w**j
发帖数: 2046 | 1 淋巴肿大，多半是免疫系统的问题，要做biopsy。如果不愿意做，就只好等半年再去做
一个mri,看size变大了没有。恶性肿瘤长大得很快。当然，这个办法比较傻，如果真的
是恶性怎么办，那就错过了最佳治疗时间。 |
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g*****j
发帖数: 1211 | 2 Lymphoma, cancer of the lymph node, presents as painless enlarged lymph
node. To rule that out is why doctor orders biopsy.
You do not know for sure that a lymph node is reactive to inflammation
unless you look at it under microscope. However, most enlarged lymph
nodes are reactive. It usually goes away after inflammation is gone. |
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n******s
发帖数: 210 | 3 see PCP,
most likely you need to do pap smear,
if positive, check the HPV and the serum type of what positive. only 11,13,
31, 33 is dangerous for cervical cancer.
further checks include culposcopy, biopsy, pelvic CT, etc. |
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g*****j
发帖数: 1211 | 4 倒不是怕做胃镜，就是觉得有没有必要。
This is why this question need to be answered by yourself.
The reason that your doctor did not recommend an endoscopy upfront is
probably because he thinks your risk of grave issue is low. However, one
can never guarantee without see it inside and probably a tissue biopsy.
There are percentage numbers doctor can tell you regarding with the break
down of possible diagnosis, ranging completely benign to cancer, depending
on your history, age etc. However you still have to de |
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f******l
发帖数: 455 | 5 I think for lymphoma, diagnosis has to be made by excision biopsy. FNA is not good enough for dianosis. I might be wrong. |
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t*******n
发帖数: 4445 | 6 Ultrasound and mammogram help to screen for breast cancer. But the only way
to a definite answer is tissue sampling, via fine-needle aspiration or
biopsy. |
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c********e
发帖数: 496 | 7 you have right to copy PN.
typically TSH tells us if something wrong with thyroid, and iodine reuptake
test will tell us hyper or hypo, FNA or biopsy gives us the final Dx. |
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r*****b
发帖数: 305 | 8 请问GORDONJ， 做TISSUE BIOPSY 有什么危险？在国内做费用一般多少？
有没有其他好的替代方法来确诊淋巴结肿大的病因。 我的一个好朋友在耳后，锁骨处
有好几处
淋巴结肿大，耳后的淋巴结疼痛，锁骨处的不疼痛。 这种肿大持续3-4 年了，一直没
有去医院看。一旦上火或者工作压力大， 淋巴结肿大就更加明显。请问这种情况是
LYMPHOMA 吗？ 期待你的回复。
. |
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r*****b
发帖数: 305 | 9 做TISSUE BIOPSY在一般的县级医院可以做吗？可靠性怎莫样？ 昨天我朋友去市医院打
听说做一次要1万5千多。
. |
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c********e
发帖数: 496 | 10 this is elective surgery, days to weeks are OK.
but the sooner the better, many things in cancer are unpredictable.
You need to check ER, HER, and so on (GYN has a list of the items), which is
valuable in evaluation of prognosis and selection of chemo or radio.
By the way, what's the type of the Breast Ca, You are so young, and age is
No.1 risk factor. How were you diagnosed? Mammo? histo? biopsy or FNA?
Big big bless. |
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x*****o
发帖数: 15 | 11 我也是乳腺癌患者。从诊断到现在已经快4年了，现在一切都挺好。希望你不要灰心，
早期乳腺癌的治愈率非常高。不知道你有没有做活检（biopsy），如果没有，三周的时
间不会有很大变化，千万不要因此有思想包袱。另外化疗放疗都要等你手术后才能决定
，你现在不用考虑那么多。抓紧时间吃好睡好，增强体质。你如果想有个“过来人”跟
你聊聊，我非常愿意。请发信到我的站内信箱。 |
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s********1
发帖数: 8 | 12 我的肿块体积不大1.5-2.0cm，估计属1期或2a期。病理分型是ER/PR阳性，HER2阴性。
是invasive ductal carcinoma, diagnosed by core biopsy, confirmed by
mammograph and MRI.Genetic test showed no BRCA1/2 mutation.
