g*****j
发帖数: 1211 | 1 I think what your PCP recommended is reasonable.
Can it be cancer? Certainly.
Is it likely? No.
The diagnosis of cancer requires biopsy. It is probably worthwhile to
wait several weeks just to see whether it is getting bigger or smaller,
before pull the trigger of biopsy. A cancer will keep growing, while
reactive lymph node due to inflammation will go away without a scar
eventually, which is also way more common. |
|
e*******9
发帖数: 261 | 2 thanks a lot!!
training in breast cancer, probably all of the previous comments, because
not a single one mentioned one of the most important pieces of information:
its histological type.
aggressive but rarely metastasize until very late. It can be quite
accurately diagnosed by mammogram. Therefore the surgery should not proceed
to extensive lymph node purge unless cryosection histology says otherwise.
medullary carcinoma (until very late) is how complete the resection is. It
appears your mom r |
|
g*****j
发帖数: 1211 | 3 The only way to definitively diagnose cancer (ie lymphoma) is to get a piece
of tissue (biopsy) and look at it under microscope. Imaging only tells you
how big it is, shape, quality of the mass, how fast it is growing (scanning
at different intervals) etc. Statistically, reactive lymph node as a
response to inflammation is common, lymphoma is rare. Therefore, doctor
usually order biopsy after he has tried everything else and the mass does
not go away. |
|
t*******n
发帖数: 4445 | 4 How severe is the pain? Statistically, most sore throats are viral. The
bactrial ones (i.e. strep) usually come with fever, swollen lymph nodes and/
or tonsil infmallation.
All oral antibiotics require prescription. |
|
g*****j
发帖数: 1211 | 5 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. |
|
t*******n
发帖数: 4445 | 6 Unless you have some sort of persistent pain. The current diagnosis
criteria requires 4 or more of the following, for 6 mo or longer:
* Impaired memory or concentration
* Post-exertional malaise, where physical or mental exertions bring on "
extreme, prolonged exhaustion and sickness"
* Unrefreshing sleep
* Muscle pain
* Pain in multiple joints
* Headaches of a new kind or greater severity
* Sore throat, frequent or recurring
* Tender lymph nodes |
|
j**f
发帖数: 7403 | 7 完了，俺至少符合4个，可能是5个。
怎么治疗啊？
Unless you have some sort of persistent pain. The current diagnosis
criteria requires 4 or more of the following, for 6 mo or longer:
* Impaired memory or concentration
* Post-exertional malaise, where physical or mental exertions bring on "
extreme, prolonged exhaustion and sickness"
* Unrefreshing sleep
* Muscle pain
* Pain in multiple joints
* Headaches of a new kind or greater severity
* Sore throat, frequent or recurring
* Tender lymph nodes |
|
c******1
发帖数: 191 | 8 四五天前，靠近鼻子和嘴巴区间，鼓起了一个黄豆大小的小包，不是豆豆，表面看不到
，用手摸可以摸到，不痒不疼～ 【附件一：箭头蓝色圈圈那个位置】
我查了下脸部淋巴系统分布图【附件二】，好像那个位置有一个淋巴结：怀疑是淋巴结
肿起，服了两天抗生素不见消退。
本来想等等再看几天，可是昨天和朋友聊起cancer，查了下：wiki的“cancer”词条，
发现症状的三条其中两条都和某部位肿起有关：
“Roughly, cancer symptoms can be divided into three groups:
1. Local symptoms: unusual lumps or swelling (tumor)
2. Symptoms of metastasis (spreading): enlarged lymph nodes..."
我顿时有些紧张，查了下Merk 默克诊疗手册，有关于cancer的症状，我都排除了：比
如疲劳、疼痛、咳嗽等，就剩最后一个淋巴肿大。【见附件三】
到NIH网站去查了下facial swelling，好像和cancer没有太大关系：
http://www.n... 阅读全帖 |
|
t*******n
发帖数: 4445 | 9 throat is swollen & sore, feels clogged up
burp when drinking fluids
cheeks feel a bit swollen but nothing obvious
swollen lymph node behind left ear
occasional face & eye twitches
面瘫 = facial nerve paralysis |
|
l**x
发帖数: 296 | 10 Is there a pathology report?
