The diagnosis of the tumor

3.14.2009

(A)the history of disease

1.The age child suffers from embryo more tumor and leukemia, the teenager suffers from tumor more and wins old age to suffer from cancer more.

2.The sex much more male lung cancer, stomach cancer, much more female breast cancer, temple neck cancer and goiter lump.

3.The occupation makes steel, dyestuff, rubber, plastics etc. industry etc. easily deliver.

4.The incidence rate of the race race that is different from geography factor and tumor in the region has difference.Such as our country province nose in Guangdong swallow a cancer familiar.

5.Course of illness benign tumor course of illness long, be a companion to have infection issue of blood enlarge obvious;The malignant tumor grows quickly and often has been already transfered or relapses, the course of illness is short.

6.Obvious of pathological changes or related disease suffer from before the cancer of the history of disease.

7.Personal history, household history or heredity history.

(Two)check-up

Lump part;Whether the shape, appearance, degree of hardness and surface of tumor is smooth;With around organize relation;The district lymph knots a circumstance.The whole body circumstance should notice non- bad disease quality, such as tired, extremely emaciated, anemic and low hot etc..

(Three)the assistance check

1.The laboratory checks

(1)generally analyze:Three greatest normal regulations, liver function and BUN measureses.

(2)tumor marking:Appear the bio-chemical material of density abnormality in the body fluid for tumor patient.Like A foetus egg white(AFP), to original hair the liver cancer diagnose the particularity is very high;The cancer Pei antigen(CEA) all has been already gone up in some tumors and the diseases, the particularity isn't strong, and the curative effect judgment of its dynamic state examination to colon cancer contains reference value.

2.The image learns a check to show to share a part, appearance and quality of lump to have no tumor and its property by predicting.

(1)the X line check:Chest deeply, even slice of, barium meal or barium infuse bowel, the spirit barium is dual to build a shadow, and the treacherous acts builds a shadow check etc..

(2)the super voice wave develop:The B is super to distinguish the diameter 1 cm above lump in the thyroid gland, liver and Pi, kidney and stomaches.

(3)the X line computer CAT scan(CT):It is the important breakthrough of X line technique in recent years.On the cross sections, such as Lu brain, chest and stomach...etc., can know the position and scope that shows a materiality organ lump.

(4)the Ci resonance becomes to be like(MRI):Mainly used for the diagnosis of brain organization tumor.

(5)the pit vegetable develops:(scan)BE iner common use than liver and Dan, Pi and kidney, bone and thyroid gland to scan, and vein, lymph, cerebral, spider's web film bottom the chamber, brain pond, and brain room...etc. develop.

3.Inside mirror check ability orthoptic observation cavity tumor circumstance inside the organ, and can record image and get material to live check, a little bit in common usely have oesophagus mirror, and stomach mirror...etc..

4.The pathologic check is the check that the tumor settles sex diagnosis.

(1)the cytology check:Take stomach liquid, and phlegm...etc. through leave heart to precipitate, or the thin needle wear sting Tu Pian, and paring off of lump be Tu Pian check cancer cell.

(2)live body organization check, wear a sting to take out to absorb specimen, inside the mirror pliers clip specimen, surgical operation to slice the tumor taking to send check.

(Four)the surgical operation fish for

Be applicable to the height doubt again difficult confirm of malignant tumor, diagnose and cure to carry on in the meantime.

(Five)tumor cent expect

Want to carry on a cent to expect in the diagnosis of the tumor, in order to establish a treatment project, the cent expects to often have two kinds of methods currently.

1.The traditional cent expects a method to is divided into early, medium, later period.In early days, the tumor was small and was limited by original hair part, don't transfer, had no obvious tumor to express.Middle, the tumor becomes big, to surroundings the organization infringe upon, also lymphoid knot in the district transfer and there is tumor performance.Later period, the tumor is larger, to surroundings organization, organ extensively proliferation, also district lymph the knot extensively transfer, can have a blood line to transfer and there is obvious tumor performance.The whole body can have the quality of emaciated, anemic and bad disease.

2.The international cent expects method namely TNM divides period method, T(tummor) means original hair tumor, the N(node) means district lymph, the M(metastasis) means that the distance transfers.

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