影片字幕逐字稿英文翻譯 English translation of the video transcript ⬇⬇⬇⬇⬇⬇⬇⬇⬇⬇⬇ In March of this year, Kate Middleton, the Duchess of Cambridge, announced that she had been diagnosed with cancer and was undergoing treatment. This news shocked the world. It made people wonder how someone so successful and seemingly blessed like Kate Middleton could develop cancer. It’s a stark reminder that cancer is pervasive and can even affect younger individuals. Interestingly, just a few months before Kate's announcement, several research studies had shown a rapid increase in cancer rates among younger people. A notable example is a report published in September 2023 by the British Medical Journal, which revealed that over the past 30 years, from 1990 to 2019, the incidence of cancer among individuals under 50 has risen by 80%, with colorectal cancer being the most pronounced. Today, I want to discuss young-onset colorectal cancer, an important disease. The content will be divided into two main parts. First, I will explore the key differences between young-onset colorectal cancer, which occurs in individuals under 50, and older-onset colorectal cancer. The second part will address the primary risk factors for young-onset colorectal cancer and, most importantly, how to prevent it. So, today, I will summarize four key differences between young-onset and older-onset colorectal cancer, and outline three crucial steps to prevent young-onset colorectal cancer. The information might be a bit dense, so attentive students, please get your notebooks ready. Let's start the lesson! First, What are the differences between young-onset and older-onset colorectal cancer? The risk factors, causes, and development of young-onset colorectal cancer differ significantly from older-onset colorectal cancer. Some experts even suggest that young-onset colorectal cancer should be considered a distinct type of cancer from older-onset colorectal cancer. Here are four key differences: Location of Tumors: Statistically, young-onset colorectal cancer tends to occur more frequently in the left side of the colon, particularly the sigmoid colon and rectum. Therefore, symptoms are more likely to be related to obstruction at the colon's exit, such as abdominal bloating, blood in stool, prolonged bowel movements, or complete blockage. Multiple Primary Tumors: In individuals under 50, a colonoscopy is more likely to reveal two or more tumors simultaneously. Unlike older-onset cancers, which often develop slowly from polyps, young-onset colorectal cancer may skip the polyp stage and develop directly from normal mucosa. This rapid progression means that multiple tumors can appear in a short period. Stage at Diagnosis: Young-onset colorectal cancer is more likely to be diagnosed at an advanced stage. Statistics show that over 60% of young-onset cases are metastatic at diagnosis, compared to about 40% in older-onset cases. This is partly because both patients and doctors often overlook symptoms in younger individuals, leading to delays in diagnosis and allowing the cancer to progress further. Genetic Syndromes: Young-onset colorectal cancer is more frequently associated with hereditary cancer syndromes. One of the most common is Lynch syndrome, which significantly increases the risk of colorectal cancer, as well as other cancers such as endometrial and ovarian cancers. Individuals with Lynch syndrome may have up to an 80% chance of developing colorectal cancer in their lifetime. Therefore, if a family member is diagnosed with young-onset colorectal cancer, it is important for siblings and children to undergo genetic testing and screening. Now, for the second part: What are the risk factors for young-onset colorectal cancer, and how can we prevent it? In epidemiology, risk factors are categorized into modifiable and non-modifiable. Modifiable risk factors are those that can be changed through actions, such as quitting smoking to reduce lung cancer risk or losing weight to prevent diabetes. Examples include smoking, alcohol consumption, obesity, diabetes, high red meat intake, and low fiber intake. Addressing these factors can significantly reduce the risk of young-onset colorectal cancer. Non-modifiable risk factors include age, gender, ethnicity, family history, and genetic issues. Research indicates that the incidence of young-onset colorectal cancer has increased rapidly among individuals born after 1990. A study from the University of Toronto in 2016 found that this increase parallels the rise in obesity among younger people. The correlation between young-onset colorectal cancer and obesity is particularly strong. If you are under 50 and concerned about colorectal cancer, weight loss should be your top priority. This is one of the most urgent steps you can take. In Taiwan, colorectal cancer is also becoming more common among younger individuals. One reason might be insufficient physical activity and poor dietary habits. Increasing exercise and improving diet are therefore crucial steps in preventing young-onset colorectal cancer. The Taiwan Sports Administration has reported that only about one-third of people in Taiwan maintain regular exercise habits, with younger people being even less active. Prolonged sitting due to work can pose significant health risks, comparable to smoking. However, regular breaks from sitting can help mitigate these risks without needing to visit the gym. Regarding diet, we live in a society heavily reliant on takeout and delivery. Healthy eating while ordering out requires some strategies. For instance, minimizing the consumption of hot soups and noodles delivered in plastic containers can reduce exposure to harmful chemicals. Finally, the third urgent step is to increase vigilance and enhance screening. Since about 20% of young-onset colorectal cancers are linked to hereditary diseases, and we cannot change our genetics, enhancing screening is crucial. In Taiwan, screening starts at age 50, with biennial fecal occult blood tests. However, since these tests miss about 20% of colorectal cancers, a colonoscopy is more reliable. The American Cancer Society now recommends starting screening at age 45, with some experts suggesting even earlier at age 40. Thus, I recommend considering regular colonoscopies starting at age 40. If symptoms like bloating or irregular bowel movements persist, it's important to seek medical attention early to detect colorectal cancer as soon as possible. Additionally, consuming foods with anti-cancer properties can help improve your health and immune system before cancer develops. You might refer to my previous videos on anti-cancer foods, and I will also be creating a video on cancer-preventive diets soon. Thank you for your attention, and I hope this information helps you stay informed and proactive about colorectal cancer prevention.