由于感觉肿块长大了，伴有钝痛，今天又见了医生，想提前手术。但医生觉得没有明显
变大，手术排满了，不能reschedule. 真得很着急，希望术前这两周时间千万别转移，
扩散。
谢谢祝福！
is |
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c********e
发帖数: 496 | 13 1.PPD皮试（有鸡蛋大的包）阳性，可以说明有active的结核菌，这个结论对吗？难道
PPD也可能有假阳性？
PPD is just a screening test, a screening test means higher sensitivity,
with an acceptable specificity, which means there are many false positive
cases. That's why CXR is warranted to check the presence of active TB.
2.PET可以确诊有没有癌细胞，但不能确认小细胞癌或非小细胞癌，这个结论对吗？
there are two options,
either do bronchoscopy, biopsy or lavage, and get pathology report.
or PET first and then surgery, send the sample for a quick pathology report
during the operat |
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c********e
发帖数: 496 | 14 OK, don't bother to get the CT film,
cholecholithiasis is pretty common in middle aged females (I say sorry if
you are a girl).
if MRCP and ERCP are both available immediately, I prefer ERCP, because with
ERCP, the doc can see what is happening in the bile duct, and Dx may be
confirmed by biopsy, and disease may be treated at the same time if a little
stone is the culprit.
While if you have to wait one month before that expert is available, then go
for MRCP instead. |
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d******r
发帖数: 1389 | 15 查出一个1.1cm的结节，做了biopsy，医生建议手术，怕日后有麻烦
我们这里不算大城市，不了解这里的医生经验会不会不够
第一次做手术心里怕怕的，请问有没有必要等回国的时候再找专家来做？
谢谢 |
|
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m******1
发帖数: 19713 | 17 你们怎么都没看懂啊？请看我第9楼回复，MAMMOGRAM+ULTRASOUND已经判断我为阳性了
，现在是让我去做BIOPSY，从昨天到今天，仿佛天都踏下来了，象在地狱里度过一样。 |
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d******r
发帖数: 1389 | 18 甲亢病史，复发过很多次。去年又长了一个nodule，1.1cm，做了biopsy。结果出来，
医生说there is something we don't want. 说我还年轻，怕以后会变成不好的东西，
所以建议我手术。开始我还以为只切除nodule，谁知道今天一问是要切除甲状腺，然后
终身服药。
我知道吃优甲乐很安全，对怀孕无影响，可是还是心里有障碍，毕竟是要切除一个器官
。请问真的有必要切除整个甲状腺吗？
谢谢啦 |
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s*********8
发帖数: 901 | 19 WOW, GET A SKIN BIOPSY. IN THAT CASE PSORIASIS IS very very POSSIBLE. Try 1% coal tar on scalp psoriasis. BTW, stop using steroids. |
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r*****t
发帖数: 45 | 20 【 以下文字转载自 MedicalCareer 讨论区 】
发信人: runcolt (小马 * 淡泊宁静), 信区: MedicalCareer
标 题: 帮忙看一下中文翻译成英文的狗屁不通之处
发信站: BBS 未名空间站 (Mon May 31 15:36:39 2010, 美东)
Small cell lung cancer case
Patient: Male, 40 years, heavy smoker
Branchus Endoscope
Observations:
Sharp Eminence.
Right lung upper lobe narrowed by external pressure. Biopsy sent. Local (pul
monary alveolus) cleaning liquid sent for pathology. No tumor seen in mid lo
be and lower lobe. No tumor seen in left branchus and left lung.
Diagnosis sugges |
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g*****j
发帖数: 1211 | 21 Metastasis should be suspected with positive lymph node growth after
mastectomy. It even happens after 7 years, let alone one year. I am
surprised that the doctor can draw the conclusion without biopsy.
The recommendation of thymosin peptide is suspicious to me as well.
I think you should seek a second opinion at a large trustworthy hospital. |
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g*****j
发帖数: 1211 | 22 I think it is really irresponsible to recommend testing without see the
patient. In general, lymphadenopathy (enlargement of lymph node) can be
caused by infectious or non-infectious causes. If no abnormal values
present on initial lab test, time can help to differentiate the two, since
infectious cause is often short-lived. Non-resolving lymphadenopathy shall
warrant further testing, which often involves biopsy of the lymph node to
rule out cancer. |
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w***n
发帖数: 1162 | 23 我做过，全麻，但很难受，我居然被折磨醒过来，后来有昏迷了
管子很粗，我醒过来看到的，有点吓人
做biopsy吗?
什么胃炎？chronic, atrophy, or some uncommon gastritis?