If not, it would be important to take some lymph node out and submitted for
pathological examination. |
|
H*******8
发帖数: 377 | 11 FINDINGS: Low-lying cerebellar tonsils which extend to the level of the
foramen magnum. An empty sella turcica is identified. No focal soft tissue
mass or pathologically enlared lymph nodes are identified within the neck.
请问这是啥意思？ 谢谢。 |
|
g*****j
发帖数: 1211 | 12 想请问大家的问题包括以下：
1.这种情况预后会很差么？在网上搜了一下淋巴转移还是很影响预后的，但是不知道具
体到父亲这种情况，就是术后几年以后出现转移，发现得早，这样子的预后具体会有多
乐观还是悲观。
- I am not familiar enough with esophageal cancer. But overall,
metastasis to the lymph node is always bad news. In terms of prognosis,
whether or not metastasis is present matters more than the size of
metastatic tumor.
2.本来想让父母今年到美国来玩的。机票也都买好了，父亲现在还是很想来的。我们也
支持，到这边玩玩心情好一些，也许病情会有转机。（他们以前来过几次，每次也都还
玩得挺开心的）。但是不知道这二个月以后的复查要怎么样。医生说要做个CT看一下。
可是旅游保险好像都不保pre-existing conditions，所以想问问各位知不知道没有保
险做CT大约... 阅读全帖 |
|
g*****j
发帖数: 1211 | 13 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. |
|
s*****g
发帖数: 282 | 14 脖子不舒服，做了血检，有非常轻微的贫血，做了b超，发现一个3cm*2cm*0.6的肿大的
淋巴结，这是看片人的结论，ultrasound of the neck demonstrates slightly
inhomogeneous thyroid gland. Inferior to the left parotid gland, there is a
3cm*2cm*0.6cm lyphm node. it does have a fatty hilum. No other definite
lymph nodes are appreciated.CT scan of the neck would be more sensitive.
现在医生给了三个选择，等三个月再做B超
做CT
做活检
请大家帮我看看该怎么办，谢谢 |
|
r****e
发帖数: 18 | 15 去体检， 血检的结果是别的都正常， 就是MPV(血小板平均体积)偏高，11.4, 正常范
围是(6.3- 10.1 fL)； 还有就是 Atyp Lymph（非典型单核细胞)偏高， 4， 正常范围
是(0- 2%).
医生让我再做了一次血检， 第二次结果是别的正常， 但是MPV(血小板平均体积)还是
偏高，11.0, 正常范围是(6.3- 10.1 fL).
体检医生建议我去看hematologist, 进一步检查。请问我有没有问题， 需要进一步检
查吗？ |
|
l*h
发帖数: 4124 | 16 people should understand tb of the lung is only a small part of the big tb
picture. tb infection of other parts also kills, in some cases with a higher
mortality than tb of the lung.
so many tuberculous infections are common in China: lymph node, meninges,
plura, peritoneum, bone, oviducts etc. and people just choose to ignore them
when talking about numbers. |
|
s*********r
发帖数: 33 | 17 我的医生说一下两项有点超标，要我半年后去检查。我当时没当回事，已经快半年了，
是不是该查查了。
PLATELET COUNT 138 150 - 400 THOU/CU MM
LYMPH% 46.4 12.0 - 40.0 %
有点怕怕的。我平时每周两次运动，身体自以为很棒，没什么感冒之类的。不胖。
请给点建议。我明天就去看看。 |
|
l*h
发帖数: 4124 | 18 Could you describe the radiological findings of the lungs and lymph nodes in
more details? Or just upload all the images. Do they have images of other
organs such as liver?
Have they considered lung sarcoidosis? This fits major features of lung
sarcoidosis but I'd like to see the images and complete blood test results
before betting on it more firmly. |
|
l*h
发帖数: 4124 | 19 如果没有扩散，手术是否是最好的方法。
it is correct. if there is no sign of metastasis from preoperative tests,
consider resection first.
