g*****j
发帖数: 1211 | 1 I am not certain on the guideline here, but I suspect it will be a case by
case situation. Biopsy or not will be dependent on the benefit vs risk, and
whether the result will change management. When the lymph node is small or
difficult to access on imaging, the cost of biopsy may be too high. |
|
d****0
发帖数: 16 | 2 看了皮肤科医生，医生说看着像bruise
不过还是做了biopsy
甲床无色素，基本确认色素是指甲上的，就是淤血
biopsy结果大概一周出 |
|
j****d
发帖数: 123 | 3 How old is your mother?
Can she come to America?
Since she has done EGFR testing (I assume), does she still have surgery/
biopsy/cytology sample available for ALK testing?
If not, is she healthy enough to do a biopsy?
I agree with you that there is a good chance your mother's cancer might be
ALK, ROS or RET positive, in which case targeted drugs are available through
clinical trials.
You can call me, 636675twofiveeighttwo |
|
j****d
发帖数: 123 | 4 How old is your mother?
Can she come to America?
Since she has done EGFR testing (I assume), does she still have surgery/
biopsy/cytology sample available for ALK testing?
If not, is she healthy enough to do a biopsy?
I agree with you that there is a good chance your mother's cancer might be
ALK, ROS or RET positive, in which case targeted drugs are available through
clinical trials.
You can call me, 636675twofiveeighttwo |
|
I****a
发帖数: 407 | 5 Sorry to hear about your friend's condition.
There are a couple options available for her but before that she probably
needs a repeat lymph node biopsy to make sure she is still dealing with the
same disease. Follicular lymphoma can transform to more aggressive form and
that has to be excluded first. I have not seen the cytogenetics study of her
previous lymph node biopsy and that would be helpful if it is available. If
is is documented that she still has the same disease then there are at
least... 阅读全帖 |
|
l*h
发帖数: 4124 | 6 biopsy: most reliable, essentially no false positive, still some false
negative. on the other hand, i would not say it's the best method. suspicion
of H. Pylori infection in and by itself is not sufficiently an indication
for endoscopic biopsy.
there are high virulence and low virulence strains. about 2/3 of infections
are by high virulence strains or a mix of high and low virulence strains. it
is not a routine to test for this. low virulence strains still cause some
pathological changes.
stool ... 阅读全帖 |
|
l*h
发帖数: 4124 | 7 the biopsy report is useless except that it said the ENT surgeon did a
shitty job. he didn't even reach the mass. obviously he didn't know what to
do because he needed different instruments to do the correct procedure. what
is the use to biopsy the overlying mucosa?
what's more telling is that he thought "if i say it's like some stone, it's
肉芽肿." he didn't know what type of stone. 铺路石样 is a radiology
description only seen on CT. neither the surgeon nor the pathologist knew 肉
芽肿 and 肉芽组织 are diff... 阅读全帖 |
|
d********1
发帖数: 77 | 8 Just came back from the neurologist. His major opinions:
1) The sub-centimeter focus is too small to cause the symptoms (she has some
腿麻, 胳膊麻 etc lately. Her numbness is sometimes on the left or right leg
, arm, toes, fingers, and even face, but never on all these places at the
same time). He thought her numbness was caused by other factors, but not by
the brain focus.
2) If the focus is some kind of tumor, her symptoms will stay and will not
go away. Now my wife's numbness is better than 2 week... 阅读全帖 |
|
l*h
发帖数: 4124 | 9 Overall, I agree it is a reasonable approach.
"1) The sub-centimeter focus is too small to cause the symptoms (she has
some
腿麻, 胳膊麻 etc lately. Her numbness is sometimes on the left or right leg
, arm, toes, fingers, and even face, but never on all these places at the
same time). He thought her numbness was caused by other factors, but not by
the brain focus."
I agree.