先吃Pepcide试试，或者 prevacid, 最近新出了zegerid OTC，有用的话就不用去了
泛酸= acide reflux or GERD
打嗝=bloating
胃热就不知到了
少吃酸性东西，不吃肥肉，咖啡因 or anyting allergic |
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u****s
发帖数: 2186 | 24 可能是轻症的 nummular dermatitis or psoriasis
看皮肤医生 做个biopsy 查一下
, |
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I****a
发帖数: 407 | 25 MRI and PET should give you the somewhat definite answer. If still in doubt and that is the only suspected area, it is not unreasonable to consider CT guided biopsy of lumbar spine.
Even it is metastatic breast cancer, it is not the end of the world, bone only disease carry the best prognosis among all metastatic breast cancer, you might expect 5 years and sometimes even longer. Treatment normally involves bisphosphonate and hormonal therapy. I assume your mother had ER/PR (+) disease. Once horm... 阅读全帖 |
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t****o
发帖数: 41 | 26 nodnod，当年检查结果是ER(++),PR(-),Her-2(++++)，这些说明什么哪？我妈说就是说
明她的基因不好，就是很容易长肿瘤的那种体质，是这样嘛？那诊断治疗过程中要注意
什么？
他们约了礼拜六做MRI。
doubt and that is the only suspected area, it is not unreasonable to
consider CT guided biopsy of lumbar spine.
only disease carry the best prognosis among all metastatic breast cancer,
you might expect 5 years and sometimes even longer. Treatment normally
involves bisphosphonate and hor |
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t*******n
发帖数: 4445 | 27 Has the tumor been confirmed to be cancer by e.g. biopsy? Have they also
done a whole body scan & ruled out other possible metastase (lung, bone...)? |
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c**i
发帖数: 6973 | 28 (1) You may reference the comment from
William F. Balistreri, MD,
Dorothy M. M. Kersten Professor of Pediatrics, University of Cincinnati
College of Medicine, Cincinnati, Ohio; Medical Director, Liver
Transplantation Program, Cincinnati Children's Hospital Medical Center,
Cincinnati, Ohio.
http://www.medscape.com/viewarticle/566961
I supply it only as a reference point, as you (like ordinary Americans)
cannot read medical papers.
Dr. Balistreri cited page 9 of the document linked to (2)(a).
(2) ... 阅读全帖 |
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c**i
发帖数: 6973 | 29 Try to get slide(s) from liver biopsy, with which you can ask many (
pathologists and online). But in Taiwan and US, it can not be done. I do not
klnow about China.
If it can not be done, take photo(s) under microscope. Then again, we do not
know if your photos are representative (of the whole slides) or not. |
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R******1
发帖数: 750 | 30 非常感谢您的留言。现在我是希望能够做进一步检查，医生做了CT和增强扫描外加血检
，然后说是胰腺癌，其它问题包括是几期、是否扩散都打马虎眼，只说让做化疗放疗，
而且非常不耐烦，说了句再活6个月没问题的话。所以不放心，发帖请教大家。您说的
endoscopic needle biopsy是指“内镜活检”吗？没听说医生让做这个。妈妈现在的症
状就是特别疼痛。所以正到处打听好的医院和大夫。特别感谢您。 |
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f****o
发帖数: 2770 | 31 诊断这方面我也不太懂的
疼先吃止疼药吧
非处方的tylenol每天不要超过4000mg
另外让医生开处方药止疼药
biopsy貌似是癌症诊断必须的步骤吧 |
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g*********o
发帖数: 20357 | 32 endoscopic needle biopsy应该就是内镜活检，我做过甲状腺的，超声波引导，用根针
刺啊刺的取一些细胞出来化验，看是良性的还是恶性的，应该是确诊癌症非常准确的方法 |
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k******g
发帖数: 895 | 33 好像应该作内镜活检，endoscopic ultrasound guided biopsy.消化科的医生能作这个
检查，叫不过总的来说，胰腺癌的预后不太好。 |
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c********e
发帖数: 496 | 34 if it is clearly a nodule, next step, there are two things that you need to
do.
1. compare with the previous CXR or CT, if there is any.
