w**o
发帖数: 645 | 1 刚上班时偶的确花了点时间才弄清楚和CP的分工到底是怎么回事情.刚开始的时候一个老
黑CP欺负偶是新护士,还是个外国人. 偶叫她量个新病人VS出来,她居然趴着电脑看BIBLE
还说,你有这个功夫叫我,你早就量好了. 当时偶的气就不打一处来….偶马上说 “好,你
就ENJOY READING BIBLE吧, 等着偶WRITE YOU UP.” 丫的立马就去给新病人量VS去了.
偶告诉别的护士,别人都不敢相信偶也会威胁CP. 这就是被逼出来的,对人NICE是一件事情
,但是保卫自己的权利又是另一件事情. 就是现在,有时还有人说我对别人太NICE了,容易
被人欺负. 偶就PRAY: GOD不会让不合理的事情发生.有人要APPROACHING GOD,也请不要在
上班时间看BIBLE.
好了言归正传,这里说的都是GENERAL CARE FLOOR的事情. CP主要负责所有的VS,包括
RENAL/LIVER BIOPSY之后的FREQUENT VS. 一般的规矩是15min x4,30min x 4, 1hr x 2,
4hr x1. 遇到这样的情况,就要和CP说明白,这个病人是BIOPSY回 |
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l*******8
发帖数: 1745 | 2 1.pre-procedure set up including consent, set up IV line.
2.procedure room: help MD manipulate pt's belly, get biopsy, send biopsy to
lab guy.
3.recovery room: monitor pt.
do 1 and 3 in one day, do 2 in another day. alternating with each other.
版上老ID都知道她是美国人。 |
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l**********g
发帖数: 426 | 3 do i need liver and spleen scan?
I found online said" If a liver and spleen scan show problems, more tests
such as a liver biopsy, ..., is used", and I already had liver biopsy. |
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I****a
发帖数: 407 | 4 What you got was a random biopsy, it may not reveal real cause of the
transaminitis. Liver
Scan may better delineate the abnormal area of liver so another biopsy can
be done with better precision although I do not understand what you mean of
liver scan. In practice, the common image modalities for liver are: ct, MRI
. |
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V*****G
发帖数: 337 | 5 I have to ask you some more questions about history, since you didn't
mention abd pain in the 1st post, now you said there is abd pain, this
potentially changed the whole picture.
I still need more info about history if you don't mind.
For history:
Abd Pain: OCDFPPLIQRAAA all needed
Diarrhea: OCDFPPAAA ABCO, blood?
Other GI symptoms: nausea, vomit, jaundice, abd bloating, if there is
constipation, relationship between constipation and diarrhea
Edema: OCDFPPAAA, esp aggravating and alleviati... 阅读全帖 |
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I****a
发帖数: 407 | 6 Unexplained bicytopenia for an elderly, a bone marrow biopsy is recommended
after nutritional and viral causes are r/o.
Agree with upper GI endoscopy with biopsy, pan CT.
Waldenstrome jumped into my mind given age, cytopenia, Raynaud's phenomenon and enteropathy. A SPEP would be nice. Since patient comes from Turkey, mediterranean lymphoma with alpha heavy chain is possible although patients are generally younger. LZ has not mentioned UA and urine protein quantification yet. |
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y***d
发帖数: 33 | 7 UA was basically normal. We didn't do SPEP/UPEP because she did not have a
globulin gap. We thought it was reasonable to recheck CBC when her
nutritional status got better.
Thanks VictorG for the detailed analysis of the case. The only thing I would
correct is that we usually us stool osm > 125 for cut off of osmotic
diarrhea and < 50 for secretory diarrhea. In between values are none-
diagnostic. Here is a link to the AGA guideline. Don't tell UCSF ;)
http://gidiv.ucsf.edu/course/things/1AGADia... 阅读全帖 |
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y***d
发帖数: 33 | 8 A++, I'm no GI fellow either. I agree with you that the diagnosis in this
case is very much clinic. However her being HLA-DQ2 positive certainly did
not hurt.(It'll be very hard to convince people that she had celiac dz if
her HLA typing were negative.) From my understanding, there are three
components to diagnosis of celiac disease: 1. positive serology, 2.
confirmatory biopsy, and 3. improvement on gluten free diet. It would be
nice for her to have all three but the one that I really care abou... 阅读全帖 |
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I****a
发帖数: 407 | 9 Patient had blind pleural biopsy X 2 already, so probably needs a VATS.