"2) If the focus is some kind of tumor, her symptoms will stay and will not
go away. Now my wife's numbness is better than 2 wee... 阅读全帖 |
|
g******z
发帖数: 77 | 10 【 以下文字转载自 Medicalpractice 讨论区 】
发信人: gniyuohz (cushion lady), 信区: Medicalpractice
标 题: mass near spleen
发信站: BBS 未名空间站 (Fri Sep 7 22:18:34 2012, 美东)
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，有可能是
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... 阅读全帖 |
|
l*h
发帖数: 4124 | 11 post a description of the events in chronological order, with exact dates of
occurrence. there seem to be things that don't add up.
1. if the "lymphoma" was based on bone marrow biopsy, this would be a late
stage lymphoma with bone marrow infiltration.
2. the biopsy specimen should be good for immunotyping.
3. the management of the high fever baffles me: for high fever of unknown
cause/origin, infection should be the first suspect. the initial management
should be to take sufficient blood sample... 阅读全帖 |
|
l*h
发帖数: 4124 | 12 i cannot say categorically that there was no lymphoma, but there is no
evidence to show there has ever been such a tumor.
the marrow biopsy report only showed increased number but failed to show
anaplastic or clonal features in the lymphocytes.
also, for morphological examination of marrow cells, marrow aspirate is much
more sensitive than biopsy.
fever
2/ |
|
l*h
发帖数: 4124 | 13 obviously i neither have seen the patient nor have all the information, so
it is difficult for me to give a firm medical opinion. but some of the
results you have shown argue against AA.
some aspects of the treatments for AA and MDS (and related diseases) are
similar, some are different, so there should be enough motive to do a proper
differential diagnosis.
the 11/20 marrow biopsy report implicated AA, but the reporting physician
failed to describe any differential features. the reporting physi... 阅读全帖 |
|
k******e
发帖数: 8870 | 14 ☆─────────────────────────────────────☆
dtbfsjsq (dtbfsjsq) 于 (Sun Sep 30 15:31:11 2012, 美东) 提到:
有个癌症病人营养的问题想请教一下。
我妈大概在三年以前开始脊椎疼痛，去省会以及北京的医院看过，医生说是脊柱有膨出
和突出，g骨骼有钙流失，这些会引起疼痛， 但是不应该疼到我妈那个程度。 于是他
们建议转看神经科。神经科医生也看不出个所以然，建议看看精神科， 去排除抑郁倾
向。看了很久以后，地方医院和协和也没有给出什么结论，我爸妈就决定回家静养。
2010年的时候情况有所好转，11年的时候我回家看了一下，我妈的精神状态还好。
今年三月的时候，我妈开始大面积出现皮疹，开始的时候以为是湿疹，后来医生建议做
病理切片，被诊断为蕈样霉菌病（mycosis fungoides）, 是一种罕见的cutaneous T-
cell cancer。知道了这个消息以后，我妈的身体一下由虚弱变成非常虚弱，骨骼疼痛
也加重到了难以忍受的程度。正常程序应该是在诊断之后测淋巴和骨髓，看有没有转移
，同时配合化疗和... 阅读全帖 |
|
j****i
发帖数: 496 | 15 What kind of surgery did she have? How many lymph nodes were biopsied? If no
total mesorectal excision or less than 12 LN biopsy, strongly suggest chemo
/radiation therapy. Rectal cancer recurrence rate is usually higher than
colon cancer. |
|
l*h
发帖数: 4124 | 16 what is his purpose of biopsy? 10ng/ml is not too high even though in the
past some suggested 4 as the cutoff value. now it is agreed that at about
this level, the absolute value is not important. the more important thing is
the trend.
if fear of prostate cancer, proper imaging studies should be done before
considering biopsy.
