【1906】Viagra
Cervical cancer, like other cancers, once distant metastasis and systemic spread occurs, the point where it loses the opportunity for surgery. It is best to be carcinoma in situ when it is discovered. When carcinoma in situ is discovered, the cancer cells only occur in the cervical epithelial tissue, which is called phase zero.
The clinical probability of timely in situ carcinoma detection is too low. More often, patients go straight to the first, second and third stages when they come to the hospital. Moreover, lymphatic metastasis is easily caused in the early stage of cervical cancer development. Therefore, clinicians recommend that patients should regularly check for cancer cells as early as possible.
Clinicians who discover cancer cells should do correct and scientific treatment, either timely surgery or radiation chemotherapy and chemotherapy for palliative surgery. There is definitely not only one type of surgery.
Clinicians pay great attention to staging when dealing with cervical cancer, just like other cancers. To be more specific, the cancer cells in each organ have their own spreading and walking path maps, which are cancers with their own tempers.
The path map for the spread of cervical cancer is not the path that spreads from the cervix to the uterus as most people imagine, but goes to the "in" path. At this point, the stage of cervical cancer is closely related to whether the cancer cells invade the "in" path. The "in" path is anatomically close to the pelvic rectum, etc., resulting in clinical cervical cancer metastasis at the end of the second stage, and in stage 3 and 4, such as compression of the bladder and rectal tumors, it will appear.
Now, it is said that the patient's rectal metastasis can only be stage 4. The doctor at the table was quite surprised after hearing what Dr. Zuo Liang said.
"Does the patient have tumors in the rectum?" Du Haiwei wanted to check the examination report with his own eyes.
When Wang Cui came to the hospital, she was not as shaped as a patient with advanced cancer. She was not thin, slightly fat, and had no symptoms of malignant fluid. The doctor said that she was practical, but she would not say that because Wang Cui was not good or scientific, Wang Cui Aiming went to the hospital for cervical scraping screening regularly.
Based on comprehensive judgment, everyone believes that some patients undergo surgery and are admitted to the hospital.
If the surgery is not performed, it will not be admitted to the surgery department but sent to the oncology department. After admission, the clinician's preliminary examination showed that the patient's condition may be found in time. It was between the first stage, so why did it suddenly say that it was metastasized to the rectum?
Too special case?
Gu Ci ct report Du Haiwei got it, and saw that what Zuo Liang said above was that he had reported a foreign body in the rectum, and he suspected that it was metastatic cancer?
Clinicians must not look at what CT says, but should look at the patient's clinical performance. You should know that some CT doctors are afraid of missing out and are willing to write all possibilities and malignancy in the report to avoid missed diagnosis. Anyway, there will be a clinician who will eventually check it.
Zuo Liang went to get the CT piece and prepared to hang it on the lamp board for the instructor to check it out.
Du Haiwei said no, and asked the others present what they thought.
Knowing that the teacher wanted to take the exam, a group of practicing doctors asked the two interns to answer the questions first.
Xie Wanying said: "You can consider doing a colonoscopy first. The colonoscopy is definitely clearer than CT. After taking the specimen, pathology is the gold standard for determining whether it is cancer."
The doctors here were not surprised to hear her excellent answer, and they all knew that she was an excellent student.
To deal with top students, the teacher will further increase the difficulty. Du Haiwei asked her again: "How likely do you think it is metastatic cancer?"
Chapter completed!