还有其它方法吗？
there are other options if the patient cannot tolerate surgery or the tumor
is at some special locations.
家人说只有动了手术才能知道有无扩散。正确吗？
it is correct. only after surgery you can inspect lymph nodes in detail.
问： |
|
l*h
发帖数: 4124 | 20 如果没有扩散，手术是否是最好的方法。
it is correct. if there is no sign of metastasis from preoperative tests,
consider resection first.
还有其它方法吗？
there are other options if the patient cannot tolerate surgery or the tumor
is at some special locations.
家人说只有动了手术才能知道有无扩散。正确吗？
it is correct. only after surgery you can inspect lymph nodes in detail.
问： |
|
l*h
发帖数: 4124 | 21 you are right in that peripheral count itself looks more like CLL. but her
lymph nodes seemed normal. i also considered she is already in the
hematology department in a big hospital. if it were CLL, it would be late
stage, that would say her current docs and those treated her in Oct were all
unable to recognize the most common leukemia.
MDS with a proliferative or reactive element can explain her clinical
presentation.
that being said, i could be wrong. |
|
j****i
发帖数: 496 | 22 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. |
|
a**********2
发帖数: 3726 | 23 I am sorry for this unfortunate girl. It is a very rare disease, I have
never seen such patients and I believe probably very few physicians have
experience On this disease. Here is what I have known from literature review
and hopefully it helps. To make it short,I will go straight to the point.
1. It usually is a multi system disease in a child younger than 3, and a
single system disease in adults and older children. So I assume she has a
multi system disease.
2. Per recommendation, prior to tr... 阅读全帖 |
|
W********r
发帖数: 158 | 24 Ph+ ALL used to have very poor prognosis and bone marrow transplant is
indicated. 5y overall survival is 20% even with bone marrow transplant.
However, the tyrosine kinase inhibitor such as gleevac (imatinib) completely
changed the disease. In Children's oncology group study, daily gleevac +
chemotherapy, 3 year overall survial is 80%, bone marrow transplant is no
longer recommended in Ph+ ALL patient. Slow reduction of WBC or residual
lymph nodes are very typical for Ph+ ALL that didn't receive... 阅读全帖 |
|
y*****n
发帖数: 45 | 25 我在一个月前左侧颈部有若干淋巴结无痛性肿大，无发烧，无夜间盗汗，无体重减轻，
无瘙痒皮疹，无疲劳感，血检正常，总之没有其他任何症状。当时怀疑可能得淋巴癌，
赶紧去做了手术，把最大的那个淋巴结取出做了活检，病理结果是我有kikuchi-
fujimoto disease. 知道结果的那一刻我也松了一大口气因为毕竟不是癌症。我自认为
自身免疫应该很好，因为我无任何不良嗜好，每天都跑步7mile和做其他work out，但
是偏偏又得了这种不明病因的自身免疫性疾病。我也读了一些关于这个病的paper，发
现很多人都有发烧的症状，我现在什么症状都没有。我知道有些人症状很严重。我这个
无任何明显症状也好奇怪。不知道这个版上有谁对这个病有过研究，我这种除了
painless swollen lymph node without any other symptoms常见不？ |
|
R****y
发帖数: 411 | 26 too small to see details, looks like a cavitary lesion in the right lower
lobe, can't tell if there are any lymph nodes |
|
l*h
发帖数: 4124 | 27 what do you have now, large patches of plaques and papules? enlarged lymph
nodes? do you have nodules? any abnormal cells in blood?
what treatment do you have now? phototherapy? topical steroids? topical
chemo drugs?
are you seeing dermatologists only or also a hematologist? |
|
a*******n
发帖数: 237 | 28 一直觉得喉咙不舒服，家庭医生说没问题，在我的坚持下照了个CT。
那个兄弟姐妹帮我看看下面说的是什么。名词太多，看不懂。
谢谢。
－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－
FINDINGS:
Limited images of the lower brain demonstrate no gross abnormality. In the
axial plane, there is an apparent ring enhancing 7 mm lesion in the left
cerebellum, but sagittal images suggest that this appearance is created by a
looping tortuous vessel rather than a true focal lesion.