。
。 |
|
l*h
发帖数: 4124 | 17 did I miss something? if you say 脑胶质母瘤, this means surgery has already
been done. it is diagnosed by pathology. conclusion section of MRI report
should read something like "consistent with HGG in xxx area, GBM likely." or
sometimes "consistent with GBM." depending on how good the radiologist is,
the accuracy can be as high as 95%, it can also be much lower.
in most brain areas, when HGG is suspected, the only biopsy type is open
biopsy, that is, you open up the field, take a few pieces of sample... 阅读全帖 |
|
l*h
发帖数: 4124 | 18 what i was saying was that surgical resection, if possible, should be done
at the same time of open biopsy, unless the frozen sections were too
inclusive. but as long as a tumor can be determined from frozen and anatomy
allows, you usually do a subtotal resection in the same procedure of open
biopsy. the reason is that the subtotal resection will be the only surgery
in short term in many cases, in cases of hgg later confirmed by H-E, if a
subtotal is done, there will also be more time to prepare... 阅读全帖 |
|
a*****s
发帖数: 46 | 19 纤维瘤不影响怀孕吧？现在的检查都是先做mammogram，然后看片子，再对怀疑的地方
做局部B超。
Biopsy也不疼的，我觉得既然有怀疑，就要先排除是恶性的可能，然后再怀孕。
我怀孕的时候发现有甲状腺肿瘤，也做过biopsy，孩子很正常。 |
|
l*h
发帖数: 4124 | 20 in my view, there is little point to do another needle biopsy. the chance of
getting a clear diagnosis from a repeat needle biopsy is very slim.
right
also
re-
cancer |
|
l*h
发帖数: 4124 | 21 because there is a nodule, it is clearly not normal. but some nodules do not
need treatment. the determination requires the overall evaluation by the
surgeon. if he feels it is more likely a cancer, then go for an open biopsy.
if the open biopsy is suggestive of a cancer, he can proceed to do the full
procedure.
thyroid cancers have better prognosis in young patients than in elder ones. |
|
l*h
发帖数: 4124 | 22 mycosis fungoides typically has a good prognosis until stage III.
was skin biopsy done last year? quite often multiple biopsies are needed to
catch the abnormal cells on slides. in many patients, it takes 5-10 years
from first symptom to be diagnosed.
了? |
|
y**********g
发帖数: 9 | 23 本人女，28岁，5岁时查出是乙肝携带大三阳，18岁发病过一次，后经药物治疗恢复并
转为小三阳携带，来美国五年期间一直没有检查过，今年3月去校医院验了肝功，ALT
35（reference range 0-32UI）。后refer到外边的医院又做了几项化验，结果如下：
Event Result
Hepatitis Be Ab PositiveReference Range: Negative
Hepatitis Be Ag Negative Reference range: Negative
HBV DNA QNT PCR 4.4
HBV DNA QNT PCR Interpretation DetectedReference range: Not Detected
HBV IU 23,000Unit:IU/mL
3月份那次验肝功我是吃了午饭两小时以后去的，当时以为要先和医生谈，... 阅读全帖 |
|
d******d
发帖数: 26 | 24 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 |
|
b****a
发帖数: 352 | 25 非常感谢你详细的解释。 这样我心理放心不少。
关于 tb 医生也是最开始怀疑这个。
10 月biopsy culture test 没有tb
1个星期前医生又做了tb 的血检和x-ray
血检 : inconclusive
chest x-ray: negative
不知道这样是不是算排除了
另一个问题：如果还要开刀取大块组织，那这样伤口不是也不能愈合
我10月份biopsy 这个伤口一直是豁开的，2cm 长， 我已经很害怕了。 一直有个创口
是不是也是危险，容易其他感染呢？
chance
cell
knew |
|
m****u
发帖数: 275 | 26 I am a hematopathologist. The flow cytometry report was incomplete. I was
surprised how low-profile Fudan medical center is. However, based on the