影片字幕逐字稿英文翻譯
English translation of the video transcript
⬇⬇⬇⬇⬇⬇⬇⬇⬇⬇⬇
In March of this year, Kate Middleton, the Duchess of Cambridge, announced that she had been diagnosed with cancer and was undergoing treatment. This news shocked the world. It made people wonder how someone so successful and seemingly blessed like Kate Middleton could develop cancer. It’s a stark reminder that cancer is pervasive and can even affect younger individuals.
Interestingly, just a few months before Kate's announcement, several research studies had shown a rapid increase in cancer rates among younger people. A notable example is a report published in September 2023 by the British Medical Journal, which revealed that over the past 30 years, from 1990 to 2019, the incidence of cancer among individuals under 50 has risen by 80%, with colorectal cancer being the most pronounced.
Today, I want to discuss young-onset colorectal cancer, an important disease. The content will be divided into two main parts. First, I will explore the key differences between young-onset colorectal cancer, which occurs in individuals under 50, and older-onset colorectal cancer.
The second part will address the primary risk factors for young-onset colorectal cancer and, most importantly, how to prevent it.
So, today, I will summarize four key differences between young-onset and older-onset colorectal cancer, and outline three crucial steps to prevent young-onset colorectal cancer.
The information might be a bit dense, so attentive students, please get your notebooks ready. Let's start the lesson!
First, What are the differences between young-onset and older-onset colorectal cancer?
The risk factors, causes, and development of young-onset colorectal cancer differ significantly from older-onset colorectal cancer. Some experts even suggest that young-onset colorectal cancer should be considered a distinct type of cancer from older-onset colorectal cancer. Here are four key differences:
Location of Tumors: Statistically, young-onset colorectal cancer tends to occur more frequently in the left side of the colon, particularly the sigmoid colon and rectum. Therefore, symptoms are more likely to be related to obstruction at the colon's exit, such as abdominal bloating, blood in stool, prolonged bowel movements, or complete blockage.
Multiple Primary Tumors: In individuals under 50, a colonoscopy is more likely to reveal two or more tumors simultaneously. Unlike older-onset cancers, which often develop slowly from polyps, young-onset colorectal cancer may skip the polyp stage and develop directly from normal mucosa. This rapid progression means that multiple tumors can appear in a short period.
Stage at Diagnosis: Young-onset colorectal cancer is more likely to be diagnosed at an advanced stage. Statistics show that over 60% of young-onset cases are metastatic at diagnosis, compared to about 40% in older-onset cases. This is partly because both patients and doctors often overlook symptoms in younger individuals, leading to delays in diagnosis and allowing the cancer to progress further.
Genetic Syndromes: Young-onset colorectal cancer is more frequently associated with hereditary cancer syndromes. One of the most common is Lynch syndrome, which significantly increases the risk of colorectal cancer, as well as other cancers such as endometrial and ovarian cancers. Individuals with Lynch syndrome may have up to an 80% chance of developing colorectal cancer in their lifetime. Therefore, if a family member is diagnosed with young-onset colorectal cancer, it is important for siblings and children to undergo genetic testing and screening.
Now, for the second part: What are the risk factors for young-onset colorectal cancer, and how can we prevent it?
In epidemiology, risk factors are categorized into modifiable and non-modifiable.
Modifiable risk factors are those that can be changed through actions, such as quitting smoking to reduce lung cancer risk or losing weight to prevent diabetes. Examples include smoking, alcohol consumption, obesity, diabetes, high red meat intake, and low fiber intake. Addressing these factors can significantly reduce the risk of young-onset colorectal cancer.
Non-modifiable risk factors include age, gender, ethnicity, family history, and genetic issues.
