bookpower Chapter 657
Chapter 657
The nodule of this neck will naturally not heal so simply!
Within a few days,
Miss Chen felt her ears and often had tinnitus!
There are many causes of tinnitus,
Otogenic: common external auditory canal foreign bodies, tumors, temporomandibular joint diseases, acoustic neuromas, intracranial and extracranial vascular malformations, pontine cerebellar horn cholesteatoma, etc.
Microvascular lesions: Impede the blood supply to the auditory system, including the cochlea and auditory center, leading to tinnitus.
Neuropathy...
Endocrine disorders: thyroid, pancreas, pituitary and other endocrine organ lesions...
Psychological disorders...
Obviously,
Combined with the nodule in the neck in front of Ms. Chen, she may be caused by an "endocrine disorder".
And at this time,
The lump in Miss Chen's neck appeared again!
According to Miss Chen's previous complaints,
Lin Feng feels that the possibility of "endocrine disorders" is greater!
At this moment,
Suck ~~~~
Suck ~~~~~
Miss Chen's nose was uncomfortable and snot flowed out.
"Dr. Lin, I'm sorry, I caught a cold in the past two days..."
"Well, you wake up first with snot ..."
Miss Chen looked apologetic, took out a tissue and lowered her head, covered it, and woke up with a snot.
Finish blowing your nose.
suddenly
"Ah~~~~"
Miss Chen jumped up in fright.
She looked in amazement at the blood-red blood from the tissue she wiped her nose.
"Dr. Lin, I have a nosebleed!"
Miss Chen was terrified!
Lin Feng was also shocked.
At a glance, it was bright red blood, just flowing out.
This thing is not simple!
Element awareness:
Nosebleeds
Tinnitus
Neck nodules
These conditions add up,
Lin Feng thought of a possibility:
「Nasopharyngeal cancer」!!
The first malignant tumor of the head and neck!
Why did Lin Feng think of this disease?
Because the three major signals of "nasopharyngeal cancer" are:
Tinnitus: In early nasopharyngeal cancer, patients may hear cicada calls and rumbles, because when the tumor compresses or blocks the Eustachian tube pharynx, it will cause tinnitus, ear occlusion and hearing loss.
"What's your tinnitus?"
"Boom~~ The look of speeding by with the big car..."
Boom...
+1 for the elements...
Second Signal:
Nosebleeds: Nosebleeds are the most significant feature of nasopharyngeal carcinoma, generally discharged from the mouth with bloodshot sputum or the first sputum in the morning with blood, this manifestation is also called suction rhinorrhea.
Patient Miss Chen, this is the case.
+2 Element Set...
The third signal is:
Lymph nodes in the neck: patients with nasopharyngeal cancer will have cervical lymph node metastasis in the middle stage, with cervical lymph node swelling as the first symptom accounting for 60%, but the lymph nodes are small and will not be painful...
Miss Chen's neck just had a bulge...
+3 elements...
The fourth signal:
Headache, diplopia, etc.: the bottom of the skull is above the nasopharynx, and the cervical vertebrae are at the back. When the patient bleed, headache, facial numbness, diplopia and other symptoms. This is all caused by an enlarged tumor that invades the base of the skull or later invades the cervical vertebrae
Lin Feng: "Miss Chen, have you ever felt that seeing things with your eyes is a little different recently?" "
Miss Chen: "No..."
Lin Feng: "Will you have a headache and numbness in your face?" "
Miss Chen: "Headaches have... Facial numbness is not..."
Lin Feng nodded.
Symptoms are not obvious and are normal.
+3.5 elements...
With so many elements, Lin Feng can basically judge that it is nasopharyngeal cancer.
"Show me the nose..."
"Raise your head..."
Lin Feng took a flashlight and pressed the outside with his front face.
After looking at it a few times, I couldn't see what was going on inside.
Lin Feng threw away the front and said to Xiaoru:
"Prescribe a 'nasopharyngoscopy' to Miss Chen..."