information you pasted, you likely have a CD30+ T cell lymphoma or Hodgkin'
s lymphoma. I would suggest you seek a biopsy of the lymph node for
definitive diagnosis. Lymphoma is hematologic malignancy. Once diagnosed,
you will receive chemotherapy. The prognosis will depend on the lymphoma
type and staging. Do not waste time here, go to get an excisi... 阅读全帖 |
|
R******a
发帖数: 41 | 27 病人在国内还是美国？病理怎么会需要2周这么久？
不确定良恶性的话，为什么不可以先做core needle biopsy？
2周内迅速扩散可能性应该不大。好像很多病人是biopsy诊断后一两个月，甚至更久才
动了手术。 |
|
c*******g
发帖数: 2990 | 28 奇怪你半年前就知道长了，当时怎么没做biopsy,就是穿刺做病理。如果当时没做的原
因是医生确定不是乳腺癌，那病变的可能性我觉得应该非常小。
还有你们那里的医生不能术间做快速病理，你应该考虑换个医生换个医院或者breast
center。找个能直接做的地方。
我爸爸舌癌做手术的时候就是做的淋巴结清扫然后拿去做快速病理，不到一小时就出结
果，医生等结果出来决定怎么处理。
我做过biopsy,第二天就打电话告诉我结果了。我查过资料，即使简单的穿刺，如果结
果不好都建议两周最多一个月内手术，防止通过针道转移。你这个等个结果就两周，太
不靠谱了。赶紧找更大的医院或者breast center吧。
我觉得这里的医院医生都是没确诊之前一点儿都不替病人着急，排个检查能等一个多月
。我从自己发现有肿块到确诊没事，花了2个多月的时间，好在没事，要不早发现两个
月晚发现两个月差别可以是巨大的。所以还是自己上点心吧。
祝福你一切顺利。 |
|
l***o
发帖数: 578 | 29 A defect in corpus luteum function (ie, luteal phase defect) is hypothesized
as a potential cause of impaired progesterone production. However, it is
controversial as to whether such a defect really exists and is related to
miscarriage, and there is no consensus on the best method of diagnosis or
treatment. Several studies have shown that luteal phase defect diagnosed by
endometrial biopsy is not predictive of infertility; luteal phase defect has
been observed in as many as 25 percent of sequent... 阅读全帖 |
|
w*****s
发帖数: 230 | 30 【 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 |
|
N*********c
发帖数: 330 | 31 我是不是得了癌症了？ - Even your doctor who saw you and examed you and read
your mammogram and ultrasound report could not answer this question. That is
why you are recommended to have biopsy.
Don't speculate and await biopsy. |
|
e***y
发帖数: 4307 | 32 i dont think blood test can provide differential diagnosis between benign vs
malignant unless medullary thyca is suspected. also biopsy should be
performed, however, depending on the location of the lesion it could be
difficult to biopsy given its size of 3mm. the patient could also choose to
watch and wait given the slow growing nature of thyca. i also saw an
article that says 70 percent of calcified thyroid lesions are malignant.
test |
|
w******s
发帖数: 37 | 33 It seems that your wife share a similar case as my mother. Several years ago
, my mother was diagnosed with lung cancer as a PET scan showing a ground
glass like nodule in her left lung. The so called lung cancer expert doctor
insisted she need a surgery right away even without a biopsy exam; and they
refuse to order one as the nodule's location is very tricky. Fortunately I
took my mother to MD Anderson Cancer Center in Houston to seek second
opinion. And luckily the doctor we seen is very cons... 阅读全帖 |
|
w******s
发帖数: 37 | 34 It seems that your wife share a similar case as my mother. Several years ago
, my mother was diagnosed with lung cancer as a PET scan showing a ground
glass like nodule in her left lung. The so called lung cancer expert doctor
insisted she need a surgery right away even without a biopsy exam; and they