Research indicates that the incidence of young-onset colorectal cancer has increased rapidly among individuals born after 1990. A study from the University of Toronto in 2016 found that this increase parallels the rise in obesity among younger people. The correlation between young-onset colorectal cancer and obesity is particularly strong.
If you are under 50 and concerned about colorectal cancer, weight loss should be your top priority. This is one of the most urgent steps you can take.
In Taiwan, colorectal cancer is also becoming more common among younger individuals. One reason might be insufficient physical activity and poor dietary habits. Increasing exercise and improving diet are therefore crucial steps in preventing young-onset colorectal cancer.
The Taiwan Sports Administration has reported that only about one-third of people in Taiwan maintain regular exercise habits, with younger people being even less active. Prolonged sitting due to work can pose significant health risks, comparable to smoking. However, regular breaks from sitting can help mitigate these risks without needing to visit the gym.
Regarding diet, we live in a society heavily reliant on takeout and delivery. Healthy eating while ordering out requires some strategies. For instance, minimizing the consumption of hot soups and noodles delivered in plastic containers can reduce exposure to harmful chemicals.
Finally, the third urgent step is to increase vigilance and enhance screening.
Since about 20% of young-onset colorectal cancers are linked to hereditary diseases, and we cannot change our genetics, enhancing screening is crucial. In Taiwan, screening starts at age 50, with biennial fecal occult blood tests. However, since these tests miss about 20% of colorectal cancers, a colonoscopy is more reliable. The American Cancer Society now recommends starting screening at age 45, with some experts suggesting even earlier at age 40.
Thus, I recommend considering regular colonoscopies starting at age 40. If symptoms like bloating or irregular bowel movements persist, it's important to seek medical attention early to detect colorectal cancer as soon as possible.
Additionally, consuming foods with anti-cancer properties can help improve your health and immune system before cancer develops. You might refer to my previous videos on anti-cancer foods, and I will also be creating a video on cancer-preventive diets soon.
Thank you for your attention, and I hope this information helps you stay informed and proactive about colorectal cancer prevention.
看到張醫師的新影片，趕快點進來看，又長知識了，謝謝你的寶貴的防護大腸癌知識！
謝謝醫生。筆記📝。按讚。留言。
感謝仁醫 持續產出好內容 😊
訂閱張醫師的頻道可瞭解健康防癌相關知識，這樣優秀且不斷進修的醫師一定要推的，期待訂閱數早日破萬，讚！！
謝謝支持😊😊
開始追蹤張醫師，請多多益善，人間菩薩！
感謝張醫師。❤🎉
感謝張醫師的詳細資訊！❤❤❤⋯⋯
謝謝醫生，很清楚很實用！🙏
感謝醫師
感謝醫生影片😊🙏
今天長知識了
👍👍👍
问下
医生
直接用吃喝外进来益生菌
或吃的食物水果蔬菜而令肠道自制造益生菌
两者有分别吗
什么病人不能直接用吃喝外进来益生菌？
医生
随喜帮忙解答帮忙众生❤
我是大腸癌患者，我的醫生沒有說不能吃益生菌欸😶
應該是因人而異。我每天服用標靶藥容易腹瀉，營養師建議不要吃益生菌，攝取新鮮的多種原型食物更好
@@stephchou7773 對耶～謝謝你提醒🙏
可能我化療完會便秘，所以醫生沒有反對。
但我正在打化療的那幾天會停止益生菌，打完經過一週後才會補充益生菌。
@@Meng-g5r 我們都要繼續加油喔。
@@stephchou7773 一起加油💪🏼祝福你治療平安順利🫶
小狗傳送門6:43
張醫師請問加入會員內容更多嗎？還是可以提前先看到影片？😊
@@龔盟晴 可以提前看到影片，但所有影片最終都會分享出來，會員的權益就是先睹為快喔😊
张医生、你好、肝癌指数偏高、13、14、能喝灵芝汤吗
可以的，除非喝了有身體不良反應
那是吃銅吃鐵，古代很少人得癌。
因為古人沒活到罹癌的年紀
@@deerhsu1413 不對，癌症又不分年紀，有人剛出生就得癌，有九歲就得血癌，骨癌。他們有活很久嗎？
張醫生我是獨居老人不會使用手機功能
看到你們家🐶狗很可愛☺️喔⋯⋯
我44歲，是乙狀結腸癌三期，我就是自認腸燥症，其實症狀已經有10個月，所以沒有找醫師，發現時已經三期
我爸爸的體質是很容易長大腸息肉，每年都要割息肉，他說他沒想到這種體質會有遺傳，不然早知道就讓我去檢查
我的壞習慣是很愛吃餅乾、蛋糕、甜食，幾乎不吃水果，蔬菜也吃很少，久坐不運動
祝福您治療成功，一切順利。
謝謝張醫師分享
🙏🙏🙏