Trial of anti-TB drug is an interesting idea.
only by the pleural biopsy. Pleural fluid smears are rarely positive and the
yield on fluid culture is very low and time consuming. The combined
diagnostic yield of histology and tissue culture is close to 90%. |
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y******a
发帖数: 590 | 10
only by the pleural biopsy. Pleural fluid smears are rarely positive and the
yield on fluid culture is very low and time consuming. The combined
diagnostic yield of histology and tissue culture is close to 90%.
I was taught the same, pleural biopsy is most sentitive. but never heard of
90% |
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m*********6
发帖数: 609 | 11 We had a pt diagnosed with vasculitis by biopsy. The pt had rash so derm
consulted and did biopsy. |
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m*********6
发帖数: 609 | 12 We had a pt diagnosed with vasculitis by biopsy. The pt had rash so derm
consulted and did biopsy. |
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I****a
发帖数: 407 | 13 1. 65 y/o white female with PMH/PSH of DM, stage 2 endometrial cancer in
1990, S/P TAH/BSO who presented with a rib fracture after bicycle accident.
Her chest x ray identified a round 2 cm nodule of right upper lobe
suggestive of primary lung cancer. She is not a smoker. Her PET CT showed
uptake of that nodule, no other abnormality. The nodule is not accessible by
CT guided biopsy so the decision was to take her to OR for lobectomy if
frozen shows lung cancer. To our surprise, the nodule is turn... 阅读全帖 |
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A*******s
发帖数: 9638 | 14 You ferritin level is just too high and your LFTs is abnormal. Biopsy is the
only way if you want an answer.
Liver biopsy is a safe procedure, in my opinion.
control
to |
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R*******t
发帖数: 367 | 15 It is not uncommonly seen that nodal mets have higher FDG uptake thann
primary site. Lung ca is an evil disease in the way that the metabolic
presentation varies a lot in different cell types. BAC and carcinoid are
well known to be hypo metabolic.
This patient has nodal calcs. When you see adenopathy with calcs, several
things are possible, tb, fungal esp histo, pneumoconiosis, and lymphoma that
has been treated. In this circumstance, he could well have increased
baseline nodal FDG uptake and t... 阅读全帖 |
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R*******t
发帖数: 367 | 16 Absolutely! Granulomatous disease (tb and sarcoidosis) is one of the three
common categories of ddx in chest, together w neoplasm and infections.
The odds favors sarcoidosis in the US, and favors tb in china. Imaging can
only bring us this far sometimes, and no one can be sure until biopsy is
done, unless they are aunt Minnie cases. The fact is, in the real world we
do end up biopsying lots of benign, inflammatory and infectious lesions. But
that's what we have to do to exclude malignancy. A... 阅读全帖 |
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a*********d
发帖数: 2763 | 17 唉唉唉，本来超不想回这个贴，但是看到你这个帖子挂在这里好几天都没人说什么，还
是忍不住说几句。我说话有什么说什么，你可能觉得不中听，但是我可以说这是任何一
个内分泌医生见到你心里都会这么想的，呵呵，当然他们不会告诉你。
首先，你的心情很理解，安慰一下，甲状腺肿瘤一般预后还是很良好的。
其次，你应该手术，不要来来回回拖了，本来很简单的一件事情，看看你搞得这么复杂
，说得难听点，医生看见您这样的病人最头大了。
第三，手术前，最重要的，是找到好的medical center做一个detailed neck
ultrasound，看看有没有可疑的进步淋巴结，这会影响到手术要不要清扫淋巴结。东北
部那好的医院太多了啊，波士顿那几个大医院你随手挑一个就行了，你这个也不是什么
疑难杂症阿，最重要的是你的保险cover啥。
第四，对于你对医生的质疑，我只能说，你多花了不少钱，多吃了一次radioactive
iodine和biopsy，都是因为你不愿意按照医生建议手术。needle biopsy是有限制的，
有时候确实只能告诉你这么多，要真正确认是不是肿瘤，就是要手术才行。这跟医生担
不担责任没关系，... 阅读全帖 |
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s******v
发帖数: 477 | 18 Had the class today. I'd like to share with you the top ten list of DO's and
DON'Ts. I may update later when I have more time.
DO...
1.Know how to properly decribe skin lesions and eruptions
2.Pick faorite generic low, medium and high potency topical steroids for
appropriate usage
3.Understand how to prescibe topical retinoids
4.Recommend sun protection to all rosacea patients, and educate on other
triggers
5.Reommend a consistent home therapy regimen to all wart patients
6. Discuss daily skin c... 阅读全帖 |
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n*******c
发帖数: 501 | 19 Thank you for sharing. You really have good stuff:)
It would be even better if you have pathology picture of biopsy.
btw, was it a core or fine needle biopsy?