refuse to order one as the nodule's location is very tricky. Fortunately I
took my mother to MD Anderson Cancer Center in Houston to seek second
opinion. And luckily the doctor we seen is very cons... 阅读全帖 |
|
r*****m
发帖数: 231 | 35 超声波的报告你有么？乳房肿块很常见的，只要没有血管信号就应该没事，不过既然让
你做biopsy了，医生绝对是有一定concern的，不过MM放宽心啦，biopsy的结果是
definitive的，做了就知道怎么回事了。1cm那么小，最多也就是手术切除，不会有问
题的！ |
|
k**n
发帖数: 6198 | 36 Don't worry, more than likely you got a lactating adenoma.It won't go away
when you are breast feeding. I had the same situation before and I took a
biopsy of it. It got smaller after the biopsy, but didn't went away. I
followed up after I quit breast feeding. it's still there but not getting
changed. My surgent told me to follow up after another half year. According
to him, it might take two-three years to go away. It's not that common to
have lactating adenoma, but not necessary not to happen.... 阅读全帖 |
|
l******e
发帖数: 1875 | 37 多谢。我的纤维瘤接近1cm。你说biopsy，可能破坏包膜，有些不良后果。这个能稍微
解释下么，会有什么不良后果？当时那个影像科医生对于biopsy的问题，什么都没提 |
|
y********n
发帖数: 453 | 38 我是怀孕时发现的，看了breast specialist, 他说亚洲女性有纤维瘤的几率比其他族
裔要大，我做过 biopsy, 账单$10500, 还好那时我的保险好，只要付500，医生也没提
要切除，我有好几个纤维瘤，biopsy了最大的一个。孩子一岁多时回国内检查，医生说
我啥纤维瘤也没有了。 |
|
l******e
发帖数: 1875 | 39 一次赴一家专科大医院的医生的预约，凭记忆估计前前后后把护士的测体温和问诊时间
加上医生的体检和问诊时间共约30分钟，然后现在收到bill，医生收200多，医院收200
多，这一次visiting加起来共400多了。（以前看其他医院时每次visiting一般100多，
最多共200来刀。）这次这个费用这么离谱能argue么？在这家医院有个小插曲，就是本
来那次和医生见面，医生开好了B超和其他检查，但是后来因为其他原因和他们电话取
消了，自己去了另外的医院检查。
后来在另外一家医院查B超，是从其他医生那里开好了b超的order，和该医院约好了时
间去查的，查完后医生建议下次biopsy，所以理所当然作为病人问了点biopsy的问题，
期间医生还几次自夸她的资历和她的诊所，除外b超操作的整个谈话时间约15分钟（很
搞笑的是他们在b超报告里还专门写说我问问题问了30分钟）。然后来的账单就分两张
，一张是b超账单（近300刀），一张是visiting office的账单（本来100多，被保险公
司要求折扣成约50刀）。这个情况是不是也比较奇怪？
以上费用都要从deduction的费用里出，以上情... 阅读全帖 |
|
|
d******d
发帖数: 26 | 41 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。
想请教姐妹们，像我这种情况需... 阅读全帖 |
|
l***o
发帖数: 578 | 42 A defect in corpus luteum function (ie, luteal phase defect) is hypothesized
as a potential cause of impaired progesterone production. However, it is
controversial as to whether such a defect really exists and is related to
miscarriage, and there is no consensus on the best method of diagnosis or
treatment. Several studies have shown that luteal phase defect diagnosed by
endometrial biopsy is not predictive of infertility; luteal phase defect has
been observed in as many as 25 percent of sequent... 阅读全帖 |
|
w*****s
发帖数: 230 | 43 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 in paraffin
block这个东西。
目前我们给州卫生机构file了complaint。 但是因为医院很大，top15全美，影响力非
同一般。就算州机构未必会秉公办事，我们需要知道一般这种biopsy tissue怎么处理。
我们目前的信息：
0.1mm-core needle sample两份
应该总长度是2cm x 2 ... 阅读全帖 |
|
g****e
发帖数: 1426 | 44 估计都被震掉了。
在雅虎留言板看到的：
Bull thesis vs Bear Thesis
The Bull Case:
1. FDA BTD and Fast track - The only gene therapy company to receive both
2. 88% to 45% - Significantly lowered bar for approval
3. Using high dose mydicar vs placebo - In Cupid 1 it appears that even if
you took mid dose patients or low dose patients and compared them to the
placebo group, there were still significant reduction in events.