Rounded soft tissue densities in the left maxillary sinus and left nasal
cavit... 阅读全帖 |
|
l*********i
发帖数: 30 | 29 谢谢您的回复！
您是说双原发的说法没有依据么？病理分析没法得出确切结论？一般的科普资料上貌似
找不到这个说法，倒是一些专业的医学期刊文章上有提到double primary cancer/
tumor, 不是很懂这个名称严格的定义和鉴定的方法。请问您对我妈妈的这种情况的分
期有什么看法或者建议么？非常感谢！
查了一些科普资料，确实肺腺癌的复发率较高，但是貌似唯一的例外是stage I-A,这也
是为什么我比较纠结分期的地方。貌似Stage I-A的手术后的预后相对还不错，美国的
数据（来源：lungcancer.about.com）"large study for Stage 1A First 5 years,
84% no recurrence；After 5 years, 95.2% no recurrence.
Another Study -- surgery with lymph node dissection +Survive 5 years after
diagnosis,87% survive another 5 years cancer-free（89% for N0）... 阅读全帖 |
|
l*********i
发帖数: 30 | 30 谢谢您的回复！
您是说双原发的说法没有依据么？病理分析没法得出确切结论？一般的科普资料上貌似
找不到这个说法，倒是一些专业的医学期刊文章上有提到double primary cancer/
tumor, 不是很懂这个名称严格的定义和鉴定的方法。请问您对我妈妈的这种情况的分
期有什么看法或者建议么？非常感谢！
查了一些科普资料，确实肺腺癌的复发率较高，但是貌似唯一的例外是stage I-A,这也
是为什么我比较纠结分期的地方。貌似Stage I-A的手术后的预后相对还不错，美国的
数据（来源：lungcancer.about.com）"large study for Stage 1A First 5 years,
84% no recurrence；After 5 years, 95.2% no recurrence.
Another Study -- surgery with lymph node dissection +Survive 5 years after
diagnosis,87% survive another 5 years cancer-free（89% for N0）... 阅读全帖 |
|
n***a
发帖数: 1373 | 31 If you decide to do nothing at this time, make sure to follow up with the
neck lymph node /mass in 1 month or so. |
|
J****e
发帖数: 636 | 32 How to follow up with the lymph node? Just check it if it does not go away
in a month? 我私信您了.非常感谢您专业的回复. |
|
m****u
发帖数: 275 | 33 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 |
|
m****u
发帖数: 275 | 34 Pet is an imaging study. It will tell you whether you have other swollen
lymph nodes or mediastinum. It will not diagnose lymphoma. You still need a
biopsy. |
|
s*******2
发帖数: 1182 | 35 if in groin, could be swollen lymph node. |
|
M****0
发帖数: 877 | 36 今天有点空，用ld的ID上来帮你分析一下。
First, you need to know the stage (as you mentioned your uncle has
adenocarcinoma which belongs to non-small cell lung cancer. If is small cell
lung cancer, it will be a different story). For most of stage I and II,
even some IIIA, the intent for treatment is cure.
If your uncle's lung cancer is just 2.5 cm and no metastases, then his
cancer is stage IA. This stage can be cured with surgery only, followed by
imagine surveillance. But he does not need an abdominal ultrasound... 阅读全帖 |
|
M****0
发帖数: 877 | 37 今天有点空，用ld的ID上来帮你分析一下。
First, you need to know the stage (as you mentioned your uncle has
adenocarcinoma which belongs to non-small cell lung cancer. If is small cell
lung cancer, it will be a different story). For most of stage I and II,
even some IIIA, the intent for treatment is cure.
