly in the position of the pancreas, had a stomach in front of it, there is spleen on the left, there are intestines, followed by the backbone on the right. It is hidden behind the stomach, so common people are not familiar with it. Everybody talks about pancreas cancer in long tumour of the pancreas, in fact pancreas tumour has ten multi-type, we came to say briefly: One's job of the pancreas secretes and exocrinosity. The pancreas should secrete the pancreatic juice to digest various fat that you ate in, oil, various meat have the pancreas to digest, exocrinosity goes to secrete digestive ferment, digestive juice. The pancreas has an important function: There is a cell inside, we are called the endocrine cell. The the intersection of cell and everybody listen to, compare verdant, whom I say first all it is said: Call insulin. Insulin was produced from the endocrine cells inside the pancreas. So the block of pancreas two, exocrinosity produces the fat, the endocrine produces insulin, go to lower the candy in your blood. So insulin is not enough, your blood candy is raised, we let blood glucose be raised or be called diabetes. Diabetes, everybody is very familiar with, the diabetic origin has gone wrong in the endocrine cells of the pancreas. So this disease of Jobs', it is not cancer that the cell produced in exocrinosity of pancreas is produced, that is called pancreas cancer. The cells of Jobs' cancer tumour, it was the endocrine that produced the cells of insulin, have grown into tumour. The benign one is called Langerhans' islits cell tumour, the malignant one is called Langerhans' islits cell cancer, divide like this. Jobs began to find until the year of death 8 in the past, should compared with pancreas cancer of exocrinosity stood up, it is fairly much better. Exocrinosity generally about one year, tumour of endocrine, if find go so far as, die people's early. This is a difference of exocrinosity and endocrine. Jobs is fairly lucky, not cancer (various have no idea to treat of exocrinosity, life time limit of about one year) . This can also live a bit longer, this is a difference of endocrine and exocrinosity. Sina is healthy: The expert has explained Langerhans' islits cell cancer and difference of concepts of pancreas cancer very distinctly to us. This is too that a lot of net friends pay close attention to. You understand some Jobs' whole states, he is while treating, preventing the whole course, leave some suggestions on everybody. You comment on pancreas cancer, for example how to go to find early how to go to reply, treat, have a chat to everybody in this respect. Ji XiaoLong: This says, certainly we have not got all cases that Jobs sees the doctor, just from these fragmentary reports of the news media. We know whole detail, from general course, as to the intersection of Jobs and the the intersection of tumour and these kind of misfortune, have what time there is the one that draw lessons from the meaning for ordinary people very much. The first, this is my view, I think Jobs he has unwise places in the course of seeing the doctor, place to regret not to be appropriate in other words. Sina is healthy: Regret, make everybody very sorry! You say. Ji XiaoLong: The first, when Jobs made CT to check in October of 2003, found that there is a thing on his pancreas. Sina is healthy: Before 8 only years. Ji XiaoLong: In October of 2003, I thought: He do CT check, can do groundlessly, he should some become thin and weight lower, or a little uncomfortable, then just go to check, the doctor says that making one CT finds at this time. Tumour of pancreas overwhelming majority this kind, wait until pancreas have tumor there are bags obviously, it is impossible to go to see again. It begin, have any clue, afford to have vigilance, make CT to make the scanning while being what is called. Whether how big inside pancreas to see, there is tumour, normal. Kind the intersection of CT and function find great tumor now? 5 millimetres. Sina is healthy: Can find so small? Ji XiaoLong: Yes. Certainly not say either how big Jobs made that tumor that CT was discovered in October of 2003 on the media, we do not know. In any case, tumor found in 2003, he did not do the operation until July and August of 04 years, about one year. This thing is not right. Sina is healthy: Have delayed. Ji XiaoLong: Why say so? Tumour of the pancreas, if is the exocrinosity, we do not say first. Tumour in Langerhans' islits cells, the simply more benign the earlier find, the later to be the more partial and more malignant find, common people do not understand this. We say that if can find 5 millimetres, tumor of the pancreas endocrine cells under 1 centimetre, you can cure to make the operation when cutting away it in time, will not cause the thing of a series of trouble behind. Sina is healthy: Is that the best therapeutic period? Ji XiaoLong: Yes. It is the better to be the earlier, certainly we do not know how big. In any case, have delayed having an operation about one year in the middle. Tumour will not be stopped. What is tumour? The form grows slowly stopping in tumour, it will not stop. It, just like a grass, a tree in the upper nature of ground, it wants It is long to the end it does not continue long. Yes have not reached when the terminal, it will grow. Did not go to have an operation in one year, was it biggest and regrettable? ? He is the knife open of 2004, did not do liver transplantation until about 5 years by 2009. I think (we