4. Serca 2 was found in biopsy data - They were in fact able to biopsy
patients that received th... 阅读全帖 |
|
O******0
发帖数: 116 | 45 看到有朋友询问 这个话题，
我略知一二，请大家参考：
甲状腺肿瘤 有多种情况：
最常见的是甲状腺结节 nodule，在人群中达到3-25%，这很大程度上是由于现代影像学
技术的普遍使用(CT, 超声检查等) 而 无意中发现的，称为incidentoloma. 但是大多
数都是没有任何症状和后果。
少数的nodule 有恶性的成分，也就是常说的癌症，但是，癌症和癌症是不同的。
有的癌症，比如肺癌和胃癌，大多数都是恶性度 很高的，在发现的时候半数患者只有
大约1年的预期寿命。
大部分的甲状腺癌症，包括papillary 乳头状癌, follicular滤泡状癌，是恶性度很低
的，虽然他们有癌症的特征，但是他们进展缓慢，很少要人的命。有一个从业多年的内
分泌科医生说他出来还没有见到一例因为甲状腺癌症 而死去的人。
极少数的甲状腺癌症是恶性度很高的：未分化癌 的预期寿命只有半年。但是，这种癌
症极为少见。
至于落实到个人身上，某人所患的癌症到底是什么，还是需要做活检biopsy和病理切片
pathology来决定。
具体什么样的nodule / tumor 需要做biopsy，是有具体标准的,... 阅读全帖 |
|
i*******y
发帖数: 319 | 46 I am age 34. Married with one two-year boy. Most recent Pap Smear results
show abnormal results for the first time:
"High grade squamous intraepithelial lesion (HGSIL) encompassing moderate
dysplasia, severe dysplasia and carcinoma in-situ"
According to the doctor, it's a sign of severe pre-cancer condition and she
asked me to schedule a colposcopically directed biopsy ASAP. It is also
very likely that a LEEP procedure need to follow after the biopsy.
I just relocated to Brooklyn NY three mon |
|
m******j
发帖数: 5079 | 47 http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001911/
Symptoms
Early breast cancer usually does not cause symptoms. This is why regular
breast exams are important. As the cancer grows, symptoms may include:
Breast lump or lump in the armpit that is hard, has uneven edges, and
usually does not hurt
Change in the size, shape, or feel of the breast or nipple -- for example,
you may have redness, dimpling, or puckering that looks like the skin of an
orange
Fluid coming from the nipple -- may be blood... 阅读全帖 |
|
s****h
发帖数: 3979 | 48 1.
B超显示靠不住。Biopsy采样显微镜观察95%确诊。Biopsy采样基因检查100%确诊。
2.
多肿瘤，比起单肿瘤，是恶性的可能性更低。
3.
40岁以下的女性得甲状腺癌都属于早期，年纪越小，术后越好。
2cm是早期里的早期。术后10年存活率100%。
4.
可以做个颈部淋巴map，看看有没有甲状腺癌细胞转移，导致淋巴结增生。
不转移最好，即使转移也没什么关系，可以切除，也可以服用放射性碘片杀死所有正常
的和癌变的甲状腺细胞。
5.
需要尽早联系内分泌科医生和手术医生，不过，
甲状腺癌增生很慢，不要太着急 |
|
l********g
发帖数: 986 | 49 我之前也不知道，今年做pap smear的时候医生教我月经后一星期两手交叉自检乳房。
然后我洗澡的时候自检发现右边多出一个活动的小硬块，无任何不适。医生先是怀疑囊
肿，教我做ultrasound，拍出来虽然边缘清晰，也无血流，但是分叶状的，BIRADS医生
给的是4（0是无恶性可能，最坏的是5）。把我吓的。后来考虑到我还没生孩子，这个
东西怀孕的时候可能会疯长，加上needle biopsy没办法确诊，所以最后选择做了
surgical biopsy。
每年检查身体是很重要的，即使是癌症，早期也比晚期的预后好。 |
|
