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¡¾1906¡¿Everyone has his own temper

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    Like other cancers, cervical cancer will lose the chance of surgery once it metastasizes and spreads throughout the body.  It is best when it is discovered as carcinoma in situ.  Cervical cancer in situ is when cancer cells only occur in the cervical epithelial tissue and is called stage zero.

    The clinical probability of timely detection of carcinoma in situ is too low.  More often than not, patients go straight to the first, second, and third stages or above when they come for treatment.  Moreover, cervical cancer is already prone to lymphatic metastasis in the early stages of development.  Therefore, clinicians advocate that patients should have regular examinations to detect cancer cells early.

    Clinicians who find cancer cells need to perform correct and scientific treatment, either timely surgery or palliative treatment with radiotherapy and chemotherapy.  There is certainly not just one type of surgery.

    When treating cervical cancer, like other cancers, clinicians attach great importance to staging.  To be more specific, cancer cells in each organ have their own diffusion route map, and they are cancers with different characteristics.

    The path diagram for the spread of cervical cancer is not the path from the cervix to the uterus as most people imagine, but the path of "cause".  So far, the stage of cervical cancer is closely related to whether the cancer cells have invaded the "cause".  .  "Because" the tract is anatomically close to the pelvis and adjacent to the bladder and rectum, clinical cervical cancer will have pelvic metastasis at the end of the second stage, and in the third and fourth stages, results such as compression of the bladder, hydronephrosis, and rectal tumors will occur.  Appear.

    Now it is said that the metastases found in the patient's rectum can only be stage four.  The doctors on the table were quite surprised after hearing what Dr. Zuo Liang said.

    "Does the CT scan say there is a tumor in the patient's rectum?" Du Haiwei wanted to check the examination report with his own eyes.

    When Wang Cui came to the hospital, her body shape was not like that of a terminal cancer patient. She was not thin, slightly fat, and had no symptoms of cachexia at all.  The doctor is very practical and will not say that because Wang Cui is not a good person and does not follow science, Wang Cui loves her life and goes to the hospital regularly for cervical scraping screening.

    Based on comprehensive judgment, everyone believes that some patients were admitted to the hospital after surgery.

    If the operation cannot be performed, the patient will not be admitted to the surgery department but will be sent to the oncology department.  The preliminary physical examination performed by the clinician after admission showed that the patient's condition may have been discovered relatively early and was in the first stage. Why was it suddenly transferred to the rectum?

    Too special case?

    Du Haiwei got the CT report and saw it above. As Zuo Liang said, he wrote a report that there was a foreign body in the rectum and it was suspected to be metastatic cancer?

    Clinicians must not say what the CT scan is, but should look at it based on the patient¡¯s clinical performance.  You must know that some CT doctors are afraid of omissions and are willing to write all possibilities and malignancies in the report to avoid the responsibility of missed diagnosis.  Anyway, in the end, there are clinicians who are in charge.

    Zuo Liang went to get the CT scan and prepared it on the hanging lamp board for the instructor to check.

    Du Haiwei said no need for now and asked other people present what they thought.

    Knowing that the teacher wanted to test people, a group of practicing doctors said nothing and let two interns answer the questions first.

    Xie Wanying said: "You can consider getting a colonoscopy first. Colonoscopy is definitely clearer than CT. After taking the specimen, do pathology. Pathology is the gold standard to determine whether it is cancer."

    The doctors present were not surprised when they heard her excellent answer. They all knew that she was a top student.

    When dealing with top students, the teacher will further increase the difficulty. Du Haiwei asked her again: "What do you think is the possibility of metastatic cancer?"

    "I think the probability is very small. It may just be a benign polyp. Her cervical tumor is small, and the rectal mass found is also small. She has no abnormal intestinal symptoms. However, it is good for the patient to rule out preoperative colonoscopy.  It¡¯s also good for doctors.¡± (Remember the website address: www.hlnovel.com
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