A seemingly harmless blemish near a young patient’s nose wing led to the unexpected diagnosis of leukemia, highlighting the critical importance of investigating persistent, unusual skin changes. This case, shared by a Taiwanese dermatologist, underscores that early vigilance for minor symptoms can be vital in detecting serious illnesses like blood cancer, which remains one of Hong Kong’s top ten fatal cancers, despite rapidly advancing treatment options.
The incident involved a man in his twenties who sought medical attention for a small, acne-like lump on the side of his nose. Taiwanese dermatologist Dr. Cho Chung-en noted on social media that the patient had tried over-the-counter medication for three days with no improvement; instead, the lesion worsened and was accompanied by a mild fever. Upon re-examination, the lesion had formed a crusted, necrotic patch. Despite the patient having normal blood work just months prior, Dr. Cho ordered immediate blood and skin biopsy tests. The results shockingly confirmed a diagnosis of blood cancer.
Understanding Leukemia: Symptoms and Risk Factors
Leukemia, commonly known as blood cancer, is characterized by the overproduction of abnormal white blood cells. Hong Kong’s Hospital Authority records approximately 1,000 new cases annually. Crucially, unlike many other cancers, leukemia affects people of all ages, including children and young adults. However, advancements in modern medicine mean it is now considered one of the most curable cancers.
While the exact cause of leukemia often remains unknown, several factors elevate an individual’s risk of developing the disease:
- Age: Individuals over 65 years old face increased risk.
- Lifestyle and Exposure: Smoking, prolonged exposure to high levels of radiation, and chronic exposure to certain industrial chemicals are contributors.
- Medical History: Previous treatments with specific chemotherapy drugs, a history of other blood disorders, and viral infections can increase susceptibility.
- Genetics: Family history and genetic syndromes also play a role.
Beyond unusual skin lesions, the Hong Kong Hospital Authority outlines common signs of leukemia, which often stem from the body’s inability to fight infection or clot blood effectively. These include: frequent or difficult-to-stop bleeding (e.g., from the gums or nose), persistent fever, unexplained weight loss or anemia, enlarged lymph nodes and organs (spleen and liver), recurrent infections, chronic fatigue, and drenching night sweats.
Dietary Strategies for Cancer Recovery
While medical treatment, including innovative targeted therapies, substantially boosts survival rates—up to a 60–70% five-year survival rate for some younger patients—lifestyle and dietary management are increasingly recognized as crucial components of recovery and prevention.
One highly regarded approach is the Jiyō Anti-Cancer Diet, developed by Japanese surgical oncologist Dr. Takawo Jiyō. This comprehensive eating plan, outlined in his 2015 book, aims to dramatically lower cancer recurrence rates from the standard 30–40% to under 10% by adhering to eight core principles focusing on nutritional optimization.
Key Principles of the Jiyō Diet:
- Strictly Limit Sodium Intake: Excessive salt can harm the gastric lining and disrupt cellular metabolism. Patients are advised to limit salt intake to 2–3 grams daily (about half a teaspoon of table salt), often substituting with low-sodium alternatives.
- Restrict Animal Fats and Protein: High consumption of animal protein, particularly from red meat (mammals), is discouraged as it may promote arterial plaque buildup and cancer growth. The diet favors poultry (skin removed), up to one egg daily, and white fish (e.g., cod, salmon), while advising against easily oxidized red fish like bluefin tuna.
- Maximize Vegetable and Fruit Intake: Raw, organic produce is emphasized for its high concentration of enzymes, vitamins, and powerful phytochemicals (like polyphenols and flavonoids) that neutralize harmful free radicals. Juicing is encouraged for maximum nutrient absorption.
- Prioritize Whole Grains and Legumes: Foods like brown rice, various beans, and root vegetables provide essential energy, fiber for gut health, and antioxidants, aiding in the prevention of cell degeneration.
- Incorporate Immune Boosters: Daily consumption of unsweetened yogurt (at least 300g), along with sea vegetables (source of fucoidan) and mushrooms (source of beta-glucans), is recommended to strengthen the immune system and gut microbiome.
- Utilize Specific Supplements: The regular intake of lemon, honey, and brewer’s yeast is encouraged for their concentrations of citric acid, vitamins, and premium amino acids, which offer potential anti-cancer and immune-supportive properties.
- Choose Appropriate Plant Oils: While seeking unsaturated fats, patients should use oils resistant to heat oxidation, such as olive, sesame, and canola oils, for cooking. Cold consumption of omega-3-rich oils like perilla or flaxseed oil is recommended for salads.
- Drink Natural, Chlorine-Free Water: Tap water containing chlorine is avoided due to the potential for producing reactive oxygen species (free radicals) that damage DNA. Bottled natural mineral water is preferred for hydration and mineral content.
For those undergoing cancer treatment, Hong Kong Blood Cancer Foundation advises rigorously avoiding high-risk foods that impede healing, including raw or pungent vegetables (raw garlic, ginger, onions), shellfish, stimulating foods, deep-fried items, hard foods, animal fat/organ meats, and undocumented herbal remedies.
The recent case serves as a powerful reminder for the public and healthcare professionals in Hong Kong: seemingly minor or persistent symptoms warrant thorough medical investigation, especially when accompanied by systemic signs like fever. While dietary protocols offer supportive benefits, individuals should always consult their physician before making significant changes to their treatment plan.