do not find out about the whole course) ,Finish after the operation reaching liver transplantationing, he will not do liver transplantation groundlessly, only may be all tumor shifted in the liver, liver will be all taken at once, the liver is depleted, must go to cut the liver to transplant quickly. Changed the liver and called liver transplantation entirely, he did something these 5 years, we do not know. Sina is healthy: We are unknown. Ji XiaoLong: Since the operation, know that there is this tumor that cuts away it. He must have this condition, have private doctors. As a lot of people have no money, as it have no idea that peasants that we ran into do not have money that is managed. If having the condition, should do a inspection in half a year, see whether tumor recurs. If find a cooking stove (tumor) , two cooking stoves, it is very necessary to treat at this time. Wait until that intensity of liver transplantation, so this course, such long course, how to let him reach that stage, wonder very much, do not understand. The third, we do not understand the truth of media's newspaper that this is either. After saying he has found tumor, say he is a vegetarian, abstaining from eating meat can resist the growth of tumour. Sina is healthy: Say he professes Buddhism. Ji XiaoLong: I do not understand this kind, why abstain from eating meat and prevent tumour from growing up? This is impossible. Tumour is a piece of living beings, it is the cells alive, so long as you are alive it long, no matter what you eat. Sina is healthy: Yes, will grow if tumour exists in the life. Ji XiaoLong: Yes, this is a simple reason, it is not the problem of abstaining from eating meat and can be solved. Switch back, from tumour of the cells of Langerhans' islits of Jobs, I think that there are these three points in this whole course, say, worth everybody switches back as reference too well from medical science, it is good to draw the lesson too, or it is all right to strengthen the understanding of Langerhans' islits cell tumour. There are these three respects. Sina is healthy: Everybody is in busy work every day, I find some, Jobs is SteveJobs in English, job just works. It seems that he has been working all the time these years, I want to talk about the work so long, in fact he is struggling with cancer too. While struggling with cancer, the life pressure of the equilibrium how to go, healthy how to treat life carefully, do you give everybody any opinions? Ji XiaoLong: Yes, I do not in that case believe someone says, I have met one's death like a hero I do not fear death, get cancer, needn't it goes anxious to be impossible. We touch so many cancer patients, it is all pleasant to say, the ones that said are all right very with deep feeling and enthusiasm. When being in fact quiet, in he alone, his heart is very painful. Host Wang Xiaodong: Fear. Ji XiaoLong: Not only frightened, lonely. He feels he has taken cancer, the people around do not have cancer, angry, lonely, have and frightened. Think the manners and morals of the time unjust. Jobs has said, we regard every whole day as the last day, this is a true idea, this sentence is right. Because he know cancer, close in that day not finishing from last life, he should live one day to fully hold this day more, this psychology is all right. However, can't say I am good now, I have no pressure, it is impossible, he must have. Because we meet too much such an examples (cancer patient) ,He will think of a lot of questions at the time of peace and quiet. So I want to tell everybody, we have dealings with tumour every day. Give ordinary people want say, what by sheer good luck you mustn't hold, hold what which method prevent from cancer, which method needn't get cancer, which how so as to how about after the cancer method get, that one that imagines. Tumour reaches cancer, malignant tumour is till now, the reason is not clear. This reason, that reason, eat today this tomorrow eat that, say, there is no abundant evidence. The second is in the course with long cancer, the whole course people changing do not know either. How to treat cancer, all try to find out now, all the blind man feels an elephant-take a part for the whole. Sina is healthy: Trying to find out one, exploring one? Ji XiaoLong: Yes. Whom you mustn't imagine so bright, you either don't think cancer to be very much remote from you. I once dreamt too I got cancer by oneself, on the spot in person in the dream, we contacted a large number of patients in later period of malignant tumour, it is very sensitive. I thought Jobs on later stage, he understood his days are few, calm down instead. But at his preceding stage, go to work desperately, ignore this ignores that, for the apple. He did, went to work again later. Sina is healthy: Jobs has been working busily all the time. Ji XiaoLong: This is to prove, on the question of cancer, he does not have as calm as later stage, treat this steadily. I think to begins him and does not get hold of so correctly. Say as ordinary people, you should work, should live, how to do how to do. The ones that only reminded everybody are: Have ready conditions to do a inspection regularly, if there is tumour that is found in time, can treat it by a rational method. Having already reached later period, have no idea, what miracles you do not want to have either, all these impossible ones. It is all right to make great efforts to be calm to treat!
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