The next question would be:
How are we gonna treat him?
What is the staging? Is he a surgical candidate? Does he need adjuvant therapy?
If it is poorly differentiated NSCLC, is further molecular analysis beneficial? If we can get the whole thing from operation. Does he likely benefit from testing EGFR mutation and having tyrosine kinase in... 阅读全帖 |
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R*******t
发帖数: 367 | 20 Lung biopsies are core biopsies with 18 or 20 gauge needles usually. |
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R*******t
发帖数: 367 | 21 I only do thyroid biopsies with FNA, 25 gauge. Most pathologists are okay
with 20 g cores. Some would not, like a renal transplant biopsy I did before
, he preferred 18 g core, and the patient had a hematoma after. |
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I****a
发帖数: 407 | 22 The fact that the pathology report reads poorly differentiated NSCLC makes
me think the quality of the biopsy was probably not adequate.
For this case, it is not relevant because patient will most likely go for
surgery which will provide the ultimate whole block of the tumor.
But I would request a repeat biopsy if this patient presents with metastatic
disease and you get this poorly differentiated histology . The emergence of
new targeted therapies and clinical trials demonstrating differing eff... 阅读全帖 |
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I****a
发帖数: 407 | 23 Good thoughts so far. I remember he was taking ASA prior to admission.
I will fast forward a little bit.
All the cultures you can think of are all negative.
His coags were cold normal at the time of presentation and several days
later. His smear showed some spherocytes which is consistent with hemolysis.
There was no schistocytosis.
His white cell were slightly elevated with slight neutrophilia.
His platelet count was normal but by day 3-5 into the admission, it dropped
to 40-50K.
His liver fun... 阅读全帖 |
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f*********1
发帖数: 189 | 25 Ruby, you have great points!
1.Intially the concern had been for CNS lymphoma given the appearance of the
lesion on imaging, however 3 LPs were negative for flow and cytology.
2. Other differentials include GBM, HIV encephalopathy, or granuloma disease
.
Neuroradiologists said that it is not GBM, as GBM should be hypodensity, not
hyperdensity on CT head.
Patient's Oncologist and Neurologist want to do biopsy. Oncologist insisted
that biopsy should be done, since GBM would progress quickly and ki... 阅读全帖 |
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A*******s
发帖数: 9638 | 26 Without a biopsy, everything is possible at present.
I would tell family this lesion could be a demyelinating lesion as well,
like Tumefactive multiple sclerosis, which is highly treatable.
How about neurosarcoids?
However, I would do a CT of chest w/wo contrast prior to any biopsy. |
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A*******s
发帖数: 9638 | 27 How do you explain the LN biopsy result in this case? I know some
dematological diseases can be diagnosed based on their look, but even for a
drug rash, like steven johnson syndrome, I still see dematologists do a
biopsy prior to making a formal diagnosis.
A tissue diagnosis is important in this case. Same symptoms can be seen in
different diseases.
you
typical |
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g******z
发帖数: 77 | 28 有个事情想请教一下，谢谢各位了
最近左上腹隐痛，不是刺痛，是那种钝钝的痛
也不是很痛，就是有时候感觉发堵，发胀
医生一开始以为是胃，但是去看了胃镜，没发现什么
后来照CT，发现在spleen内侧有一个大约一个立方英寸的mass报告上说，这个mass
partially calcified，没和spleen相连，不知道是什么东西好像CT上说contrast之后
这个东西的成像没有明显变化，但是也不能完全排除是恶性的。现在换了肿瘤科的医生
，推荐做PET scan。这个医生也说不知道是什么，有可能previous infection留下的东
西等等，只是猜测。
心中十分不安，所以上来问问。spleen内侧靠近心脏和adrena的位置应该是什么啊？我
自己想会不会是淋巴癌？PET scan准确率能有多少？我想直接做biopsy，但是医生说
biopsy太局部，有可能漏掉。。。
这个肿瘤科的医生只看了CT的报告，都没看CT图片，感觉都不怎么认真。。。
版上有没有人能帮忙看看CT图片的，给点意见好吗？
孩子就要出生了，这个消息就像晴天霹雳
是好是坏，总想快点有个结论，这样悬着，有点度日如年的感觉... 阅读全帖 |
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g******z
发帖数: 77 | 29 非常感谢
请问EUS-FNA是不是就是biopsy?
