The diagnosis of the tumor method-disease history and check-up

3.12.2009

The diagnosis step and method of tumor, basic with other diseases likeness.History and check-up of disease is the most basic and the most important diagnosis meanses and pass completely, the history inquiry of the disease of system, the check-up of detailed delicacy, necessity of check-up check and other special check, then carry on comprehensive analysis, in the development that doesn't influence tumor and don't cause the circumstance of bane to the patient under, should as far as possible acquire pathologic diagnosis.
The history and check-up of disease
The history of disease to some carry on sexual symptom, like lump, ache, pathologic sex secretion, bleed, emaciated, jaundice etc. should go deep into inquiry, particularly the middle age above sufferer should even watch out for.The different tumor that the same organ takes place, it delivers age so much also different, such as breast cancer much Be delivered to through extremely expect front and back women, but mammary glands fiber the lump then is more familiar than 20~30 years old.The course of illness length often can hint the property of tumor.So, to the symptom that patient says, should one by one inquire time of occurrence and property and variety degree.Understand sufferer's occupation, living environment and have already had no smoking etc. habit, have have no chemistry carcinogen contact history and cancer household history etc..Should inquire its treatment process towards once carrying on the patient of treatment in other medical treatment units, .(include surgical operation circumstance and pathologic report)Since to history should detailed inquiry and cancer may have the disease of certain relation and change such as the hard stomach ulcer, colon polyp and liver, the nipple ooze blood, then blood etc..The female sufferer's gestation, production, breast feed etc. also should detailed inquire.
The check-up is a tumor diagnosis of importance part, should at overall, system check foundation up, again combine the history of disease to carry on point the partial check of the organ.The watch shallow tumor easily discovers that deep department the tumor careful check-up or asks for help of the check of other necessities, then can make sure.While checking have to notice to discriminate is a real tumor, or other non- tumor pathological changeses(such as burning the disease, parasite and organ are greatly fatty etc.) cause of lump;It is a benign tumor or a malignant tumor.The partial check should notice:The part, appearance, degree of hardness and movable degree of tumor and with around organize a relation, carry on lymphoid knot check in the district in the meantime.①The property and organization source that can analyze tumor according to the tumor part, such as goiter lump generally can with swallow action top ambulation.Liver, kidney tumor can with breath action top and bottom move.Make stomach muscle strain of experiment can use to discriminate tumor to be located on the stomach wall still inside the belly cavity.②According to tumor ground the appearance and surface circumstance can hint the property of tumor, such as malignant tumor appearance anomaly, present the form or cave convex gravamen of condy-loma accuminata, and can have surface Kui to break, Chong blood, vein Nu the piece and partial temperature goes up etc. circumstance.③The degree of hardness of tumor is sexy for bag towards estimating that the tumor property contains certain meaning, such as cancer harder, the bag is much more swollen, the sponge-like in shape afferent lump presents compressibility etc..④The movable degree push towards judging tumor to have of great value property as well, such as dilatability growing of tumor generally canning, gradually the tumor activity of sex growth is subjected to a limit or fixedly and motionless.⑤With surroundings organization of relation, benign tumor because of oppress or squeeze, past its boundary clear, malignant tumor because of gradually sex growth but break surroundings organization, its boundary isn't much pure.⑥Lymph knot in the district leads to flow important meaning to the cancer lump of the different organ and the part.The body table three greatest districts lymph knot is:Head neck organ and shoulder department of lymphoid lead to flow to neck lymph to knot.(include the neck deep set and neck shallow lymphoid knot)Arms, mammary glands, chest wall, back and the Qi above stomach wall of lymphoid lead to flow to the armpit and the lock bone lymphoid knot.The Qi following stomach wall, loins, hip, outside Yin and anus tube, legs of lymphoid lead to flow to a stomach ditch lymph knot.Internal organs organ and mammary glands may transfer to the lock bone last nest lymph to knot.All should detailed check, absolutely not to leave out.

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