Wednesday, October 31, 2012

Flesh and blood tumour is easiest to be acted as " grow and ache "

Flesh and blood tumour is easiest to be acted as " grow and ache "
Flesh and blood tumour easy to take place on 8~25 -year-old teenagers, early disguise relatively strong, symptom does not obvious If the child does not relieve for 3 weeks the leg, even aggravate gradually, pain is obvious at night, present difficulty of walking,etc., should highly watch out for flesh and blood tumour Surgery, chemotherapy are the unexpected knee arthralgia of boy 9 years old that the most important treatment means of flesh and blood tumour is always healthy and lively, parents have not taken notice of very much, thought he was afraid of toil unwilling to walk even act like a child more, have never expected the condition weighed more and more unexpectedly, has made a definite diagnosis of the tumour later period of flesh and blood 3 months later! Expert point out flesh and blood tumour most common primary malignant the intersection of bone and tumour, easy to take place on 8~25 -year-old teenagers, the knee joint is that flesh and blood tumour most often appears in the position of pain. Teenagers' general activity is great, unavoidably knock against at ordinary times, the joint appears to afraid parents were anxious while paining, often try one's best to bear; And most parents lack medical knowledge, it thinks to be normal the intersection of growth and ache or athletic injury pain the often, it is difficult to associate it with flesh and blood tumour. But if the child does not relieve for 3 weeks the leg, even aggravate gradually, pain is obvious at night, present, walk difficulty,etc., want, look out highly, make film inspection to the intersection of pain and position in time, in order to get rid of the possibility of tumour. Case: The child of nine years old finds the flesh and blood tumour Zhang Hao from Shenzhen is only 9 years old in knee arthralgia, always healthy vivaciously, full of vitality. But before the several month, it is little to seem, become, like, act like a child while being great for parents to find, ask tired easily, say for a moment the knee aches, say again for a moment that can't walk any longer. At the very beginning, he is " lazy worm " that everybody also talks in professional jargon ,Parents thought he is in peak period growing up, may present so-called " grew and ached " ,So does not take seriously very much either. Whether he calls it while aching, help him to rub and or let him drink more milk and enrich the calcium each time. Expect little great condition weigh more and more, even way move after the 3 month, the knee is terribly painfuller at night, disappeared and taken a favorable turn too after dealing with to the ill by the clinic near sending to home. Parents are flurried by now, bring up him to the inspection at once, find his right knee joint has a tumor, the doctor highly suspects it is flesh and blood tumour, further check to find the lung has already presented the shade too, make a definite diagnosis of small round cell flesh and blood tumour of the right knee, the focus has already been shifted to backbone and lung, have to stabilize the condition in the amputation, chemotherapy Israel. Onset: " why is such a critical disease never found in later period already when 60% of the patients have made a definite diagnosis of? Symptom that the child begins to have legs to ache, why not just take notice of? " A lot of little patients' parents are distressed to feel guilty. It is reported flesh and blood tumour most common primary malignant the intersection of bone and tumour, easy to take place on 8~25 -year-old teenagers, threaten teenagers' life seriously. At present, its morbidity has already accounted for 15%~20% of child's tumour, the good hair, on four limbs, and fast growing, malignant intensity very high, little the intersection of transformation and cooking stove that can't find at 80%-90% patient exist clinical already make a definite diagnosis of, account for 90% of the patients and shift the lung. "This and early disguise of flesh and blood tumour is stronger, symptoms are not obviously relevant. Don't say it is parents, many amateur doctors, to its scarce understanding, it lead to the fact patient of 60% develop when be made a definite diagnosis of already to in later period. " Beautiful pearl professor of Colin analyzes and calls the big tumour of the first affiliated hospital in Chinese Medicine University of Guangzhou, teenagers' general activity is great, unavoidably knock against at ordinary times, the joint appears to afraid parents were anxious while paining, often try one's best to bear; And most parents lack medical knowledge, return pain of child often because normal the intersection of growth and aching or athletic injury,etc., it is very difficult to associate it with flesh and blood tumour. Symptom: " the knee joint is that flesh and blood tumour most often appears in the painful position in the location of paining department for being most common of knee joint. " Lin LiZhu