我也觉得biopsy更直接，但是现在医生说现在要做PET scan。。。
GI |
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g******z
发帖数: 77 | 30 最近的update，谢谢大家的回复
几周前看了外科医生，医生说在做biopsy之前，需要验尿验血，尿是24小时的。
今天受到了结果，应该不是pheochromocytoma因为metanephrine没有超
在检验的项目中，glucose和cortisol超标，尤其是cortisol，超标了3倍。。。
外科医生很忙，我想听他的建议可是他一直没有空。朋友说这个事情应该ask for 2nd
and 3rd opinion，所以今天又约了另外一个医生。
自己也在网上做了一些阅读，感觉根据验血验尿的结果，应该要么是adrenal cortical
adenoma（肾上腺皮质腺瘤）要么是adrenal cortical carcinoma （肾上腺皮质癌）
。到底是啥也不知道了。看到网上说检验尿17酮能区分良性恶性，真的可以吗？网上还
说皮质腺瘤比较均匀，而皮质癌不均匀，我这个不均匀。。。皮质腺瘤少钙化，我这个
明显有钙化。。。感觉越来越像皮质癌了。因为之前做了PET scan这个东西没有亮，所
以一直以来觉得没啥事，可是现在又开始紧张了。。。
下一步我想再看两个医生，也可以做biopsy进一... 阅读全帖 |
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l*****9
发帖数: 9501 | 31 When mucocutaneous lesions are present, as in our patient, skin biopsy may
provide a definitive diagnosis. HSV DNA detection by polymerase chain
reaction is also highly specific. In the absence of skin findings, liver
biopsy may confirm the diagnosis, but is frequently impossible in the
setting of severe coagulopathy. HSV serum serologies are often insensitive,
even in advanced disease. Radiographic findings are nonspecific. HSV
infection should be suspected in any immunocompromised patient pres... 阅读全帖 |
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l*****9
发帖数: 9501 | 32 是1型，但是很可惜黏膜的biopsy没有做HSV的检测。如果有就更有证据了，当然现在病
人好转了，他不会同意再做liver biopsy了。 |
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s*****e
发帖数: 404 | 33 Based on the pathology and 15/23 positive lymph nodes, it is likely an
aggressive tumor. I agree with againstwind, your wife needs biopsy of the
enlarged lymph node. She can get a PET/CT before biopsy to see whether the
lymph nodes have FDG uptake. Should these tests confirm recurrent disease,
it suggests that the tumor is radio-I insensitive. If PET/CT only shows
localized disease in the neck, surgery need to be considered. If she has
metastatic disease, she needs to be referred to medical onco... 阅读全帖 |
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a**********2
发帖数: 3726 | 34 Yes, follicular adenoma vs. carcinoma can only be diagnosed by tissue biopsy
. Fine needle biopsy in most cases can not give the final diagnosis.
Levothyroxine replacement will be required after surgery, it's a synthetic
thyroid hormone. Most people take it without obvious adverse reactions. |
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y******a
发帖数: 590 | 35 it's unlikely to be Blau. Blau is caused by an autosomal dominant mutation
of NOD2 gene. if both parents are healthy, the affected kid most likely has
a de novo mutation of the gene. it would be very unlikely for two kids
have same de novo mutation. Blau patients usually have arthritis, uveitis
and granulomatous dermatitis. So, skin biopsy, ophthalmology consult and
genetic test are important for diagnosis. do they have rash and skin biopsy
?
If it's confirmed that they have Blau, oral ... 阅读全帖 |
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m********e
发帖数: 148 | 36 Very good summary. Doubt to be IgAN since not much hematuria.
Skin infection 2 months ago. Post infectious GN highly likely. Other ddx as
you said. Absolutely need renal biopsy ASAP.
Rx: Steroid, bumex/lasix/torsemide, ACE-I/ARB and statin. Cytotoxic agent
may need in future pending on serology and biopsy.
Should see a nephrologist ASAP. There are some cases of staphy caused GN
reported in recent literature.
Best wish-such a young 26 yo. |
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d**********0
发帖数: 13081 | 37 Metastatic adenocarcinoma is a cancer arising in glandular tissue that
spreads to other regions of the body. This type of cancer can be highly
aggressive in some cases, and there are a number of treatment options
available to manage it. Patients diagnosed with metastatic adenocarcinoma
typically work with an oncologist, a physician who focuses on cancer care,
and they may see nuclear medicine specialists, as well as other medical
specialists during the course of their treatment.