2. biopsy, video-assisted thoracoscopy (VAT), also known as video-assisted
thoracic surgery may be able to reach the apex. |
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k******g
发帖数: 895 | 35 相信国内也有很好的放射医生能读这个CT片子，尤其是他们本人都是大夫，找到好的医
生读片子不是个大问题吧。根据你所说的情况，这并不是通过读片子就能确诊的。即使
这边的放射医生帮她读过，也不能帮她确诊，所以还是要活检，如果CT guided biopsy
或气管镜不能取到活检，就要进行前面所说的由胸外科医生进行的video-assisted
thoracoscopy (VAT), also known as video-
assisted |
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c********e
发帖数: 496 | 36 sorry for delay.
i still think you need MRI in the future, especially when there is something
wrong with your vision field, or hypothyroidism.
medical treatment is indicated in the patients with symptoms, and the
patients free of symptoms should be followed up with prolactin level and MRI.
Bromocriptin is not that scary, it does have some side effect, but not that
bad, in addition, the treatment last about 12-24 months, you dont have to
take it for ever.
for the pregnancy, if you have tried preg... 阅读全帖 |
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c********e
发帖数: 496 | 37 血尿，renal mass，必须首先排除RCC， 但是你年轻女性，机会不大，必要是可以考虑
biopsy |
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t*******n
发帖数: 4445 | 38
Yes, and make it an excisional biopsy. If heaven forbid it is melanoma,
much more than the mole itself needs to be cut out. |
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D*******y
发帖数: 189 | 39 This is not ordinary ulcer and can be very serious. It is likely an
autoimmune disease or an allergy, more likely
the former. You will need to see a specialist and will need a biopsy to
determine the diagnosis.
If you let me know where you reside, I will see if I can point you to the
right specialist.
有价值的信息，不像我发到国内的网上
咨询类似病情，结果却只是引来一些广告。现将原帖转发至此，望能得到帮助。多谢！
！！）
进展。 |
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c*******k
发帖数: 17 | 40 protien and blood cell detected in Teenager boy's urine sample. Blood test
detected lower complement. What could be the cause? What's the routine
follow-up test? Is biopsy necessary? Thanks for your answers. |
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l**x
发帖数: 296 | 41 I would recommend biopsy of the lesion. |
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j**f
发帖数: 7403 | 42 俺不是学医的，就是问问： 那个良性还是恶性，可以做局部组织TEST么？
就是活体测试(biopsy)？ 不懂，打酱油路过。。。
世.
了, |
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P*****a
发帖数: 2464 | 43 Thanks very much for the informatoin...
Btw, I heard that a biopsy is need in US if such conditions appear - to conf
irm its metastasis or original lung cancer before treatments, is that true?
(In China, they just concluded its metastasis based on medical history)...
Anyway it's pretty sad and scary situation to me...:-( |
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g*****j
发帖数: 1211 | 44 Are you sure the clip was not put in on purpose during the first endoscopy?
It is possible that a biopsy was taken during the first endoscopy, a clip
was put in to stop bleeding.
It is very unlikely to leave a clip during endoscopy unless it is put in on
purpose. |
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e**********u
发帖数: 47 | 46 之前LD刚刚生完小孩，有些细菌感染，所以吃AMOXICILLIN，现在红块已经两个礼拜了
。我上网看到老外的一个论坛，很多刚生完小孩的妈妈都说出RASH，而且皮肤科医生没
一个知道原因的，我给LD看了让她稍微安心，但还是要等BIOPSY报告。 |
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k**l
发帖数: 79 | 47 Let's hope the liver biopsy is negtive.
//bless |
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I****a
发帖数: 407 | 48 Your brother's doctor has done a excellent job regarding the work up. I can
understand their reasoning and perseverance try to figure out what is going
on. Unfortunately this type of situation happens quite often in medical
field. For me it is easier to understand the challenge but it can be hard
for a lay person and it is convenient to suspect the competency of the
doctor.
Sometime but not always, it is useful to have "expert" to review the whole
case and they might find out something that is o... 阅读全帖 |
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y******a
发帖数: 590 | 49 I will definitely send him to XieHe and repeat all the autoimmune markers,
immunoglobulin levels, and recheck all possible parasite infection, and do a
quantiferen test. Consider VAST, if all other non-invasive tests can not
give a diagnosis. If necessary, he may need repeat bone biopsy.
Sometime the ancillary support (I mean a good reliable lab) is very
important. |
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j*****A
发帖数: 1395 | 50 根据美国癌症协会的数据，1000张照片里只有1-2张可以很明确的诊断为乳腺癌，大
约10%的被检者需要重新照相才能确诊。大约8%-10%需要做细针穿刺活检确诊，而且活
检中80%最后被证明不是乳腺癌。所以，即使照片显示异常也不要太担心。
我觉得还是在美国做needle biopsy 比较好。 |
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