combines the clinical observation for many years to point out, pain is a main symptom of flesh and blood tumour. Though disease, its early symptom of this kind is not obvious, parents, through looking out for the child's change closely, also can find the clues. She proposes, if the child does not relieve for 3 weeks the leg, at the time of the following symptom that or appears, should go to the hospital to make film and arrange checking, in order to find early, treat in time - -1. Four limbs often have irregular secret anguish discomfort, begin to be shown as the joint intermittent pain around, ached, dull pain, it is effective to take analgesic; Become more serious with the condition, pain is violent and insufferable and duration is lengthened, ordinary analgesic is invalid, and pain will be radiated to the other positions; 2.Appear swelling, lump around the joint gradually, until skin warm to raise and intravenous the intersection of anger and one,etc. behave; Lump is increasing constantly, symptom is being aggravated day by day; 3.Pain independent of sport appears, especially it is obvious to pain at night, the growth that it is probably tumour behaves; And when in sport state, the joint pains and further aggravates; 4.The condition is developed very fast, even all aggravate signs every other day; 5.Besides bone arthralgia, also presenting the body temperature gradually, raising, apocleisis, becoming thin and looking pale,etc. reacts all over. Diagnose: The majority needs to be alive to examine and have materials to reveal to make a definite diagnosis of, are not standardized the treatment, the tumour patient of flesh and blood shifts from half a year to one year, cause the death. Find that it is the effective way which improves survival rate to standardize the treatment in early days. But according to the introduction of Lin LiZhu, 50% of the tumour patients of flesh and blood delay the condition because of being unable to diagnose in time and standardize and treat. In addition, are up to about 30%- 40% of tumour patients of flesh and blood and once misdiagnosed, it causes the fast progress of the condition to misdiagnose and cure by mistake. "The malignant intensity of flesh and blood tumour is high, fast growing, it is more complicated to classify and make a diagnosis and give treatment, diagnose it should be that clinic, image, pathology combine by three-in-one. " Lin LiZhu shows, simple and very difficult to study to make correct diagnosis with the image to depend on clinical examination, it is the essential route that most flesh and blood tumours diagnose to live and examine. "But live and examine and the operation must be carried out under the guidance of professional doctor. Because examine the operation, will probably make the patient lose the chance to protect the limb in incorrect work. " Lin Li pearl adds. Treat: In front of the skill chemotherapy + operation + take, treat " a lot of parents think child have illness coming on shortly after the time while being postoperative, the condition is lighter, always hope to adopt and guard treating, feel frightened even resist surgery, chemotherapy, this can understand, not practical. " Lin LiZhu points out, flesh and blood tumour is different from general disease, standardized complex treatment is the key to treating, and surgery, chemotherapy are the most important treatment means of flesh and blood tumour. At present, the chemotherapy + operation + postoperative chemotherapy mode has already been accepted extensively before the skill, become the standard therapeutic mode of this disease. If the condition belongs to in early days, can consider protecting the limb operation, the limb function kept should be better than the artificial limb; If the condition belongs to later period or there is no person who protects limb condition, propose cutting Limb operation; Chemotherapy medicine can wound internal tumour cells, cause tumour necrosis, kill the little transformation cooking stove, improve a patient and survive at a specified future date? At a disturbance of the horizontal inscribed board �� and seize the man? At present, still lack the specific medicine because of the treatment of flesh and blood tumour, there is certain damage to the body in in addition surgery and chemotherapy, many infants' relatives consult Chinese medicine everywhere. As to this, Lin LiZhu thinks, flesh and blood tumour cooperates with the traditional Chinese medicine treatment in early days, can improve the therapeutic effect of Western medicine better, reduce the bad reaction, improve the patient's tolerance and long-term curative effect. But those boast and rely on external application and traditional Chinese medicine of some traditional Chinese medicine to be taken simply orally, needn't check all right " Bao Zhi " This disease one, it is not " charlatan " Here " Deceive people " ,Do it in this way, only can delay, treat opportunity, cause the intersection of condition and progress, patient and their relative don't readily believe.

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