bookpower Chapter 714
Chapter 714
The two most common types of cells in the brain, one is neuron and the other is glial cells. Neurons are stars, and all the functions of the human brain are completed by neurons (nerve cells), and our memory, language, thinking, etc. are all hosted by it.
Glial cells are relatively low-key, they have many types, and their functions are also very complex, some are neuron doctors, some are nannies, and some are security guards, in short, glial cells also play a great role.
Glioma is when there is a problem with glial cells.
According to the patient's own detailed knowledge, gliomas are divided into 4 grades.
Grade I malignancy is very low, can survive for a long time, can be regarded as extremely lucky.
Grade II is slightly inferior, but overall can live for ten years, eight years or even longer, even if the tumor is removed by surgery, it is inevitable that it will recur later.
The first two grades are collectively referred to as low-grade gliomas.
The name is not good, low-level, but it means God's favor.
It is unfortunate to have glioma, but if you have a low-grade glioma, it is really a blessing.
Grade III./IV. becomes a high-grade glioma, although it is high-level, but in fact, it is poorly differentiated, the degree of malignancy is very high, especially grade IV, basically live for a year is good, many people have surgery and relapse.
After reading these.
The patient is about to collapse.
"Are you also a glioma?" At this time, another glioma patient in the ward saw his ugly face and asked softly.
Hearing the voice, the patient turned his head and looked over, found that it was a young girl, and nodded slightly.
"Me too! Grade IV glioma, awesome! The young girl said with a smile.
Hearing this, the patient was stunned for a moment.
Then the young girl continued: "Don't think so much! Just like me, this disease surgery is not clean, it feels like cutting leeks, just cut, not long after it grows back again, you continue to cut, it also grows crazy. If your pathology comes out to be grade IV, then don't be whole, go home early, love to eat and eat, don't learn from me, I am better off alive than dead now! "
After speaking, a self-deprecating smile appeared on his face, and I didn't know whether to laugh at myself or at God.
After a while, another patient spoke up to the patient about his situation.
However, this patient does not have such a good attitude, and he is talking about a more cruel reality.
At this moment, Lin Feng also walked in.
Just heard their words, and immediately said to the patient: "Each patient's situation is different, of course, there are grade IV glioma treatment results are good, and it is not uncommon to live for two or three years." "
Two or three years?
Hehe!
What's the point of that?
The more the patient thought about it, the more frightened he became, and silently said in his heart: "I am so young, how can I be entangled in this hunger disease!" "
Seeing that the patient was silent, Lin Feng continued: "At present, the best way to deal with glioma is surgery. Your previous headaches, fainting, etc., may be caused by glioma, which may cause you intracranial hypertension, or directly invade the relevant nerves, causing a series of problems. Whether you want radiation and chemotherapy depends on your postoperative situation, but most people need it. "
The patient is not married, and the only way to undergo surgery is to invite the patient's parents and sign the informed consent form for the operation.
Soon.
The patient's parents rushed in.
The two old men were both dissatisfied and worried, and finally the patient's father signed the consent form tremblingly.
Next, Lin Feng began to arrange the operation.
Because he wanted to use a knife on his head, the patient had to cooperate to shave off all his beloved long hair.
After everything is ready.
The patient was pushed into the operating room.
The process was relatively smooth.
The glioma in the head is basically cut clean.
Intraoperative rapid pathological biopsy also yielded glioma and diffuse astrocytoma.
After returning the patient to the ward.
The results of the postoperative pathological biopsy also came out, which was a grade II glioma.
After getting the news.
The patient and his parents were thrilled.
It can be described as a blessing in misfortune.
Based on what she had learned, there was no big problem.
Immediately asked Lin Feng: "Do you want to continue radiotherapy or chemotherapy next?" "
Thanks to the previous understanding.
She knows that most patients need radiation and chemotherapy after surgery.
There is only one chemotherapy drug, that is, temozolomide, but also divided into domestic and imported, the price of import is very expensive, a month may cost 1-20,000 yuan, the burden is very heavy.
Domestic ones are only relatively cheap, and they are thousands of dollars larger a month, but fortunately, they can enter medical insurance, and the pressure will be much less.
In fact, she is mentally prepared to choose domestic temozolomide, after all, it is 6 months to eat, and she is also worried about whether she can bear it.
Hearing the patient's words, Lin Feng said with a smile: "Don't worry. I know your situation very well, so I don't recommend you with radiation and chemotherapy. "
This reply was completely unexpected for the patient.
Immediately asked in amazement, "Is it really not necessary?" "
"Not really!" Lin Feng smiled, and then continued: "But you need to come to review regularly, it is best to review once every 3 months in the next year, and then you can change it to a semi-annual review, although grade II glioma is a low level, many people will still recur." There was a grade II glioma patient before, which was surgically removed, but it recurred 20 years later, and it directly became a grade IV glioma. Therefore, you still have to review it regularly, and if you find something wrong, deal with it immediately. "
"Got it, got it! Thank you, doctor! The patient hurriedly nodded in gratitude.
At this moment, her nervous mood instantly relaxed.
After the tense nerves relaxed, he actually cried, and after there was no pressure, the crying was called a hearty one.
It used to feel that fate had abandoned her, and now she suddenly found that it was just a joke on her.
After the patient recovers somewhat.
Lin Feng said to the patient: "Before you said that you smelled a smell of a smelly gutter, it may be a hallucination, not necessarily really caused by sinusitis. The temporal lobe has an olfactory center here, and after damage, there may be olfactory hallucinations, smelling some non-existent smells. "
The patient nodded, indicating that he understood.
It turns out that what Lin Feng said is not a little wrong.
After the surgery, the patient never smelled the smell of the stinking gutter again.
The next day, the patient left the hospital with his parents.
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