Adenocarcinomas ... 阅读全帖 |
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d******d
发帖数: 26 | 38 最近开始备孕了，去OB-GYN检查，说我左卵巢有一个cyst，子宫里有3个polyps，宫颈
处的细胞也看起来不正常（pap smear全negative）。医生说我应该立即进行手术取出
polyps，否则无法怀孕（我年纪也比较大了，奔32）。
女医生看起来40不到，很push，每次去都着急叫我预约下一次的时间，我说手术让我跟
家人商量商量，她就很不高兴。上周五我去follow-up，她说需要对宫颈处的细胞进行
biopsy，马上叫我预约周一的，我说周一我例假要来了，她说没关系，急吼吼的。后来
果然我例假来了，就cancel了预约，结果她周二、周三接连打了两个电话来提醒我关于
biopsy和手术事宜。
我自己在网上查了查，子宫polyps好像很容易复发，看到国内论坛上，有好多人刚拿掉
3个月又复发了。还有当时我做Transvaginal ultrasound的时候，正好是例假快来的时
候，我看到网上说不一定是polyps，也有可能是blood clots，我的例假也都还算正常
，3-4天就干净了。医生也没有给我看过任何报告，只是口头告知我长了polyps。
想请教一下，像我这种情况需要... 阅读全帖 |
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m******j
发帖数: 5079 | 39 【 以下文字转载自 NextGeneration 讨论区 】
发信人: wwwjobs (minimouse), 信区: NextGeneration
标 题: 有认识pathology, histology医生的帮忙给问一下这个到底可能是
发信站: BBS 未名空间站 (Thu Jun 26 09:39:08 2014, 美东)
现在准备带我家宝宝到外地看病寻求3rd opinion. 终于跟他的主治医生谈崩了。他们
彻底否定我家宝宝有faod，2nd opinion认为他应该是faod，但是需要进一步测试确诊。
几个月前就问了目前就诊的医院有关宝宝的liver tissue，答复是frozen stored in
paraffin block. 我对这些不懂，也就告诉3rd opinion医院有frozen liver tissue.
这家医院就要了，结果被告知没有。
然后我们联系医院，收到不同的答复：
第一次，什么都没有了。。 就算有也不会给外面。
第二次，有一些没有用完，可是不是frozen的。
第三次，有一些没有用完，不是frozen的，根本就没有frozen tissue... 阅读全帖 |
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s********e
发帖数: 1596 | 40 这个我们常干啊，你过来找second opinion，biopsy这么重要的东西重新读一次很正常
。我们如果要手术都是这样要求的，其他的看原来的切片是谁读的，可靠的就算了，不
可靠或者不熟悉的我们都要求科内自己人看的，除非你要重新biopsy。
院B |
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b********y
发帖数: 14 | 41 HPV positive means high risk HPV positive, including HPV16,18. What do you
mean Pap positive, is it ASCUS, LSIL, or HSIL, depends on the Pap result,
the risk is different. If she already had colpo, did she have biopsy? If the
biopsy result is not worrisome, then follow up with Pap should be fine.
test |
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k**a
发帖数: 1124 | 42 不知道下面这个是靠验血查出来还是靠biopsy查出来。我还在想这次做hysteroscopy
的时候，要不要让大夫取点样品做个biopsy.
