The people in Fangze were talking with great interest.
The people of the National Association were quiet.
Now Senior Brother Huang and several classmates are drinking coffee with Cat and Buddha.
These people across from me said that Xie Xie was lying to the patient. Occasionally, it is possible to deceive and transfer patients. When it comes to academic deception, Mr. Xie, a stubborn person, is the worst at deceiving people.
¡°It can only be said that those who don¡¯t understand Mr. Xie can only make random guesses, which makes them laugh out loud.
"They are very calm."
It is very exciting to have a bunch of opponents drinking coffee leisurely next door.
After a doctor in Fangze took a sip of cold juice, he asked the group of young doctors opposite: "Did you hear anything?"
Of course you can hear it. Even the most scumbag student here, Wei, stopped pretending to be cowardly and replied, "Your doctor said it's a problem with the pituitary stalk."
To further summarize what Dr. Tong said above, the patient¡¯s request to retain the endocrine function, because the pituitary stalk is closely related to the endocrine function, actually becomes a requirement of the surgeon to help the patient retain the pituitary stalk during the operation.
Whether the pituitary stalk can be preserved during cranial angiomas surgery is a big technical issue. Dr. Tong thinks it can¡¯t be done with this patient.
Not only Dr. Tong said it couldn¡¯t be done, overseas doctors tended to agree with Dr. Tong¡¯s conclusion, which was all based on the patient¡¯s preoperative imaging report. From the patient's imaging report, it can be seen that the boundary between the tumor and the pituitary stalk is unclear, and the pituitary stalk is poorly displayed. This means that the tumor may have fused with the pituitary stalk. When the tumor is removed during surgery, it must be cut in one piece and the pituitary stalk cannot be retained alone.
"Yes, our doctor said so." Fang Ze's doctor asked the National Association people again, "What do you think?"
This question cannot be answered by Wei. Classmate Wei suddenly had an idea and said, "We have Doctor Xie talking about it."
Dr. Xie¡¯s voice of further explanation came from the machine.
"There are many ways to clinically classify craniopharyngioma. The QST classification is the most commonly used clinical classification method. The three types it distinguishes all originate from the pituitary stalk. The one I want to borrow today is another classification This method divides craniopharyngioma into six types. I personally think this method may be more suitable for the origin of your tumor."
this? Could it be that this craniopharyngioma does not originate from the pituitary stalk? Is what Dr. Tong said wrong?
"Type six is ??pure intrasellar subdiaphragmatic type, intrasellar suprasellar type, suprasellar parachiasmatic extraventricular type, intraventricular and extraventricular type, paraventricular involving third ventricle type, and pure intraventricular type. It can be seen from this classification , not all craniopharyngioma originate from the pituitary stalk. What we need to make clear first is that the pituitary stalk mentioned here is different from the pituitary stalk of the origin hypothesis of craniopharyngioma mentioned by Dr. Tong."
What kind of difference is this?
Are there two pituitary stalks?
As mentioned before, craniopharyngioma is a tumor that may develop from tissue leftover from the embryo. The embryonic pituitary stalk is definitely not the final form after human development is completed. It is the final form and position that it has developed to the present after successive migrations.
So the origin of the pituitary stalk mentioned by Dr. Tong is, to be precise, the pituitary stalk tissue from which the embryo begins.
In this case, the search for the origin of craniopharyngioma must include the remaining pituitary stalk tissue from the previous embryo, rather than just pointing to the final form of the pituitary stalk.
In other words, the entire developmental path of the pituitary stalk may have pituitary stalk tissue.