If your uncle's lung cancer is just 2.5 cm and no metastases, then his
cancer is stage IA. This stage can be cured with surgery only, followed by
imagine surveillance. But he does not need an abdominal ultrasound... 阅读全帖 |
|
s*******2
发帖数: 1182 | 38 many reasons can cause weight lose, such as TB, cancer etc.
runny nose and lymph cell increased indicate viral infections;
chest x-ray results could be bacterial pneumonia, TB,or obstructive
pneumonia by cancer;
30 yrs smoking history and voice changed , need to rule out lung cancer .
so next step should be chest CT .
if possible ,pls post patient's chest x-ray picture here. |
|
c***a
发帖数: 133 | 39 if no other symptoms, you can wait for two to three weeks to monitor the
lymph node. most likely it is a normal response from your immune sysetm. |
|
d*w
发帖数: 384 | 40 the radiologist should give you a very clear diagnosis.
do both a plain and a contrast CT, read the Hounsfield values of the mass on
both, if they correspond to soft tissue values for the two conditions
respectively, then it's almost certain it's a lung carcinoma. In East Asians
, for this location, statistically there is a >70% chance it's an
adenocarcinoma and the majority of adenocarcinoma would have the
pathological type of micropapillary growth patterns.
i don't think you can spare open che... 阅读全帖 |
|
d*w
发帖数: 384 | 41 1. PET has little use in the initial diagnosis of lung cancer. and her 18-
FDG was not normal either.
2. that sentence of mine was kind of sloppy. i didn't intended to say VATS
was not suitable for her, but rather should have said "surgery is necessary
as long as the patient can tolerate it." whether it should be an open chest
surgery or VATS depends on many factors in addition to the size of the tumor
, in this case the most important factors probably would be how close the
tumor is to the two ... 阅读全帖 |
|
d*w
发帖数: 384 | 42 this is not an easy question. it depends on the sizes of the nodules,
locations and pathology. from your description, i assume all the nodules are
pretty small and located close to each other, and all lymph nodes are
negative. i suggest the following:
borrow the tissue blocks from the hospital where she had surgery, and ask a
pathologist working on lung cancers in a major medical center in the US to
read the pathology.
1. if the nodules are of different pathology and all are relatively low
grade... 阅读全帖 |
|
n*********8
发帖数: 77 | 43 爸爸75岁,身体一直很健康,一辈子不吸烟喝酒,家族无癌症病史.
爸爸年检时,X-RAY发现阴影.
进而CT,深度CT均发现2.2X2.8CM 大小样影.医生说三种可能:
1)炎症; 2)肺结核;3)肿瘤.
打消炎针一周,再CT, 阴影无变化.
PET-CT 报告如下:
“右下肺后基底段见一大小约2.2X2.8CM淡薄结节样影,边缘呈磨玻璃样改变,可见分叶,
PET于相应部位见淡淡放射性浓聚影,最大SUV1.5;左肺未见放射性异常浓聚影或异常阴
影.双側肺门见短径小于0.8CM淋巴结, PET于相应部位见淡淡放射性浓聚影,最大SUV2.8
;纵隔内未见异常浓聚影及淋巴结肿大.未见胸水及胸膜结节.”
诊断意见:
1. 右下肺后基底段淡薄结节样影, PET于相应部位见淡淡放射性浓聚影,考虑肺癌可
能性大.
2. 双肺门淋巴结增生.