（4）子宮內膜細胞分泌的黏著蛋白的品質不好或是量不足或是子宮腔內某種細胞素的
量太多或太少，都會影響胚胎的著床成功與否。像一種蛋白質稱ανβ3，在胚胎著床
期（排卵後六天）前後，子宮內膜細胞會製造並釋出。如果在胚胎著床期，這種蛋白質
製造或釋出少，會引起胚胎著床失敗。細胞素，像間白素1β（Interleukin(IL）-1β)
太高或干擾素-γ（Interferon-γ）太低也會引起胚胎著床失敗 |
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d**********g
发帖数: 425 | 43 我的月经量也很少，两天就干净了，以前有4-5天。我在排卵前做过B超，子宫内膜有7-
9mm,在下次月经前做biopsy，子宫内膜成熟度也很好。我就奇怪为什么月经量会少，血
都流哪去了？
mm,如果你内膜厚度和biopsy的结果好，应该不影响怀孕。 |
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G********t
发帖数: 356 | 44 天啊， HSG看来是检验医生水平的， 而不是检验我生育问题的啊？不过既然医生说这
是常规检查， 做也不损失什么。而且我对剩下的那条输卵管也没有寄予厚望， 全当给
他们增加一次实例分析的机会吧。
对了， 做前要吃MOTRIN还是ADVIL？我对疼痛貌似比较敏感， 听说HSG会比BIOPSY温和
得多。 我以前做过一次BIOPSY检查， 也吃了MOTRIN， 感觉一点都没用， 疼的我惨叫
一声， 护士还煞有介事得死按着我的胳膊， 其实我也只是惨叫， 身体一点都没敢动
。。。 |
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c****s
发帖数: 5892 | 45 周四，安省西南部的Hotel-Dieu Grace Hospital医院称，医院发生医疗事故，一名女子被误做了乳房切除手术。
据悉，女子于去年秋季做的手术，当时的院长是Art Kidd。周四，Kidd在新闻发布会上称，Barbara Heartwell医生承认自己看错了针吸活检(needle biopsy)结果，误认为女子换上了乳癌，致使女子被切掉了乳房。
院方称，在温莎地区(Windsor area)，Heartwell医生成功诊治了数千名乳癌病人。
被问及在该案中医院是否有错，Kidd称，没有证据证明这一点，这是一起个人的人为错误。Kidd称，Hotel-Dieu Grace Hospital医院已经展开内部调查，并联系了自己的律师和投保公司。
医院女发言人Kim Spirou称，该案中的女病人在误诊后从来没有联系过医院。“她(女病人)将事情告诉一名记者后，我们才在当地的媒体报道上了解到这起事故。”
医院将继续联系女子，如果女子需要做任何进一步的手术，医院将提供意见和帮助，但目前院方还没有提出任何经济补偿。
另外，医院将审查医院治疗程序，以保证类似事故不会再发生。
Kidd称，在医 |
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T*R
发帖数: 36302 | 46 再给你上一课吧，你这些外行话听起来真搞笑：
不要说普通医生了，就是放射科医生也没人敢说病人有什么癌的。他们只能说哪个部位
有什么MASS，凭经验可能是什么什么。
任何癌症的确诊都要经过BIOPSY后病理科出结果才能确定。
所以即使是放射科，也不过是比普通医生有更多的经验区分可能的肿瘤。
而且进一步说，大部分片子是和癌症无关的，都是是常见病。
mammograph |
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s********n
发帖数: 2939 | 47 为什么一帮人就喜欢动嘴皮子不喜欢动手狗一下？明明说了是Fe4[Fe(CN)6]3，哪来的
钾？
https://en.wikipedia.org/wiki/Prussian_blue
Prussian blue
From Wikipedia, the free encyclopedia
This article is about the pigment. For the musical duo, see Prussian Blue.
See also: Midnight blue
Prussian blue
IUPAC name[hide]
Iron(II,III) hexacyanoferrate(II,III)
Other names[hide]
Berlin blue
Ferric ferrocyanide
Ferric hexacyanoferrate
Iron(III) ferrocyanide
Iron(III) hexacyanoferrate(II)
Parisian blue
Identifiers
CAS number 14038-43-8
PubChem ... 阅读全帖 |
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T**********e
发帖数: 29576 | 48
皮肤淋巴癌主要是BIOPSY要做好病理科会读切片, 治疗大多是标准程序, 关键问题是诊
断. LOCAL的医院在诊断上不行, 见识少专科医生弱素质差, 只会照本宣科. |
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S*********g
发帖数: 24893 | 49 发信人: chichi (chichi), 信区: Pets
标 题: 求教： 娃术后变瘸了！！
发信站: BBS 未名空间站 (Thu Dec 4 13:34:10 2014, 美东)
我家娃10岁。 左大腿内部肌肉里了个神经鞘瘤(schwannoma)， 也许是神经纤维瘤(
neurofibroma)。还没最后确定。
biopsy 说是良性的。 2 周前做手术摘除了。但是现在走路还不敢直腿。 疼的不是伤
口， 而是离伤口有一些距离的地方。 问nurse说可能是nerve造成的。 需要几周或者
更长时间恢复。 我好害怕， 不会一直瘸吧。
请有经验的share 一下您的experience. 多谢了！！ |
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e******t
发帖数: 3289 | 50 笑话！
breast cancer用mammography就能确诊？？，你也先去查了诊断学第八版?
biopsy一般是用来确定stage的?? 你也先去查了TNM个stage定义再来
，而且breast cancer的病人乳房不会痛--所以很多病人的病情才会延误。 |
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