Said to Miss Chen: "Where is your family?" "
Why do you ask that?
There is a disease, it is called "Lingnan cancer"!
(Lingnan people say offended!) ）
"Lingnan cancer", the real name is "nasopharyngeal cancer", is the only cancer in the world that is named after a region.
According to WHO statistics, 80% of the world's nasopharyngeal cancer occurs in Asia, while South China and riverside areas in China are concentrated and high-incidence areas, and Lingnan accounts for 60% of the incidence in China.
So, it's called 'Lingnan Cancer'.
Why does nasopharyngeal cancer "prefer" Lingnanians?
One of the predisposing factors for nasopharyngeal carcinoma is caused by a virus called EBV.
Epstein-Barr virus is the most widely infected herpes-like virus, which can be transmitted by droplets, kissing, mouth-to-mouth feeding, etc.
This leads to higher incidence in areas of high incidence.
In addition to Epstein-Barr virus, nasopharyngeal carcinoma has a certain familial inheritance.
Nasopharyngeal carcinoma often occurs in direct or horizontal inheritance, and the inheritance is in a large family cluster; It may also be caused by mutations in the patient's own genes.
So
The proportion of incidence in Lingnan is very high.
"Huh? I'm not from Lingnan, I'm from Hu Jian..."
Lingnanians eat Hu Jianren warning ·jpg
Lin Feng nodded.
The Hujian area is close to Lingnan, and the possibility of nasopharyngeal cancer is still quite high.
"You go for a nasopharyngeal scope..."
"Go out and turn left..."
......
It didn't take long,
Miss Chen went to go for a nasopharyngeal scope.
Spray anesthesia first, then poke the nasopharyngeal scope in.
The tube of the nasopharyngeal scope is also quite thick, directly protruding from the nostril, if it were not for the anesthetic sprayed in the nostril beforehand, Miss Chen would not have been able to tolerate this tube in any way.
The nasopharyngeal tube is very long, stretching and stretching in ...
After some examination, the doctor found the location of the bleeding.
"There are hundreds of millions of bumps in it, and there is a little blood near it, so I have to do a biopsy..."
"Biopsy? What do you mean? "
"It is to take out a part of the tissue and send it for testing to see if it is cancer..."
"Girl, where is your house?"
"Hu Jian's..."
"Oh, I'm from Lingnan..." the doctor smiled strangely.
"Has anyone in your family tried anything sick with the nose..."
"Huh?"
Miss Chen was confused.
The doctor repeated the question.
Miss Chen hurriedly: "Oh, yes, my two aunts have rhinitis, nasopharyngeal cancer..."
Then his face changed and he realized something.
"Doctor!"
"That's right, it could be nasopharyngeal carcinoma... But don't worry too much, maybe panic..."
And then
The doctor wrote a bill,
Went to a tissue sample.
Cancer tissue, which grows fast, needs abundant blood vessels, and as soon as the tissue is taken, a large amount of blood gushes out.
Nosebleeds run wildly.
The doctor quickly stuffed her with an inflating sponge to stop the bleeding.
"Go back and wait for news... Scan the code WeChat public account, the personal pathology report is there, and a report will be issued..."
"Thank you doctor..."
Miss Chen left the consultation room in a daze.
A few days later, the tissue examination report came out, which was nasopharyngeal carcinoma.
And badly, it's already late.
Miss Chen was forced to find Lin Feng, apply for admission, and receive radiotherapy and chemotherapy.
prophase
A complete examination is done: MRI of the head and neck, blood drawn for Epstein-Barr virus, and then PET-CT.
The price of PET-CT is unconventional, nearly 10,000 yuan, all at your own expense.
Ten minutes later, the PET-CT results came out.
The cancer has spread,
Advanced nasopharyngeal cancer, stage IVa.
The good news is that there has been no distant metastasis in important parts such as lungs and bones
At this moment,
Miss Chen cried in pain.
This means that she will not live long!
。