看见肺癌两个字,全家人慌乱. 请教几个问题:
1) 当地(国内省会三线城市)医生主张尽早手术,将肿瘤切除.我有点不同意,现在还没有
确诊,
是不是应该做个活检,搞清楚是什么.即便是癌,也应该做进一步检查,制定合理的治疗方
案.爸爸
妈妈年纪大了,已惊... 阅读全帖 |
|
p****2
发帖数: 518 | 44 以下是Google翻译的 请指正
淋巴 lymph ？
颈部血管 neck vessels？
B超 ultrasound？
心超 Echocardiography
心血管 Cardiovascular
脑血管 cerebrovascular
冠状动脉 Coronary
甲状腺 thyroid
胆囊 胆管 胆结石 Gallbladder bile duct gallstones
血糖 blood glucose
心肝肺肾 Heart and liver, lung and kidney |
|
发帖数: 1 | 45 看病不是这么看的。原则上你可以要求做任何你想要的检查，但你要给出一个合理的原
因，做不做由医生决定。
[在 pi2002 (大侠.爱吃西红柿) 的大作中提到：]
:以下是Google翻译的 请纠正
:淋巴 lymph ？
:颈部血管 neck vessels？
:B超 ultrasound？
:心超 Echocardiography
:心血管 Cardiovascular
:脑血管 cerebrovascular
:冠状动脉 Coronary
:甲状腺 thyroid
:胆囊 胆管 胆结石 Gallbladder bile duct gallstones
:.......... |
|
l**x
发帖数: 110 | 46 下面这个患者希望能得到版上医生专家的指导意见，危险多大，如何治疗，预后如何？
患者44岁，男，6年前因为肝癌做了肝移植 （符合米兰标准），之后无灾无病好几年。
去年2016年初发现轻微贫血，血色素12，因为当时在服小剂量阿司匹林，于是停服，看
看有没好转。托托拉拉到了年底，还是贫血，血色素10.5。医生说做个内镜。于是在胃
内发现一个肿瘤，内镜医生直觉是GIST。随后CT，但CT却没有异常。4月初第二次胃镜
，GIST依然还在，取样活检表明可能肝癌转移或者是非常罕见的HAC。第二次CT 报告大
小46x35mm，说比较第一次32mm变大了。可能第一次看片医生那天喝多了？肿瘤位置在
Fundus，非常接近GOJ。
AFP好久没有查了，因为肝上的情况一直很好，肝移植前AFP 100多，移植后AFP一直小
于2。上一次至少是2，3年前。也是疏忽了。现在AFP 254. 显然胃上这个要么是转移，
要么是HAC。
下周二医生还要安排一次PETCT，周三见外科医生，估计排除转移外就安排切除了。 求
这里的专家教授指点，这个情况如何是好？下面我贴上最近几个报告。
个人感觉肝移植后5，6年转移到胃实在... 阅读全帖 |
|
y****g
发帖数: 53 | 47 来自主题: NextGeneration版 - 川崎病 一直以来在这里学到好多东西， 今次上来是为了我家宝宝6个月大时持续发烧两周后确
诊为Kawasaki Disease, 住院4天， 好心痛， 还好现在好了， 之后的复查都还好。不
知道有没有别的家长有类似经历的。
我家宝宝在发烧的头14天内看过5次儿医， 两次急诊， 最后才被留院按KD治疗。 这个
病有时候会比较难确诊， 但是又是个耽误不起的病，治疗不及时有可能导致比较严重
的后果，包括也许会引起小儿心血管扩大导致长大后得心脏病。这个病比较常见于一岁
以下的亚洲男性宝宝，60年代被一个叫川崎的日本医生发现， 至今没有找出原因，也
没有简单的确诊方法，只能凭症状判断， 如果不符合典型的川崎病症状（除了持续发
烧， 打抗生素无效外还有一些症状）， 就只能一样一样的排出其他的可能引起发烧的
病（例如尿道感染，脑膜炎， 肺结核等等，最好在发烧5-10天内接受治疗。我家宝宝
就是除了发烧以外没有什么典型的其他症状，所以尽管我们儿医尽管每年都会遇到几个
得这个病的宝宝， 但是都没有觉得我们家的是，而且他是晚上发烧， 白天就好了，不
发烧的时候精神还很好， 头两次到医生办公室他就不烧了， 也就没给他... 阅读全帖 |
|
f****6
发帖数: 412 | 48 Most likely a lymph node, especially if your kid recently had some kind of
infection on the facial area or cold, etc.. No worry. |
|
g******g
发帖数: 1807 | 49 多谢。今天娃她娘忍不住去看了儿医，说是部分因为是lymph node.部分因为俺们娃右
面颅骨比左边稍大？！ |
|
c******m
发帖数: 572 | 50 我家宝宝也有，应该是淋巴结。第一次发现是差不多3个月的时候，长在后脖子，看是
看不到的，我也不知道怎么回事，突然摸到了。马上去了儿医那里，儿医说不用担心，
很多小宝宝都有的，可能是因为蜕皮啊之类的原因，因为宝宝还太小，所以淋巴结比较
敏感。回来以后没几天，发现耳朵右面又长出来两颗。
自己上网搜索了一下，找到下面这篇文章，分享一下：
http://www.drgreene.com/qa/lymph-nodes |
|
